Knaresborough GPs operating at ‘clinical capacity’

GP practices in Knaresborough are operating at “clinical capacity”, according to clinical commissioning group managers.

NHS North Yorkshire Clinical Commissioning Group, which commissions GP services in the area, recently reviewed the average number of patients to full time GPs in the town.

Details of the review emerged when the CCG recently objected to a new housing development on the site of the former Trelleborg factory on Halfpenny Lane in Knaresborough.

Nick Brown, senior planning and capital officer at the CCG, said in a letter to Harrogate Borough Council that the impact of any further housing developments would be “very significant”.

He said:

“NHS North Yorkshire CCG has recently undergone a review of the GP primary care estates in Knaresborough, consulting with all the GP practices and the Knaresborough and Rural Primary Care Network (PCN) with responsibility for providing services in this locality.

“The confirmed consensus is that the practices are currently operating at clinical capacity in relation to the average number of patients to full-time GP ratio, compounded by existing limitations with internal clinical space.”

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Mr Brown added:

“The existing GP surgery premises in Knaresborough are currently operating at capacity and the impact of any further local housing development on health services and health infrastructure is very significant.

“The existing health infrastructure cannot absorb the further pressure on delivery of services arising from the housing development.”

On Tuesday, Harrogate Borough Council granted permission to developers Countryside Properties to build 64 homes at the former Trelleborg site on Halfpenny Lane, which closed in 2016.

The CCG asked for £75,937 from the developers to fund improvements to services in the area. How much will be given is to be negotiated.

The CCG made a similar objection in March to plans for new retirement apartments on Wetherby Road in Knaresborough.

It said it was “extremely concerned” that another care facility could increase the elderly population and “overload” local services.

Private hospital introduces GP services in Harrogate

A private hospital in Harrogate has launched a new service offering GP appointments to the public.

The Duchy Hospital, on Queen’s Road, will be offering the appointments with Dr Jason Jones at £100 for a 30 minute appointment.

He said:

“I’m very happy and excited to be joining the team at The Duchy and providing some primary care services.

“Being based within the hospital will also give me access to all the hospital’s facilities, services and consultant colleagues. This should improve the patient journey if any secondary care referrals are needed.”

The news follows reports that people across the UK have been struggle to get GP appointments, particularly face-to-face, following the covid pandemic.

In the Harrogate district, demand for GP services has also risen thanks to extensive house-building in recent years, increasing the population.

A report by Healthwatch North Yorkshire in December found people were struggling to access appointments either over the phone or in person. The service added:

“Several people expressed their concern about digital exclusion for people who can’t access GP and other services online. Others raised issues about misdiagnosis following telephone appointments.

“We know that GP practices across North Yorkshire are working hard to ensure everyone can access the right services for them.”

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Appointments with Dr Jones at The Duchy Hospital are available from Monday, April 25 and can be booked by calling 01423 567136 and selecting option four.

The Duchy’s executive director Rick Sanders added:

“The private GP service is a great addition for our patients at The Duchy. This new service will allow patients to see a GP face to face with easy access to any diagnostic tests, scans or onward referrals that may be required.”

Women’s Equality Party puts forward police commissioner candidate

The Women’s Equality Party (WEP) has put forward a candidate for the North Yorkshire Police, Fire and Crime Commissioner (PFCC) by-election following the resignation of Philip Allott.

Dr Hannah Barham-Brown, who is well-known for her campaigning work on both women’s and disabled people’s rights, is set to contest the role.

While some candidates for this election stood at the previous election in May when Mr Allott won, this is the first time that Dr Barham-Brown has put herself forward for North Yorkshire’s PFCC.

If elected, she said her first step would be to launch an independent inquiry into misogyny and sexism in North Yorkshire Police.

Dr Barham-Brown, the Women’s Equality Party candidate for the North Yorkshire PFCC by-election said:

“If elected as PFCC I will put ending violence against women and girls at the top of the policing and political agenda.

“Women and girls in North Yorkshire deserve to live their lives free from the fear and the threat of violence, and that is why I am contesting this election.

“We were let down by Philip Allott as our PFCC who proved he didn’t understand the importance of ending violence against women and girls with his disgraceful, victim blaming comments.

“But our community did not accept that and now it’s time to finish the job.”

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The PFCC is being held following the resignation of Mr Allott, who stepped down after his comments on the murder of Sarah Everard led to hundreds of official complaints and a vote of no confidence.

Voters will head to the polls to elect a new police commissioner on November 25.

Mandu Reid, leader of the Women’s Equality Party, added:

“Ending gender-based violence must be at the heart of this election, so we can build a better future for women and girls in North Yorkshire.

“I am delighted that Dr Hannah Barham-Brown is contesting this election for the Women’s Equality Party.

“We need real political leadership that focuses on accountability and preventing violence against women, not just managing it.”

Other candidates for the PFCC role

Pateley Bridge GP surgery reassures patients after appointment frustration

A Pateley Bridge surgery has reassured patients that face-to-face appointments are available after people expressed frustration at not being able to see a GP.

It follows a backlash from patients after Amanda Bloor, accountable officer for North Yorkshire CCG, said national reports that surgeries were closed were “a myth”.

Ernie Butler, a Darley parish councillor, told the Stray Ferret that he often had to wait weeks to get an appointment at Pateley Bridge surgery.

Now, the surgery has sought to reassure patients that it has been open throughout the pandemic and that it continues to have face-to-face appointments “where clinically appropriate”.

A statement from the Pateley Bridge practice said:

“We would like to reassure all our patients that we have been open throughout the pandemic. Since the first lockdown we have and continue to offer telephone, video and online consultation as well as face to face appointments where clinically appropriate.

“We remain open and whilst we are (like most surgeries) running a total triage service, we continue to see patients face-to-face. In the interests of keeping patients safe we have been using our three sites differently over the last year by having a designated site for potential or confirmed covid patients as well as having a separate site for shielding patients to be seen.

“This has worked really well and we are confident this has reduced the risk of infection to all our patients and staff but in particular our most vulnerable patients.

“Given the massively successful vaccination campaign and easing of lockdown restrictions, we are constantly reviewing our protocols but understandably this is being done cautiously in the interests of our patients’ safety.

“We’d like to thank our patients for being so supportive and understanding during an unprecedented 15-month period.”

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Local GP practices have been running telephone and online assessments for patients since March last year.

The process, known as “total triage” assesses people first before offering face-to-face appointments.

It has been used throughout the pandemic and NHS England guidance says it has been used to “reduce avoidable footfall in practices and protect patients and staff from the risks of infection”.

‘They’re only trying to help us’: GPs face verbal abuse over delays for non-covid services

GP practices are facing a wave of abuse from patients frustrated with delays for non-covid health services stretched by the pandemic, an NHS boss has said.

Amanda Bloor, accountable officer for NHS North Yorkshire Clinical Commissioning Group, told a briefing today that patients are being aggressive on an “increasingly frequent basis” as GPs struggle to cope with huge demand for routine services including appointments and prescriptions.

Ms Bloor has issued a plea for patience and politeness towards staff which she said are working under difficult circumstances as they not only try to deal with this demand but also spearhead the covid vaccination drive.

She told a North Yorkshire Local Resilience Forum briefing:

“We are continuing to see significant system pressures across North Yorkshire and York in all of our health care settings but we are also now sadly hearing some feedback about abusive behaviour towards staff.

“A number of our GP surgeries have said their practice teams are being subject to verbal abuse on an increasingly frequent basis, particularly receptionists.

“The wider NHS and all of its staff are here to help you, so please do work with us and be kind. I don’t think anybody deserves to be abused at work particularly when in challenging situations they are only trying to help us.”

Over the past 14 months, while all GPs have been working throughout the pandemic, surgeries have reduced face-to-face appointments which have been replaced with telephone and online consultations.

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It has meant long telephone queues and online forms for patients seeking the medical help they need, however, surgeries have now begun restarting more services.

Earlier this month, the NHS published updated guidance which said patients should be able to request an in-person appointment with their doctor unless they have covid symptoms.

But in order to keep the pressure off staff, Ms Bloor said patients should still use online and telephone services where they can, including 111 for any urgent medical help and the NHS app for ordering prescriptions.

She said:

“Please do use the NHS wisely and that way we can best support everybody’s needs.”

Meanwhile, Ms Bloor also told today’s briefing that more than 482,000 people in North Yorkshire and York have now received their first covid vaccine dose, while 312,000 people have had their second.

There are, however, still more than 31,000 residents who belong in the top nine priority groups and have yet to come forward despite receiving their vaccine invites.

Ms Bloor said:

“We encourage everyone across North Yorkshire and York to take up the vaccination when they are invited and also make sure they do attend for the second dose when the time comes as we know that second dose does just make all the difference.

“We also know that over 31,000 people have not yet come forward and it is really important that we get as many people across all communities covered by the vaccination as possible.

“It is not just about stopping you getting the virus, it is about protecting families, loved ones and the wider community.”

NHS workers prepare to return to front line across Harrogate district

Across the country, recently retired doctors, nurses and other NHS staff are being invited to return to work. 

The government has vowed to relax restrictions for such workers to enable them to help out as medical services face growing demand, and as current staff fall ill themselves.

While they won’t be invited as part of the current scheme, there are also NHS staff who have been on career breaks for other reasons now preparing to offer their services again. 

GP Joanne Gregson, who has been off work since having daughter Edie in October 2018, has contacted the Local Medical Committee to find out where she is most needed. For her, work will be very different when she returns than it was when she left.

“We’re all subject to the self-isolation rules too,” she said. “If Edie gets a temperature, I’m out of action for a couple of weeks. 

“A lot of practices are doing video and telephone consultations now, trying to limit face-to-face contact. That should help to keep as many of us working as possible.” 

Support after career break

Dr Gregson had already been considering a soft return to work through the GP retainer scheme, which offers mentoring to doctors coming back to practice after a break. However, with practices now in need of help to cope with high demand, she may return to work in one of the most difficult periods in the history of the NHS. 

“It is anxiety-provoking because I was planning to go back in a very controlled manner,” she said. “As doctors, we’re very conscientious. We don’t want to make mistakes, we’re human and we want to do our best. 

“I wanted to do some courses and get back up to speed. Going back as a retainer meant after each appointment I could speak to a mentor and go through things. Now, I know everyone is going to be working at their capacity and as much as people will try to help, they may not be able to find that extra time.” 

With colleagues and friends working in front-line NHS care, Dr Gregson said she is hearing stories about their experiences:

“There’s a bit of disgruntlement about social distancing. We aren’t really seeing people doing it. I can understand that, because it seems unreal still, but we’re seeing what’s happening in Italy and it is worrying. The message coming from my colleagues is, ‘do your bit. This is coming and we all have to act responsibly’.”