Harrogate district hospital Archives - Page 11 of 49

Harrogate hospital roof contains crumbling concrete

Harrogate District Hospital’s roof contains the type of crumbling concrete that has prompted the closure of more than 100 schools.

Harrogate and District NHS Foundation Trust has confirmed its buildings contain reinforced autoclaved aerated concrete (RAAC).

The material, popular between the 1960s and 1980s, has been compared to “chocolate Aero”. It has led to one hospital using 3,000 steel props to keep its roof up.

A trust spokesperson said:

“We are following HSE and NHS England guidance regarding managing the risk posed by RAAC roofing and are doing all we can to ensure that any RAAC used in our buildings does not pose any threat to the safety of our patients, staff and visitors.”

The trust is the district’s biggest employer with more than 4,000 staff employed across its sites. The main hospital was built in 1975.

The spokesperson added the trust had been undertaking surveys since last year “to identify areas of concern and monitor all RAAC roofing on our trust sites”. They added:

“We have mitigated risks that have so far been identified through remedial work, such as providing additional structural support where it is required. This work will continue to be undertaken to address any further issues that are found.

“The trust is part of an NHS England scheme to eradicate this form of roofing. We have submitted a bid to NHS England for funding so that we can develop plans to remove all RAAC from Harrogate and District NHS Foundation Trust sites by 2030 at the latest.”

Concerns about RAAC were flagged up at a trust board meeting in May this year.

A report by the director of strategy said RAAC roofing had been surveyed and “remedial works were underway and mitigation was in place”.

The corporate risk posed by RAAC was rated at 12 — lower than managing the risk of injury from fire and control of contractors and construction work, which were both rated at 16.

It added failure to manage the risk associated with RAAC could lead to “major injuries, fatalities, or permanent disability to employees, patients and others”.

A financial plan included in board papers said the trust had allocated £700,000 for backlog maintenance but this “excluded any national funding for RAAC”.

Harrogate hospital trust paid £4.9m in compensation claims since last year

Harrogate District Hospital has paid out £4.9 million in compensation claims in the last 12 months.

Figures obtained through a freedom of information request by law firm Legal Expert show Harrogate and District NHS Foundation Trust made the payments during the period July 2022 to July 2023.

The claims covered medical negligence complaints, which occur when a healthcare professional provides substandard care to a patient that falls below the standard expected of any healthcare professional.

However, the trust said some of the payouts were historical claims and were not necessarily claims resolved within the 12 month period.

In total, the trust paid £4,914,799.05 in compensation payouts. In the same time period, the hospital received 28 new letters of claims.

A spokesperson for the trust said:

“In the event that the care we provide falls below our expectations or those of our patients, we have procedures in place to investigate what has happened, so that we can learn and continuously improve patient safety.

“We treat a large number of patients across the year and the vast majority are positive about the treatment we provide – the number of claims we receive reflects an extremely small percentage of the patients we care for.

“It is important to note that the compensation figure is not only for claims which were resolved over the 12 month period in question, but also includes payments for historic claims which have been ongoing for several years.”

Harrogate hospital to increase visitor parking charges under new system

Visitor parking charges at Harrogate District Hospital are set to increase from next week.

Harrogate and District NHS Foundation Trust will introduce a new car parking system at the hospital on Wednesday.

Automatic number plate recognition will replace the current parking barriers, which the trust says will improve traffic flow. The first 20 minutes will be free then it will cost £4 for up to two hours.

It comes as patients and visitors complained of long queues on Lancaster Park Road, particularly during visiting times in the afternoon.

The new system, which will be managed by Lancashire-based Parkingeye, will identify cars on entry and exit using automatic number plate recognition.

Queues outside Harrogate District Hospital on Lancaster Park Road.

Visitors will then be able to pay when they leave by entering their car’s registration number into the parking validation machines in the front entrance of the hospital or via a dedicated app.

A spokesperson for the trust said:

“The new barrier less system will provide a better experience for our patients and visitors as it will improve the flow into and out of our hospital car park and reduce the queues on Lancaster Park Road.

“This will help improve road safety, ambulance access, reduce noise pollution that can affect local residents, and remove paper waste produced by our current ticketing system as the new system will be paperless.

“Working with Parkingeye we believe we have developed a system of fair parking for all, which is both clear and transparent and allows our trust to concentrate on our patients, whilst Parkingeye supports us by managing our car parks.”

Increased charges

Currently, visitors have 30 minutes free parking. Drivers then are charged £2.60 for up to 90 minutes, £3.80 for up to two-and-a-half hours and £6.10 for up to four-and-a-half hours.

Those staying for six-and-a-half hours or more are charged £9.10.

Under the new arrangement, parking will be free for the first twenty minutes, then will cost £4 for up to two hours, £6.50 for up to four hours, £8.50 for up to six hours and £11 for up to 24 hours.

Parking terminals will be available across the hospital and at main reception for those who are eligible for concession or free parking, for example blue badge holders, patients receiving cancer treatment and parents visiting the paediatric ward or special care baby unit.

A trust spokesperson added:

“With the introduction of the new car parking system we will also be increasing our car parking charges for visitors.

“Increasing charges is always a difficult decision, but we need to do this to ensure our car parks can continue to be well maintained. It will also allow the trust to re-invest the revenue from the car parks back into supporting the delivery of patient care.”

Harrogate musician died from poorly-managed diabetes, inquest finds

A talented Harrogate musician diagnosed with diabetes at 18 died eight years later from the disease, an inquest heard today.

Aaron Joseph Bertenshaw was 26 when he went into a diabetic coma and died at his home in Dene Park in December 2021.

At the inquest in Northallerton, coroner Catherine Cundy heard evidence that he had struggled to come to terms with his diagnosis and the condition had not been well managed.

Mr Bertenshaw, a popular musician who also worked as a barber, was admitted to the emergency department of Harrogate District Hospital 40 times over a period of five years.

Of those, 36 admissions were because of diabetic ketoacidosis (DKA), which occurs when the blood glucose level is dangerously high.

Following his high frequency of admission to hospital, a multi-disciplinary team meeting was called in April 2021, involving the GP practice as well as the hospital’s diabetes team.

As well as his poor diabetes control, health professionals were concerned that he failed to keep appointments or respond to attempts to contact him.

The meeting considered whether Mr Bertenshaw had the mental capacity to make decisions in his own interests and it was agreed this would be assessed whenever contact was made with him in future.

However, the psychiatry team at Harrogate District Hospital never felt that Mr Bertenshaw had an underlying mental health problem that would have impacted on his ability to make decisions.

Mental health

The consultant psychiatrist, Dr Akram, told the court Mr Bertenshaw had had a number of referrals to mental health services over several years, the latest in October 2021.

He said patients in acute episodes of DKA can lack judgement and behave strangely, but this does not mean they have a mental health disorder.

Nor, he said, can someone be detained under the mental health act to force them to accept treatment, which Mr Bertenshaw’s parents had suggested could have been done for him.

The community mental health team felt that Mr Bertenshaw was struggling to accept his diagnosis, but was not deliberately misusing his insulin.

Dr Akram added:

“His intention was not to hurt himself. He just wanted to be on a different type of diabetic medication.”

The inquest also heard that the diabetes team at the hospital had discussed different options with Mr Bertenshaw to help him manage his condition.

He had requested going onto an insulin pump, which diabetes consultant Dr Sutapa Ray told the inquest had been “on the table” for him.

She said Mr Bertenshaw was told he first needed to have his sugar levels under control, which he had not been able to do.

Mr Bertenshaw’s mother, Sammy Oates, told the court he had lost a significant amount of weight and vomited after every meal, causing her to suspect he had an eating disorder.

However, Dr Ray said this was a common symptom in cases of poorly controlled diabetes, and Mr Bertenshaw had not engaged well with the diabetes team to help him manage the condition.

She said:

“It was very much the case that we would reach out to Aaron and we would do whatever he allowed us to do to engage with him to make the changes that needed to be made…

“Type one diabetes is such a burdensome condition. People adjust in different ways. Some take years and years, and some never come to terms with it.

“It’s probably one of the most difficult conditions to live with for the person and the people around them. it’s not at all uncommon [to struggle with it].”

The court heard Mr Bertenshaw had avoided emergency admission to the hospital for most of 2021.

When he was admitted in early October, he said he had been drinking and taking cocaine following the death of a friend. Having initially refused tests and treatment, he did later agree to accept help.

He was again referred to the mental health team but, despite repeated attempts to contact him, he failed to respond.

Aaron Bertenshaw was a well-known musician who gigged around Harrogate

On Thursday, December 2, 2021, Mr Bertenshaw’s mother went to his house, having not been able to contact him or seen him active on WhatsApp since Monday, November 29.

She found him on his living room floor, and paramedics attended to confirm his death.

Police officers who were also present reported signs of a “chaotic” lifestyle, including an unhealthy diet, and use of alcohol and drugs.

The post-mortem and toxicology reports found that while there was some cocaine in his system, it was not in large enough quantities to have put him at risk of death. However, the court heard use of cocaine is thought to be linked to a higher risk of DKA.

Concluding that Mr Bertenshaw had died of natural causes relating to his diabetes, Ms Cundy said she had not seen any evidence that more could have been done to intervene by the organisations caring for him.

She said she accepted that sectioning him to force him to take medication was not appropriate, adding:

“People cannot and should not be detained in psychiatric institutions simply because they make what others of us might consider to be unwise choices about how they live their lives.”

Union criticises Harrogate hospital for spending £1.2m on management consultants

One of Britain’s biggest trade unions has weighed in on Harrogate hospital’s decision to spend £1.2 million on hiring management consultants to develop a “culture of continuous improvement”.

Unite the Union, which has more than 1.2 million members in the UK and Ireland, said “paying consultants to produce a report that will gather dust on a shelf” was “not a good use of taxpayers’ money” and urged Harrogate & District NHS Foundation Trust to urgently review the decision.

The trust signed a contract with KPMG and Catalysis in March, which will run for 18 months to September 2024.

KPMG is one of the world’s largest multinational professional services companies, and Catalysis is a Wisconsin-based not-for-profit organisation that works to help healthcare bodies become more efficient.

Unite’s national officer for health, Colenzo Jarrett Thorpe, told the Stray Ferret:

“The board of Harrogate and District NHS Foundation Trust needs an urgent review of this decision since it is not a good use of taxpayers’ money. Consultants are called in to tell the organisation what they already know or what they want to hear, without having the foresight to have the discussion with key stakeholders such as staff and trade unions and patient groups first.

“The £1.2 million would be better spent cutting agency spend, improving flexible working for all employees, and reducing the vacancy rates across the trust, rather than paying consultants to produce a report that will gather dust on a shelf and will not impact anyone.”

The trust has said its continuous improvement programme, called HDFT Impact, will ultimately involve all 5,000-plus employees, who will be encouraged to share knowledge with each other and come up with ways to improve the way the Trust delivers its services.

Mr Jarrett-Thorpe said:

“If the trust wanted to involve all employees, why doesn’t it improve and strengthen access and facilities to trade union representatives in the trust? Trade unions representatives can help retention of NHS staff, staff morale, improve safety at work, increase staff engagement, productivity and learning opportunities.”

The trust argues its continuous improvement agenda has brought about positive change over the last decade. KPMG and Catalysis are also reported to have helped other hospital trusts save hundreds of thousands of pounds in efficiencies, increase surgeries, reduce patient falls, and improve care outcomes.

In a statement issued earlier this month, the trust said:

“Continuous improvement is not a new concept at HDFT. It has been integral in helping us to develop our services and bring improvements for patients and colleagues for a long time – we have been using a lean quality improvement approach for over 10 years. We know this approach works and we’ve seen the improvements it can bring for patients and colleagues.”

Harrogate hospital to review emergency department security staff

Harrogate District Hospital is set to review security arrangements at its emergency department.

Officials at the hospital commissioned T3 Security, which is based in Newcastle, to provide security officers overnight on a trial basis in May 2022.

The move came as staff reported receiving abuse and aggressive behaviour from patients and visitors.

At the time, Jonathan Coulter, chief executive of Harrogate and District NHS Foundation Trust, said the trust made the decision reluctantly.

However, the trust is now set to review the measures despite describing the trial as “successful”.

A spokesperson for the trust said:

“The service aim has been to provide a visual deterrent to those who may seek to be violent and aggressive, and create a more secure environment for patients and staff.

“While the security trial has proven to be successful and helped reduce instances of violence and aggression, we now need to review the temporary arrangements and formalise the service in line with our longer term plans.

“A security service will be in place within the next week to ensure the continued safety of visitors to our emergency department and the staff who work within it.

“We will not tolerate violence, or physical or verbal aggression towards our staff or patients and abuse of any kind may lead to prosecution.”

Security staff were in place at the emergency department between 7pm and 7am.

The move came amid complaints that staff had been abused by patients and visitors when they were asked to wear face masks.

Speaking at a council meeting in November last year, Mr Coulter said it was “a bit of a shame” that the trust had been forced to appoint its own security officers.

He said:

“We were always reluctant to have our own security service on the hospital site because we felt we were a health service, not anything else. I know other trusts went much more quickly into having dedicated security personnel on site.

“We have in the last six months introduced, between 7pm and 7am overnight, our own security service, which is a bit of a shame that we’ve had to do that, but it was something that made the staff feel safer, particularly in the early hours with the emergency department where Harrogate has never had a problem before, but has had an increasing problem.

“I wouldn’t say it’s anything like we get lots of these incidents, it’s a handful of incidents but they don’t need to happen very often for it to be disturbing and for people to get concerned about it.”

Harrogate hospital braced for four-day strike by junior doctors

Harrogate District Hospital is set for a further round of strikes tomorrow as junior doctors stage a four day walkout.

Members of the British Medical Association will take industrial action from 7am on Friday (August 11) until 7am on Tuesday (August 15).

The strike comes amid an ongoing dispute with government over pay.

Dr Robert Laurenson and Dr Vivek Trivedi, co-chairs of the junior doctors committee at the BMA, said:

“It should never have got to the point where we needed to announce a fifth round of strike action.

“Our message today remains the same: act like a responsible government, come to the table to negotiate with us in good faith, and with a credible offer these strikes need not go ahead at all.”

Harrogate and District NHS Foundation Trust has warned that appointments and elective surgery may be cancelled as a result of the walkout.

In a statement, the trust said:

“We are working hard to prioritise resources to protect emergency treatment, critical care, neonatal care, maternity, and trauma, and ensure we prioritise patients who have waited the longest for elective care and cancer surgery.

“Patients should continue to attend appointments as planned unless contacted to reschedule. We will only reschedule appointments and procedures where necessary and any postponed appointments will be re-arranged as a priority. We appreciate this situation is frustrating for patients affected and apologise for any inconvenience caused.

“Regardless of any strike action taking place, it is important to know that people with life-threatening or severe illnesses or injuries should continue to dial 999 and come forward as normal.”

Meanwhile, consultants are also set to stage a 48-hour walkout later this month.

Members of the British Medical Association will strike from Thursday, August 24, until Saturday, August 26.

Officials at Harrogate hospital have warned the consultants walkout is also “likely to impact the trust”.

Polish prisoner jailed after absconding to UK to work in Harrogate hospital

A Polish prisoner who absconded from his homeland and used his criminal brother’s identity documents to land a job at Harrogate District Hospital has been jailed for nearly two years.

Przemyslaw Poltorak, 39, used his brother Lucas Poltorak’s Polish identity cards and driving licence to find work as a cleaner at the hospital, earning over £40,000 during his employment there, York Crown Court heard.

Prosecutor Charlotte Noddings said Poltorak, from Harrogate, had a criminal record in Poland but the UK immigration authorities had not yet managed to ascertain the details.

According to Poltorak, his previous convictions were for fraud, theft, drug offences and robbery. He was sentenced to 11 years in jail in 2004 for a “range of offences” and had served seven years when he fled to the UK under a false identity while on day release in 2011.

Ms Noddings said if Poltorak were jailed by a UK court, the normal procedure would be deportation to his homeland “to answer whatever matters he has to answer for”.

Ms Noddings said:

“He was serving a prison sentence there, was on day release, and never returned to prison.

“He has no legal basis to be here.”

She added, however, that despite his record, if Poltorak had entered the UK under his own identity at the time in question, when the UK was still part of the European Union, he would have been able to get into the country without a hitch.

In fact, Poltorak, trying to disguise his criminal convictions in his own country, chose instead to use his brother’s identity documents to firstly get into the UK and then land a job at Harrogate District Hospital, where he worked without anyone suspecting a thing.

Poltorak admitted fraud in that between June 2013 and June 2023 he used another person’s ID documents to gain employment and thereby make a gain of £150,000 – his earnings at the hospital and a car-manufacturing company in Knaresborough.

He also admitted using identity documents in March 2023 to obtain a driving licence – which meant he was also driving on the UK’s roads illegally – and using those same documents to obtain employment.

Using brother’s identity

Poltorak, of Malham Drive, Harrogate, appeared for sentence yesterday (Thursday, August 3) after being remanded in custody.

Ms Noddings said Poltorak, who was using his brother’s name and identity, was arrested at Harrogate District Hospital.

Ms Noddings said:

“His brother Lucas Poltorak – the real Lucas Poltorak – is a sex offender in Poland who was arrested at Leeds/Bradford Airport and refused entry to the UK.”

On that same day in November 2022, immigration officials converged on Przemyslaw Poltorak’s home and arrested him. They seized a “driving document related to Lucas Poltorak”.

Ms Noddings said that a driving record in the name of Lucas Poltorak was created on March 9, 2020. Przemyslaw Poltorak had used his brother’s details on his application for a driving licence.

She added:

“Enquiries were made about how he obtained a job at Harrogate hospital.

“He made an application (for a job) in the name of Lucas Poltorak (and) provided a Polish identity card, a provisional driving licence and a utility bill in the name of Lucas Poltorak.”

Poltorak was paid £42,337 during his employment at the hospital.

However, further enquiries revealed that between 2013 and 2020, he had also been employed by a car-manufacturing firm in Knaresborough which he had secured by using the same false identity cards.

During his seven-year stint at the car company, he earned £111,631, said Ms Noddings.

Home Office officials reviewed his records and downloaded text messages from his phone which had been seized at the hospital. They showed that Poltorak had been passing himself off as his brother Lucas.

When the real Lucas Poltorak was identified, it transpired that Border Force officials had refused him entry to the UK when he landed at Leeds/Bradford Airport in November 2022.

Further scrutiny by immigration officials revealed that Lucas Poltorak had been granted the right to settle in the UK in June 2021 but was then refused re-entry a year later when his previous convictions were discovered.

‘Hard working man’

Kevin Blount, Przemyslaw Poltorak’s solicitor advocate, said his client had left prison in Poland on day release and used his brother’s identity cards to travel to the UK with his wife and children, but that in fact he could have done so legally when the country was part of the EU and borderless travel.

He said that Poltorak had since lived a “law-abiding life” in the UK, “save for the fact that it was in the wrong name”.

Mr Blount added:

“He used his brother’s (name) not to avoid British passport control, but to avoid Polish emigration authorities because he was due to return to serve the end of his sentence.”

He said that a European arrest warrant for Poltorak had still not been issued despite his detention and during the transition period when the UK was in the process of leaving the EU, he still had a right to work in this country “under his own name”.

Mr Blount said that Poltorak was a “hard working man” and even though he had lost his legal status in the UK, his family still had a right to live here.

Judge Simon Hickey said it appeared that Poltorak had fled Poland not just for a “better life for your family”, but also because he would have served a whole jail term for his previous offences in his homeland, whereas in the UK he would have been released at the halfway point.

He said that the “real seriousness of (Poltorak’s offences in the UK) was “working for that vast amount of time and concealing who you were”.

Poltorak received a 20-month jail sentence but will only serve half of that sentence behind bars before being released on prison licence, although his deportation is still in the offing.

Harrogate hospital awards consultants £1.2m to embed culture of ‘continuous improvement’

Harrogate District Hospital is spending nearly £1.2m on hiring management consultants to develop a culture of continuous improvement, the Stray Ferret can reveal.

Harrogate and District NHS Foundation Trust (HDFT) signed a contract with KPMG and Catalysis in March, which will run for 18 months to September 2024.

KPMG is one of the world’s largest multinational professional services companies, and Catalysis is a Wisconsin-based not-for-profit organisation dedicated to helping healthcare bodies become more efficient.

The continuous improvement programme, called HDFT Impact, will ultimately involve all 5,000-plus employees, who will be encouraged to share their knowledge with each other and come up with ways to improve the way the trust delivers its services.

In a statement sent to the Stray Ferret, a spokesperson said:

“It is our aim to embed improvement at the centre of our culture and operating model so we can provide the best quality, safest health and care services for our patients, children and the community; and make HDFT the best place to work for our colleagues.”

They added:

“There is no doubt that a steady stream of improvements, both big and small, can have transformational results.”

In recent years, KPMG and Catalysis have together worked with 16 NHS trusts, including Western Sussex, which became the first non-specialist trust to be rated outstanding in all areas by the Care Quality Commission.

In other cases, one trust saved £800,000 in theatre efficiencies, one increased surgeries per list by 25%, and another reduced falls among patients by 60%.

The spokesperson said:

“Continuous improvement is not a new concept at HDFT. It has been integral in helping us to develop our services and bring improvements for patients and colleagues for a long time – we have been using a lean quality improvement approach for over 10 years.

“We know this approach works and we’ve seen the improvements it can bring for patients and colleagues.”

The HDFT Impact programme is being funded from the trust’s budget to procure and implement a new electronic patient record system.

The spokesperson said:

“Our EPR project is not just about providing an electronic system, but is an improvement programme enabled by technology to give our staff the opportunity to improve across the whole organisation.”

In May, it was reported that management consultants were being paid up to £3,000 a day for work within NHS England. At the time, Onay Kasab, national lead officer of trade union Unite, said the health service was being “plundered by private sector profiteers”. He added:

“The money would be much better spent providing a proper pay rise for NHS staff to end the recruitment and retention crisis that is crippling health services.”

HDFT’s deal with KPMG and Catalysis is costing the trust about £2,200 per day for the duration of the 18-month contract.

Asked if there had been any opposition or resistance from hospital staff to the hiring of external consultants, the spokesperson said:

“As an organisation, the majority of our colleagues are receptive to continuous improvement.

“Cultural change can be challenging, and a small number of people may be sceptical, but we believe that developing our continuous improvement programme is vital in our pursuit of excellence so that we can raise quality, reduce costs, explore better ways of delivering our services, and provide the best possible healthcare for those who need it.

“We hope that as the programme progresses and staff engage in it, all of our staff will recognise the huge benefits.”

Harrogate hospital cancelled 117 appointments due to consultants strike

Harrogate District Hospital was forced to cancel 117 appointments as a result of last week’s consultants strike.

Members of the British Medical Association walked out for 48 hours on July 20 in a dispute over pay.

Consultants carried out what was described as Christmas Day cover, which meant most routine and elective services were cancelled but full emergency cover remained in place.

At the time, Dr Vishal Sharma, chair of the BMA consultants committee, said consultants had been left with “no option” but to strike after years of pay cuts.

Harrogate and District NHS Foundation Trust confirmed 117 outpatient appointments were cancelled across a range of hospital services due to the walkout last week.

Among the areas affected included breast surgery, trauma, orthopaedics and general surgery. Neurology and gynaecology also saw cancellations.

A spokesperson for the trust said:

“Appointments were re-arranged as a matter of priority with many being re-arranged at the time of cancellation.”

The hospital is set to be hit by further strike action next month.

Yesterday, junior doctors voted to walk out for four days in August amid an ongoing dispute with government over pay.

Members of the BMA will stage the industrial action from 7am on Friday, August 11, until 7am on Tuesday, August 15.

The organisation is calling for a 35% pay rise in order to restore pay to 2008 levels after below inflation increases.

Dr Robert Laurenson and Dr Vivek Trivedi, co-chairs of the BMA junior doctors committee, said:

“It should never have got to the point where we needed to announce a fifth round of strike action.

“Our message today remains the same: act like a responsible government, come to the table to negotiate with us in good faith, and with a credible offer these strikes need not go ahead at all.”

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Increased charges

Mental health

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Using brother’s identity

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‘Hard working man’

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