Just 43% of urgent cancer referrals to Harrogate District Hospital are being seen on time, according to new figures.

Under national targets, 93% of cancer patients are required to see a specialist within two weeks of an urgent GP referral.

But Harrogate hospital’s performance is now significantly below this.

A report to the trust’s board, which includes figures up to August this year, shows how the figure for two-week waits has been in gradual decline since April.

Managers at Harrogate and District NHS Foundation Trust have attributed to the decline to increased demand.

The matter has seen officials at the trust designate the performance under “matters of concern and risks to escalate”.

The trust said in board papers that additional breast clinic work to improve its performance included “outsourcing work to a private provider with additional clinics in place”.

Harrogate District Hospital’s two-week cancer waiting time performance. Data: Harrogate and District NHS Foundation Trust.

The Stray Ferret asked the trust what was being done to improve waiting times for patients.

A spokesperson said:

“The two-week target performance for cancer has been affected by some large spikes in demand, in particular, specialty areas such as skin and breast cancer.

“Our clinical teams are providing additional clinics to address this and bring our waits back under the two-week target.

“For those patients who are unable to be seen within two weeks, the vast majority are seen just outside this target, and treatments, where cancer is confirmed, continue to be delivered in a timely manner.”

Read more:

• Harrogate hospital urges people to stay away from A&E amid ‘very busy’ week
• ‘Get jabbed’ plea as ‘wave of covid’ predicted in North Yorkshire

Harrogate hospital bosses are urging people to stay away from its emergency department this week unless it is a life-threatening injury or illness.

Officials at Harrogate and District NHS Foundation Trust said they are expecting a busy week, which may cause long waiting times.

It comes as health leaders in the district warned that covid and flu cases may increase at Harrogate hospital this winter.

In a statement, the trust urged people with non-threatening injuries to stay away from the emergency department.

A spokesperson said:

“This week we are expecting our hospital in Harrogate to be very busy. As a result, visitors to our emergency department with less urgent issues may experience longer waiting times than usual.

“We know that visitors to our emergency department can be in pain, stressed or scared, and our dedicated time will do everything they can to help.

“Your health is our utmost priority and all we ask in return is our staff are treated respectfully as they try to do their job.”

Read more:

• Harrogate care costs climb to £54,000 a year as ‘colossal’ price rises bite
• ‘Get jabbed’ plea as ‘wave of covid’ predicted in North Yorkshire

Health managers in Harrogate have said they expect to see more covid patients in hospitals in the coming weeks.

Dr Bruce Willoughby, Harrogate GP and part of the Humber and North Yorkshire Health and Care Partnership, said:

“Health and care services in North Yorkshire and York, like everywhere, are already extremely busy. We do expect to see more cases of covid in the coming weeks as people mix freely again and spend more time indoors as the weather gets colder. The risk of catching covid is highest indoors and in crowded places.

“More people are likely to get flu this winter as fewer people will have built up natural immunity to it during the pandemic. The best time to have the flu vaccine is in the autumn or early winter before it starts spreading.”

Officials have urged people who are eligible to get a covid booster vaccine this autumn.

In Harrogate, vaccinations are available at the Great Yorkshire Showground until November 23.

People aged 50 and over, pregnant women, carers, frontline health and care workers, care home residents and people of all ages who are vulnerable are eligible for a covid jab now.

Those who are able to book their vaccinations can do so via the NHS website.

A senior police officer has voiced concerns that the closure of Harrogate’s mental health assessment suite is putting an added strain on emergency services.

North Yorkshire Police chief inspector Alex Langley said people who are detained under the Mental Health Act have been taken as far as Scarborough or Darlington after the closure of the section 136 suite at Harrogate District Hospital’s Briary Wing in May 2020.

It has meant police officers have been out of action for several hours as they drive detainees around the county.

Speaking at a recent Harrogate Borough Council meeting, Chf Insp Langley described the scale of the mental health crisis and impact on officers as “phenomenal”. He said.

“We don’t have a section 136 suite in Harrogate any more so if we detain somebody under the mental health act we could end up in Darlington or Scarborough, and that is a real challenge for us.

“They have to go in an ambulance and it takes multiple officers and a significant amount of time.”

He added:

“I would love for my officers to not have to go to any mental health incidents and actually send a mental health professional with better training and competence than we have.

“But in reality with the cuts, if we get a call from somebody who is in crisis and we are the last barrier then we have to go.”

Read more:

• Harrogate families describe anguish of mental health problems and impact of Briary Unit closure
• How did we get here? The closure of Harrogate’s Briary Unit is a story of political debate and debt

Mental health services in the Harrogate district are provided by the Tees, Esk and Wear Valley NHS Foundation Trust, which said it has an assessment suite in Haxby, north of York.

It added its staff work closely with North Yorkshire Police and that new ways of working have seen a reduction in detentions under the mental health act.

Impact on police times

Zoe Campbell, managing director of the trust’s North Yorkshire, York and Selby care group, said:

“For many people, receiving care and treatment in their own home can have the best outcome.

“We aim to provide crisis support and mental health assessments in a person’s home or as close to home as we can.

“Where this is not possible, we provide alternative places of safety for an assessment to take place. This way of working has seen a reduction in the number of people detained under section 136 of the Mental Health Act.”

The lack of custody cells for all types of arrests was recently raised as a concern by county councillors who said they were worried over a wider impact on police response times.

Members of North Yorkshire’s Police, Fire and Crime Panel have asked commissioner Zoe Metcalfe to provide a report into the impact of officers in the north of the county having to take detainees to Harrogate and Scarborough following the closure of cells in Richmond and Northallerton.

Panel member Martin Walker, a former judge, told commissioner Metcalfe he had received various reports that police were “not arresting people that perhaps they should” because of the added travel time. He said:

“I can’t see there is any other reason for doing it than saving money.”

A&E waiting times performance at Harrogate District Hospital remains “well below” the national standard as health bosses urge people to only attend the department if necessary.

Latest figures show that the hospital had 4,554 attendances to its emergency department in August 2022.

The national standard for emergency department waiting times is to admit, transfer or discharge 95% of patients within four hours.

According to NHS England figures, 62% of patients were seen within that timeframe at Harrogate hospital.

Meanwhile, a total of 82 patients waited longer than 12 hours to be seen.

Read more:

• Harrogate care costs climb to £54,000 a year as ‘colossal’ price rises bite
• Hospital ‘not anticipating’ service cuts due to energy price surge

In a report to its board, Jonathan Coulter, chief executive at Harrogate and District NHS Foundation Trust, said the performance remained “well below” the standard set nationally.

He said:

“The board should be aware that our A&E performance in August remained well below the national standard and we had a higher number of 12 hour waits in the department than in previous months.

“The situation has improved in September, but the changes that we have initiated and highlighted earlier need to be delivered in order for us to provide the improved urgent care service that we all want to have in place.”

Visiting the Emergency Department at Harrogate District Hospital pic.twitter.com/8cITeTrHkj

— Harrogate NHS FT (@HarrogateNHSFT) October 3, 2022

The move comes as the trust has urged people to only attend its emergency department if they have a life-threatening or severe illness or injury.

In a statement, the trust said it expected to see a high number of patients at A&E this week.

It said:

“This week we are expecting our hospital in Harrogate to be very busy. As a result, visitors to our emergency department with less serious issues may experience longer waiting times than usual.

“This isn’t ideal and we will endeavour to keep waiting times as short as possible.”

Have you experienced a long wait in Harrogate’s A&E department? We’d like to hear from you. Email contact@thestrayferret.co.uk or call us on 01423 276197. 

Photographers Stacey Evans and Sarah Warne, who raised £7,500 taking portraits of people on their doorsteps during covid, are to set up a studio in the centre of Harrogate.

The pair, who raised the money for Harrogate District Hospital, became firm friends in the process.  Both have three young children — Stacey has three girls, Sarah has three boys.

Their new company is called The Studio with Stacey and Sarah and will be based on Station Parade:

Stacey told the Stray Ferret:

“We saw a property become available on Station Parade, the one that had the fire opposite the bus station.

We went to see it and it is perfect. It is very accessible and a great space. It’s been refurbished and feels like new so it’s great. We are getting ready for launch in the next three weeks.”

Stacey has been working out of a studio in the garage at her home and said demand has been so high for her photography she had been turning down work.

She told the Stray Ferret that they had thought hard about whether this was the right time to start a business with the economic climate looking bleak and because they are young mums, but the landlord made it possible.

“The offer from the landlord was fantastic.  He completely understood where we were coming from and we got a great agreement from him.

“The fact is I’ve been turning away so much work. It feels like people are cherishing the moment now more than ever after covid.

“We want to focus on mums — so often it is the mums who are left out of the photos as they’re taking them.. We try to keep it so that mums feel comfortable and encourage them to have photos with their children. I would have loved to have more photos of my mum. I think giving mums the opportunity to have a lovely photo and talk to us as mums is important.

“We want to give bonding moments and special memories.”

An example of Sarah and Stacey’s work. 

Harrogate and District NHS Foundation Trust has revealed plans to become the second in the country to launch its own home care service in a bid to free up hospital beds.

Chief executive Jonathan Coulter said the problem of patients staying in hospital longer than they should because of a lack of private care services was the “biggest issue” that the trust currently faces.

Up to 90 patients were medically fit but could not leave Harrogate District Hospital in August, compared to around 20 before the covid pandemic.

The trust now wants to follow in the footsteps of the NHS in Northumbria and start providing care for patients in their own homes.

Russell Nightingale, chief operating officer at the trust, told a board meeting on Wednesday the move was a “huge change and big decision” for the trust, but one it had to take because the problem of bed blocking was “only going to get worse”.

He said: 

“If you are in a hospital bed and fit to leave but can’t, it is probably one of the worst places to be.

“In some instances, we have seen a degradation of people’s health in hospital beds when they do not need to be there, despite the great clinical service they receive.

“People want to be in their own homes as this is where they live and are comfortable.”

Mr Nightingale also said he was concerned the current situation would only get worse despite a recent government pledge of £500 million to help people get out of hospitals, which he described as a “drop in the ocean”.

Bed blocking has repeatedly been raised as a concern by hospital bosses who have warned of knock-on impacts on A&E waiting times.

This comes as Harrogate District Hospital has had an exceptionally busy summer and pressure on services is only likely to grow over winter as it tries to tackle long waiting lists and staffing shortages.

Read more:

• Harrogate hospital plans new £14m operating theatres
• Hospital ‘not anticipating’ service cuts due to energy price surge
• Harrogate hospital staff selling days off to cope with cost of living crisis

The trust’s home care service will initially run as a six-month trial and cost around £146,000 to provide care for 36 patients.

If the trial is a success, it is estimated around 15 patients who otherwise would be stuck in hospital could be moved back into their own homes each day.

The trust – which already provides home care for some children – has been in dialogue with Northumbria Healthcare NHS Foundation Trust which this year became the first to launch such a scheme.

Some concerns have been raised over the high turnover of staff, as well the impact on the private care sector.

However, Wednesday’s meeting heard that care packages under the Harrogate plans would initially be offered to private care firms for 24 hours before the trust steps in.

More details of the scheme are set to be revealed in the coming weeks.

Some staff at Harrogate District Hospital are selling their annual leave and applying for further financial help in a desperate bid to make ends meet.

The hospital is allowing NHS workers to trade time off for extra payments until the end of the year, while a hardship fund has also been set up to help with the soaring costs of energy, fuel and food.

This comes at a time when staff are set to vote on strike action over a below-inflation pay offer which unions have described as another real-terms pay cut.

Jonathan Coulter, chief executive of Harrogate and District NHS Foundation Trust, told a board meeting today that he had “always been against” staff selling annual leave, but the cost of living crisis now meant that providing support was “absolutely vital”.

He said:

“My justification for this is that the financial position of some staff is putting them under more stress than the benefit of having a holiday.”

A total of 17 staff have so far applied for extra payments instead of time off, while 271 applications have been made to the hospital’s hardship fund, which is offering grants of up to £500.

Read more:

• Harrogate hospital plans new £14m operating theatres
• Hospital ‘not anticipating’ service cuts due to energy price surge

Wallace Sampson, hospital trust board member and chief executive of Harrogate Borough Council, said he had “mixed feelings” about staff being able to sell annual leave as he believes it is “very much needed” to help with their wellbeing.

In response, Mr Coulter said he agreed but this was the preference of some workers and that a five-day limit on the amount of time off that can be traded would ensure staff do get some down time.

He said:

“There is an absolute maximum of five days, so staff can’t sell all of their annual leave.

“We have agreed the policy for this year as a one-off, partly recognising that people have a lot of annual leave because of covid.

“We will need to review the initiatives, but at the moment they are absolutely vital.”

Winter strike possible

His comments come as strike action could span across several months this winter after the Royal College of Midwives union notified hospital bosses that it will ballot its members over pay.

Other unions including GMB and Unison are also said to be making preparations for a vote.

The prospect of staff striking at what is always a busy time for under-strain services in winter has been described as “worrying” by senior officials at Harrogate District Hospital, which has begun making contingency plans.

Around 100 of the hospital’s lowest-paid staff will see an uplift from a rise in the legal minimum wage to £10.90 in October.

However, Dr Suzanne Tyler, executive director at the RCM union, said the government needed to go further and give all workers a better pay rise after its members rejected a 4% increase offer.

Dr Tyler said in a statement:

“Our members have spoken and just like us they believe a below inflation pay award is not good enough, they deserve more.

“The results and turnout speaks volumes about the feelings of a fragile, exhausted, and undervalued workforce, because taking industrial action is always the very last resort for midwives and maternity staff.

“They obviously now see no other alternative to getting a fair and just pay award from their governments.”

Harrogate District Hospital is planning a £14 million project to create two new operating theatres in an effort to tackle waiting times for treatment.

The scheme would see two additional operating theatres, two procedure rooms and a 12-bed ward for patients who require extended stays in care built on the site.

The hospital currently has six operating theatres, including general and emergency surgery.

Officials at Harrogate and District NHS Foundation Trust said the move would help to increase capacity for operations and reduce waiting times for both planned and emergency surgery.

The project forms part of a national funding scheme to help hospitals tackle long waiting lists.

A spokesperson for the hospital trust told the Stray Ferret:

“The number of theatres currently at our trust/Harrogate District Hospital limits the number of operations we can undertake on a weekly basis.

“Additional theatres will enable us to treat more patients each week, which will reduce waits for both planned and emergency operations.”

Read more:

• Harrogate care costs climb to £54,000 a year as ‘colossal’ price rises bite
• Hospital ‘not anticipating’ service cuts due to energy price surge

The trust added that the project will also help to “future proof” the hospital for a growth in population and changes in demographic in the district.

The scheme has been submitted to senior NHS officials and is currently being reviewed.

Trust officials said they expected a response on grant funding within the next four weeks. However, the project would also require planning permission before it goes ahead.

25,500 patients waiting

It comes as Harrogate hospital is currently tackling a long waiting list for patients awaiting treatment.

According to the trust’s own board papers, there were 25,564 patients waiting for an operation at the end of August.

Of that number, 1,297 had been waiting more than 52 weeks.

While the overall number of patients waiting is down by 65 on July, it is an increase of 3,396 on the same time last year.

In a report to the board, Jonathan Coulter, chief executive at the trust, said:

“We have had a difficult summer and we are now moving towards winter knowing that the current level of acute pressures and community services workload are already significant.

“Combined with the need to reduce our elective care backlog, the challenges that we are managing are significant.”

The majority of planned operations at Harrogate District Hospital are set to go ahead on Monday.

Staff at Harrogate and District NHS Foundation Trust have been contacting patients after the funeral of Queen Elizabeth II was made an official bank holiday.

The trust said that of 35 operations due to go ahead on Monday, 33 were still due to proceed.

Two non-urgent operations have been cancelled. The hospital said one was rescheduled on request of the patient.

The trust said in a statement:

“We are working hard to deliver as many of the appointments and operations that have been booked to take place on Monday, September 19, as possible.

“By the end of this week, we will contact anyone who has an appointment, endoscopy or operation on that date to let them know if it is going ahead as planned or not.

“We would ask anyone who might be affected to please wait for the call from out teams.”

Read more:

• Covid infections in Harrogate district lowest for 15 months
• Hospital ‘not anticipating’ service cuts due to energy price surge

It comes as hospitals across the country have been told to contact patients ahead of the bank holiday to inform them of whether their appointments are going ahead.

In a letter to all English hospital trusts, Dr Ursula Montgomery, director of primary care at NHS England, said:

“For patients with planned appointments that are affected by the bank holiday, please ensure they are informed in advance of any changes by utilising direct patient communications. 

“Where planned appointments are going ahead it is important this is also confirmed with patients.”

Harrogate District Hospital has said it does not expect to cut back on vital health services because of soaring energy bills after revealing its costs have more than doubled from last year.

The hospital’s gas and electricity costs shot up by 132% between April and June when compared to the same period last year, but bosses have insisted the price rises “are being managed”.

This comes amid warnings that some NHS trusts will have to find as much as £2 million extra a month this winter due to the fuel price surge.

The NHS Confederation – which represents trust bosses across the UK – told the BMJ that the energy crisis coupled with higher than expected inflation was already “wiping out large parts of the NHS budget”.

A spokesperson for Harrogate District Hospital said that as part of its own budget planning it would do its “utmost” to take into account further rises, adding:

“Inflation costs above those included in the budget are being actively managed through the trust’s efficiency programme so that we can provide the best possible value for the taxpayer.

“It is important that our community has the best possible healthcare system to turn to when they need it and we are not anticipating that the current fuel rises will impact on the vital services we provide.”

Energy bills for non-domestic customers such as hospitals are not subject to the energy price cap and have therefore been even more vulnerable to surging prices.

Read more

• Harrogate businesses ‘still unable to pay energy bills’ despite PM’s pledge
• ‘It’s still too high’ – Harrogate residents on the government’s energy announcement

Under Liz Truss’s energy plan, household bills will be frozen at an average of £2,500 for two years and the new prime minister said businesses, charities and public sector organisations would also be offered an “equivalent guarantee” – but only for six months.

Harrogate District Hospital was last year awarded £14 million to reduce its carbon footprint and energy bills as part of its drive to become a “greener, more environmentally friendly organisation”.

The funding is being used for works to install new insulation and glazing across the hospital site.

A hospital spokesperson added:

“Another exciting project currently underway is the drilling of a borehole, from which the heat energy will be extracted from the water, put through a heat exchanger and into our heating system to help reduce our reliance on gas and other fossil fuels.

“We also have a number of other projects that are currently being progressed or will start shortly, including replacing air handling units to increase efficiency and extract heat energy, and installing photovoltaic arrays to generate electricity on the site.

“Through this work we are already seeing big efficiency gains and further projects will continue in the years ahead.”