Risk that Harrogate hospital home care service could ‘distort the market’

A plan by Harrogate hospital to introduce a home care service in a bid to free up bed space could “distort the market”, says a councillor.

Cllr Michael Harrison, who is cabinet member for adult care at North Yorkshire County Council, said the authority had already had to prevent one social care provider from folding this week.

It comes as officials at Harrogate and District NHS Foundation Trust revealed in September that they want to trial the service as the hospital was unable to discharge medically fit patients because of a lack of private care services.

However, Cllr Harrison told the county council’s Harrogate and Knaresborough area constituency committee last week that there was a risk the move could cause problems because the health service would be competing for staff with other providers.

Cllr Harrison said:

“I do think there is a real risk of distorting the market.

“Already this week, the county council have stepped in to prevent one domiciliary care provider from folding and I know that we are working on over 30 packages of care that have been handed back this week.

“The pressures out there are very tangible.”

Jonathan Coulter, chief executive of Harrogate and District NHS Foundation Trust, speaking at Harrogate and Knaresborough Area Constituency Committee.

Jonathan Coulter, chief executive of Harrogate and District NHS Foundation Trust, speaking at Harrogate and Knaresborough area constituency committee.

Jonathan Coulter, chief executive of the hospital trust, said it was not the intention for the hospital to take work away from private care providers.

He added that he was aware the move could look critical of the care sector, particularly because the health service has been “well funded for some years”.

He said:

“We are absolutely not trying to be critical or trying to take any work away.

“We are just trying to find a solution. We are working well with the team at the county council to work this through rather than doing anything that would upset that.

“We are really aware of the issues, but we are just trying to collectively make it better.”

Read more:

Mr Coulter added the hospital was already carrying out interviews for the service, but stressed that it would still be a pilot at this stage.

He said:

“I know there is some concern that we could distort the market because the NHS pays a bit more than other areas, that is an issue.

“But, at the moment, we have said this is a six-month pilot and we will see how it goes.”

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.

Harrogate hospital pledges ‘minimal disruption’ as nurses’ strike looms

People who need care at Harrogate hospital should continue to come forward despite the threat of industrial action, health officials have said.

Harrogate and District NHS Foundation Trust said it has yet to be notified officially that its nursing staff will strike next month.

It comes as the Royal College of Nursing confirmed a national walkout will take place on December 15 and 20 over a pay dispute with the government.

A spokesperson for the RCN told the Stray Ferret exact locations for the strikes will be revealed next week and that next month will be the first phase of industrial action.

They added:

“Not all members at employers where there is a mandate to strike will be called to strike on these first two dates. 

“Phase one could be just the beginning of a longer period of strike action.”

Despite the threat of a walkout, officials at Harrogate hospital have urged people to continue to come forward for care if they require it.

Read more:

The trust said that those who have an operation on the planned strike days will be notified if their treatment is affected.

A Harrogate and District NHS Foundation Trust spokesperson said:

“While pay is a matter for government and the trade unions, we value our staff and want to see a resolution as soon as possible to ensure we can continue to focus on delivering world class patient care to all those who need it.

“We understand the importance of good pay and conditions for individuals and their families, as well as wider NHS staff retention and recruitment.

“We are working to ensure there is minimal disruption to patient care and that emergency services continue to operate as normal should any strike action take place, and have tried and tested plans in place to manage any disruption.

“We are committed to keeping disruption to services to a minimum, and any members of the public that need care should continue to come forward as normal.

“If you have an appointment or operation that is scheduled on a proposed strike day we would kindly ask you to be patient and we will notify you as soon as possible if strike action at HDFT is confirmed and your treatment will be affected.”

1,300 people waiting a year for operations at Harrogate hospital, says chief executive

Harrogate District Hospital has 1,300 people waiting more than a year for an operation.

Jonathan Coulter, chief executive at Harrogate and District NHS Foundation Trust, said the number of patients waiting was a legacy from the covid pandemic.

The trust estimates that it currently has a total waiting list of 25,000 people – an increase of 7,000 before covid.

Mr Coulter said part of the reason for the increase is because the hospital halted some operations during the pandemic.

He told a Harrogate and Knaresborough area constituency meeting of North Yorkshire County Council yesterday:

“We never ever had people waiting over a year for planned care at all in Harrogate.

“Most people were seen within four months. That was the majority.

“We now have 1,300 people waiting over a year for their operation or their treatment. We did go over two years in some cases, but that has now come down.”

Read more:

Mr Coulter told the meeting that the hospital expected to have no patient waiting more than a year for an operation by the end of 2023.

He added that the trust board had approved an increase in capacity at the hospital to help deal with the long waiting list.

The £14 million project will 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 trust also hopes the project will help to “future proof” the hospital for a growth in population and changes in demographic in the district.

Mr Coulter said:

“We will be going through that process next year to get us some more capacity on the site.”

Plea for Harrogate hospital visitors to wear masks after people refuse to follow guidance

Health bosses have issued a plea to visitors to Harrogate District Hospital to wear face masks amid a growing number of people refusing to follow guidance.

Officials at Harrogate and District NHS Foundation Trust said they had seen increasing number of people being verbally aggressive towards staff when they are asked to wear a face mask or replace one after removing it.

The plea comes as the hospital has warned that covid remains a “significant threat” and that it is seeing further admissions for the virus and flu going into winter.

Dr Jacqueline Andrews, medical director at HDFT said: 

“We may no longer be at the height of the pandemic, but covid continues to be a threat for the people in our care and we must do all we can to protect them and the staff who look after them.

“Should a patient contract covid from a visitor, it can lead to a prolonged stay at the hospital due to the need for them isolate. This can impact on bed availability for people needing other forms of treatment.

“Wearing a face mask is simple to do and can make a real difference. If you are asked to wear a mask, please remember it is for the protection of the loved one you are visiting. We are merely asking visitors to follow mask wearing guidance in certain areas of our hospital and we will not tolerate aggressive or abusive behaviour towards our staff at HDFT.

“I would also encourage anyone who is eligible to get a covid booster and a flu vaccination to do so to protect themselves and their loved ones.”

Read more:

Visitors to inpatient wards are expected to wear masks as part of hospital guidance unless they are exempt.

The Harrogate district covid infection rate is currently 35 cases per 100,000 people.

Council awarded £2m to tackle bed blocking in North Yorkshire

North Yorkshire County Council has been awarded £2 million to tackle bed blocking in hospitals.

The Department of Health and Social Care announced a £500 million fund to help speed up the discharge of patients across the country.

The county council, which is responsible for adult care, has been granted a total of £2,019,667 of this to increase its social care workforce and increase capacity to take on more patients from hospital.

Two months ago  Jonathan Coulter, chief executive of Harrogate and District NHS Foundation Trust, said the problem of patients staying in hospital longer than they should because of a lack of private care services was the “biggest issue” the trust faced.

The government said local authorities and health trusts will be free to spend the money on initiatives which have the “greatest impact in their area on reducing discharges into social care”.

Helen Whately, Minister of State for Care, said:

“People should be cared for in the best place for them, but discharge delays mean patients are spending too long in hospital.

“Our discharge fund will get more people cared for in the right place at the right time. We’re asking hospitals and the social care system to work together to help patients and carers too, who often take on a lot of the burden of caring when someone leaves hospital.

“The discharge fund will boost the social care workforce and in turn reduce pressures on the NHS and hospital staff, as it frees up beds and helps improve ambulance handover delays.”

Read more:

Harrogate and District NHS Foundation Trust has already sought to introduce a home care service to free up beds.

A spokesperson for the trust said previously:

“Currently, bed occupancy at our hospitals is around 90%. Due to the increased number of planned operations that are being performed we have more patients occupying beds following their surgery.

“However, bed occupancy is also impacted by patients who no longer require hospital care, but are unable to be discharged as they do not have a suitable location where they can continue their recovery, such as a residential care home, or appropriate home care to support them in their own homes.”

Harrogate hospital urges people to stay away from A&E amid ‘very busy’ week

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:

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.

‘Get jabbed’ plea as ‘wave of covid’ predicted in North Yorkshire

North Yorkshire health bosses are urging people to get their flu and covid vaccines ahead of the winter period.

NHS officials say they are preparing for a busy winter of respiratory illnesses, which may overwhelm hospitals.

Dr Bruce Willoughby, Harrogate GP and part of the Humber and North Yorkshire Health and Care Partnership, said he expected to see more cases of covid in hospitals in the coming weeks.

He 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. 

“You can help though. Your actions during the pandemic made an enormous difference and we need people to look out for each other in the same way again.”

Louise Wallace, North Yorkshire’s director of public health, added that there was also a risk of a wave of flu hitting hospitals.

She said:

“We expect to see a wave of covid in North Yorkshire during October/November and possibly another in January.

“There’s also the risk of being hit with a wave of flu cases at the same time so it’s particularly important that people take up the offer of vaccinations as soon as they can.

“Please also remember the basics – hands, face, space and fresh air. They protect against covid, flu and lots of other nasty viruses that can make you feel quite unwell.”

Read more:

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 booster jab now.

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

Most groups are eligible for a flu vaccine and have been offered a free vaccine. People do not need to wait to be invited for a flu jab and can book at their GP surgery.

Harrogate hospital A&E performance remains ‘well below’ national standard

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:

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. 

Harrogate hospital trust plans home care service to tackle bed blocking

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:

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.

Council launches pilot scheme as escalating numbers of children are overweight

North Yorkshire County Council has reported an escalating number of overweight youngsters since axing a well-regarded scheme to help children and their families make positive changes to their diet.

A council report has revealed since Healthy Choices was abandoned due to government cuts in 2020, the county has had no weight management service for children and has seen annual rises in children with excess weight that have been “much higher than in previous years”.

After completing Healthy Choices, 80% of youngsters saw marked weight reductions.

In 2016, 21% of five-year-olds and about 30% of 11-year-olds in the county, significantly lower than the national average, were found to be living with excess weight.

However, a public health report has revealed these figures have since overtaken or moved close to the national average, with 29% of reception pupils and 38% of primary school leavers classed as overweight.

Although child weight statistics for different local authority areas for last year will not be published by the government until December, last year it was reported  obesity rates in both reception-aged and Year 6 children increased by around 4.5 percentage points between 2019-20 and 2020-21.

Read more:

Concerning the sharp rise in children with excess weight, the council report said: 

“There is a real need for families across the county to receive compassionate support to manage weight, eat well and move more.”

Such is the concern over the rise in children with excess weight since its Healthy Choices programme was abandoned two years ago that senior councillors and officers have agreed to pump up to £106,000 from its reserves to kick start a family weight management service.

The 18-month pilot service will utilise the county’s current successful service for adults to support adults who have dependents that need a holistic support for the whole family. It will also take referrals for children and young people through the National Child Measurement Programme and other health professional referral routes.

However, unlike Healthy Choices, which was delivered in children’s homes or at a local venue, the new service will be remote, with up to 12 phone or video calls.

The officer’s report states the service will be “more cost effective” than Healthy Choices, which cost £300,000 annually.

The authority’s executive member for health, Councillor Michael Harrison said since 2020, both locally and nationally there had been the largest rise in obese primary schoolchildren on record.

He said: 

“We have a good record on our adult weight management initiatives, with five per cent body weight reductions for those completing programme we offer, and that weight loss is sustained 24 weeks later.

“If these figures are going up there is an increasing number of people who are having their lives impacted by complications to their health in later years. As public health professionals it is right that we should try and something about it in a practical but compassionate way.”