‘Positive’ feedback from stroke patients sent outside Harrogate for emergency treatment

Feedback from stroke patients sent outside the Harrogate district for emergency treatment has been “largely positive,” an NHS official has said.

Under major changes introduced in 2019, ambulances began taking patients to specialist units at Leeds or York hospitals rather than Harrogate after evidence showed they had a better chance of survival – even if travel times are increased.

Simon Cox, director of acute commissioning at North Yorkshire’s NHS Clinical Commissioning Groups, said there are now “early indications” that the changes have had a “positive impact” on patients, although he added a full review would be carried out.

He said in a report:

“We have carried out a qualitative survey of those patients who have been through the direct transfer stroke pathway to gather feedback on their experiences which have been largely positive.

“It is timely now, as part of the integrated care system-wide review of hyper acute provision, to conduct a thorough review of the outcomes of the changes.”

The changes were introduced following a national review which found larger, more specialist stroke units were better equipped to increase survival rates and improve recovery times.

Around 300 people in the Harrogate district fall seriously ill with a stroke each year, with two thirds being taken to Leeds and the other third to York.

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Once patients have received treatment at the specialist units, they are either discharged home with support from a rehabilitation team or transferred to Harrogate District Hospital for ongoing care.

Mr Cox previously said figures on survival rates had been “significantly skewed” by the pandemic and would be published at a later date.

He explained the figures were “skewed” as fewer patients had presented at hospitals with stroke symptoms due to Covid fears – something he added was “concerning”.

In his report to a meeting of North Yorkshire County Council’s scrutiny of health committee on Friday, Mr Cox provided some examples of the positive feedback.

One patient said:

“The doctors and staff in the stroke unit of York Hospital were fantastic – so kind and caring and I will always be indebted to them for literally saving my life.”

However, not all feedback has been positive with some residents in Scarborough raising concerns over similar changes introduced in the area.

Mr Cox said in his report that questions over transport times and staffing levels had  been raised during public consultation events held in November.

He said:

“There was a vocal minority who challenged the move to the new stroke pathway, despite the clinical benefits.

“Although some anxieties remain about the new stroke pathways for the east coast and Harrogate areas, particularly from residents on the east coast and mainly related to travel and  transport times, those who experienced the new pathway were very positive about the care that they received.”

Vaccination centre to open at Harrogate hospital

A vaccination centre is set to open at Harrogate District Hospital this weekend as part of the ramping up of covid booster vaccines.

Harrogate and District NHS Foundation Trust confirmed today that it hopes the site will open on Saturday.

It will provide another booster option for over-18s, who can currently receive jabs at the GP-run Great Yorkshire Showground in Harrogate and Ripon Races or one of several pharmacy sites in the district.

Dr Matt Shepherd, deputy chief operating officer at Harrogate and District NHS Foundation Trust, said: 

“The trust is responding as quickly as possible to the national ask to rapidly expand and support the covid-19 booster programme.

“We are currently establishing a vaccination centre for the public at Harrogate District Hospital where we can provide them with covid-19 booster vaccinations.

“The centre is aiming to be open from Saturday, December 18, and members of the public can book their vaccination via the national booking service.”

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Following the announcement of the speed-up in the booster programme, Health Secretary Sajid Javid told the House of Commons that some non-urgent and elective surgery “may be postponed until the new year”.

The Stray Ferret asked Harrogate and District NHS Foundation Trust whether any non-urgent appointments would be delayed as part of the booster vaccine programme.

In response, Dr Shepherd said:

“We are also reviewing our services to see what treatment we could potentially defer for a few weeks to provide more staff to the community vaccination programme.

“Currently we are not considering delays to surgery, urgent or cancer work. We will of course keep any disruption as minimal as possible and will contact any patients as soon as we can if their care is going to be deferred in any way.”

‘Tidal wave of Omicron’

News that the hospital will provide vaccines follows Prime Minister Boris Johnson announcement on Monday that every adult in Britain will be offered a booster jab by the end of December, as he warned there was a “tidal wave of Omicron coming”.

As part of the effort, the showground site has extended walk-in booster jabs until Christmas Eve.

The showground site, which is run by Yorkshire Health Network, a federation of the 17 GP practices in the Harrogate district, is also offering walk-in clinics for 12 to 18-year-olds from 2pm to 4pm tomorrow and 2pm to 4pm on Monday next week.

So far, 74,680 booster vaccines have been given in the Harrogate district, according to government figures.

Ripon girl’s suicide not linked to acne drug, inquest concludes

A coroner has concluded that the suicide of a “bright and happy” girl was not linked to the acne drug she had been taking before her death.

Annabel Wright, 15, was found dead in her room by her parents on the evening of May 1, 2019.

Harrogate District Hospital had prescribed Annabel, who lived near Ripon and attended Harrogate’s St Aidan’s Church of England High School, Roaccutane, also known as isotretinoin, to treat her acne.

The conclusion, which was read out today at an inquest in Northallerton, was difficult for her heartbroken parents Helen and Simon Wright to hear.

Jonathan Leach, assistant coroner for North Yorkshire, said:

“There was no evidence that her mind was disturbed. If it was, there is no evidence that this was caused or contributed to by Roaccutane.

“It is clear to me that Annabel took her own life. I offer my thanks to the witnesses and condolences to the family.”

Simon and Helen Wright read out a statement after today’s hearing.

After the hearing Ms Wright, flagged on her right by Mr Wright, said:

“The evidence provided during this inquest has shown that our normal, happy, well-adjusted child took her own life, suddenly, without warning and without any mitigating circumstances other than she was taking a drug which can cause suicide.

“Despite this the coroner has not seen fit to implicate this drug in her death. We are disappointed but sadly not surprised by the verdict delivered here today.

“Annabel was let down by Harrogate District Hospital when they prescribed her a drug she did not even need though it could cause her suicide.

“She was let down in life and she has been let down in death by the authorities steadfast refusal to recognise the role Roaccutane played in her death.

“But we, her family, friends and the people who knew her know the real truth and this will not be changed by the opinions of those who never met her, yet have the power to stand in judgement over her.

“In view of this, we, as bereaved parents, would like to take this opportunity to warn others of the dangers of Roaccutane, because often they will not hear about the true side effects, including sudden suicidal impulses from those who glibly prescribe it.

“We hope others will take heed from this tragedy and refuse to allow their children to take this toxic drug.”

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Dr Alison Layton, who started Annabel on her treatment, told the inquest that Harrogate District Hospital had carried out a review into how it deals with those under 18.

She also added that the hospital now hands out cards to those on Roaccutane with contact details for mental health services in case they are trying to conceal their feelings.

Hospital investigation

After the inquest Dr Jacqueline Andrews, executive medical director at Harrogate and District NHS Foundation Trust, said:

“We wish to offer our deepest sympathies to the family and friends of Annabel Wright.

“Following Annabel’s tragic death, the trust commenced an investigation and our findings were shared with Annabel’s family and HM Coroner.

“We acknowledge the conclusion of HM Coroner.”

Rory Badenoch, the solicitor acting on behalf of the family, urged the coroner to send a letter to the Medicines and Healthcare products Regulatory Agency (MHRA) and the British Association of Dermatologists (BAD) to make the risks of Roaccutane more clear.

The coroner said he will decide at a later date whether that would be appropriate.

Samaritans are available 365 days a year for people in need of support. You can call them free on 116 123, email them at jo@samaritans.org or visit www.samaritans.org to find your nearest branch.

Harrogate district records 200th covid death

The Harrogate district reached the grim milestone of 200 covid-related deaths today.

The figures published by NHS England show the 200th death was recorded yesterday at Harrogate District Hospital.

A further 95 covid cases were reported in the district, taking the total since the start of the pandemic to 25,095.

The district’s seven-day covid rate has increased slightly to 455 infections per 100,000 people.

Across the county, the average stands at 418 and the England rate is 489.

Harrogate District Hospital currently has 12 covid-positive patients – a figure which has fallen from 25 over the last month.

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Harrogate’s Great Yorkshire Showground reopened yesterday as a vaccination site.

The showground was due to close on December 22 but it now looks set to continue until March, although this has yet to be confirmed, as the government aims to speed up the vaccination programme.

Those eligible can book appointments on the NHS booking site here.

Under pressure Harrogate hospital apologises for delays

Harrogate District Hospital has apologised for delays faced by patients and outlined the pressures staff are facing at the start of a busy winter period.

The plea for understanding came after a difficult weekend, which culminated in the hospital urging those with less severe illness or injury to go to Ripon Community Hospital.

A combination of coronavirus patients needing care for longer and issues discharging patients means the hospital has the highest number of longer stay patients so far this year.

Some patients have not been discharged because home care services are not available.

It means longer waiting times across wards, community services and in the emergency department.

The hospital hopes that the completion of an upgrade to its elderly care ward next week will increase winter bed capacity and reduce pressures.

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Dr Matt Shepherd, deputy chief operating officer and consultant in emergency medicine at Harrogate and District NHS Foundation Trust said:

“Recently we have been experiencing a very busy period at Harrogate District Hospital, across our wards, community services and in the emergency department. This has meant people with less urgent issues are experiencing longer waiting times.

“It has also been more difficult recently to discharge some of our patients who no longer require hospital care, as there is less availability of home care to support people safely in their own homes.

“Difficulties in discharging patients combined with the extended stay required for patients with covid has meant the hospital currently has its highest number of longer stay patients so far this year. This has led to a reduction in the number of empty beds available for new admissions.

“We know our colleagues in social care and our team at HDFT are working incredibly hard to reduce these pressures. We are working closely with our partners in social care, both locally and across North Yorkshire, to ensure patients are able to be discharged as soon as they are well enough to no longer require hospital care. Upgrades to our elderly care ward will also be completed next week, which will increase winter bed capacity.

“We would like to apologise to those patients who might have to wait longer than usual when they visit the hospital to access our services. Unless it’s a life-threatening or severe illness or injury, we would ask them to contact NHS 111 first. The NHS will help you right away and if you need urgent care, the NHS can book you in to be seen quickly and safely.

“People with life-threatening illnesses or injuries should continue to dial 999 and anyone who arrives at A&E without calling NHS 111 will still receive medical care, with those needing emergency treatment prioritised.”

Hospital issues urgent appeal for crutches and walking sticks

Harrogate District Hospital has issued an urgent appeal for patients to return crutches and walking sticks.

Pamela Bagot, principal physiotherapist at the hospital, contacted the Stray Ferret to say the therapy services department wanted to offer them to patients who had undergone surgery or been involved in an accident.

“If you have any crutches and walking sticks you no longer use sitting around at home, please drop them off at therapy services at Harrogate District Hospital so we can reuse them and help our patients back up and walking as soon as possible.

“As most people know, there are problems with transporting goods and deliveries around the country, and by individuals returning these items we will ensure that we have enough patient equipment during the winter months.”

Anyone able to help should ask at hospital reception for therapy services.

hospital crutches appeal

 

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Harrogate hospital covid deaths reach 199

The Harrogate district has reported a further 161 covid cases, according to today’s government figures.

The district’s covid rate now stands at 438 infections per 100,000 people.

Across the county, the average stands at 404 and the England rate is 478.

Harrogate District Hospital currently has 12 covid-positive patients – a figure which has fallen from 25 over the last month.

The hospital last reported a death of a patient who died within 28 days of testing positive on Friday. Since the pandemic began 199 people have died with covid at the hospital.

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Harrogate’s Great Yorkshire Showground reopened today as a vaccination site.

Although Harrogate is the largest place in the Harrogate district, the town has not had a vaccination site since August, when the showground stopped administering jabs.

Since then residents have been travelling to Knaresborough, Ripon and Pateley Bridge, or further afield to Leeds and York, for appointments.

The showground was due to close on December 22 but it now looks set to continue until March, although this has yet to be confirmed, as the government aims to speed up the vaccination programme.

Those eligible can book appointments on the NHS booking site here.

Harrogate hospital patient died after becoming disconnected from ventilator

A woman died at Harrogate District Hospital after she became disconnected from a ventilator.

Karen Smith, 44, died on October 25 last year. An inquest into the circumstances surrounding her death opened in Northallerton this week.

The inquest heard how Ms Smith became disconnected from her ventilator on October 24 and died the following day as a result of a suspected hypoxic-ischemic brain injury.

Jonathan Heath, senior coroner for North Yorkshire, adjourned the inquest for a full hearing at a later date yet to be confirmed.

Dr Jacqueline Andrews, executive medical director at Harrogate and District NHS Foundation Trust, said:

“We wish to offer our deepest sympathies to the family and friends of Karen Smith.

“Until the inquest has concluded we are unable to comment further.”

Another 111 coronavirus cases reported in Harrogate district

The Harrogate district has reported a further 111 covid cases, according to today’s government figures.

The district’s covid rate now stands at 516 infections per 100,000 people.

Across the county, the average stands at 511 and the England rate is 437.

No further deaths from patients who tested positive for covid have been reported at Harrogate District Hospital, according to NHS England.

As of Tuesday, 14 covid patients were being treated at Harrogate District Hospital which is a significant drop from last week.

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Harrogate hospital covid patient numbers nearly halve in two weeks

The number of covid patients at Harrogate District Hospital has almost halved in two weeks.

There were 14 patients at the hospital on Tuesday – down from 25 on 8 November. The figure has been falling since the start of the month, although the hospital has still been reporting Covid-related deaths.

The latest death of a patient who died within 28 days of testing positive was on 18 November, with the hospital’s death toll since the pandemic began standing at 198.

This comes as the Harrogate district’s weekly infection rate of 551 cases per 100,000 people remains above the England average of 427. The rate has also climbed above the North Yorkshire average of 546 after dipping below it at the weekend.

In an attempt to prevent a surge of infections before Christmas, government guidance has this week been updated with a focus on more lateral flow tests.

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People are now advised to take these rapid tests if they expect to be in a “high risk situation” that day, such as spending time in “crowded and enclosed spaces”.

Dr Victoria Turner, public health consultant at North Yorkshire County Council, told a meeting of the county’s Outbreak Management Advisory Board today that this marked a change from previous guidance which encouraged twice-weekly tests.

She said: 

“We continue to promote testing before attending events, which fits in with the new government announcement promoting lateral flow tests before high risk events including Christmas events and shopping.

“Hopefully this will encourage more people to take a test before attending events.”

Meanwhile, booster vaccines are now available for everyone aged over 40.

Sixteen and 17-year-olds initially offered a single dose can now also book a second after a recommendation from the government’s scientific advisers who concluded it was safe and effective.

These can be booked online or by calling 119, however, there are still no walk-in sites available in the Harrogate district.

NHS officials previously said they would open these sites “as soon as possible”.