Similarities seen in Yorkshire to how Lucy Letby whistleblowers were treated

Similarities to how whistleblowers were treated when raising concerns about convicted child killer Lucy Letby have been seen across Yorkshire hospitals, it has been claimed.

At a York and Scarborough Teaching Hospitals NHS Foundation Trust board of directors meeting on Wednesday, September 27, concerns were raised about how comfortable staff are at raising issues of colleagues’ clinical practice.

NHS staff can raise issues through ‘speak-up guardians’ like York hospital’s Stefanie Greenwood, who presented a report to the board and told directors there are lessons to be learned from how complaints about Letby were treated prior to her arrest in July 2018.

Ms Greenwood said:

“Although it’s a very extreme case, there are some lessons we can learn.”

She added that cases like Letby’s show “the price that we pay if we don’t listen to our staff” and that “silence ultimately kills patients.”

Ms Greenwood said: 

“Our staff currently do not feel safe to raise concerns.

“They fear reprisal and this can lead to unsafe patient care.”

She added: 

“I have seen similarities in how the Letby case was handled and staff being shut down and told they need factual evidence.”

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Letby was jailed in August for a whole life term for murdering seven babies and trying to kill another six at Countess of Chester Hospital between 2015 and 2016.

Dawn Parkes, interim chief nurse at York and Scarborough’s hospital trust, said “any hint” of something wrong regarding patient care should be “explored,” even if there is no hard evidence of wrongdoing.

Jenny McAleese, a non-executive director at the trust, said: 

“There’s not many concerns raised about safety and quality and I just wonder whether we just need to have a bit of a conversation about that and make sure people know that the freedom to speak guardian is there.”

She added: 

“People are happy to raise concerns about people working while sick but there’s a bit of a reluctance to raise concerns about people’s clinical practice.”

Letby, 33, is only the third woman to receive a whole life order and is Britain’s most prolific child killer.

Many of her surviving victims have been left with life-altering conditions.

Dr Stephen Brearey told BBC Radio 4 in August that when he raised links between Letby’s constant presence during a spike in infant deaths at Chester hospital he was “put into mediation by senior managers.”

He said:

“I was put into mediation twice, once on fairly minor grounds and secondly with Lucy Letby herself and it seems to be a way of delaying action and investigating those concerns.”

Dr Brearey added that it is “a way of turning the things back to the clinician and suggesting that they’ve done something wrong.”

He added:

“It’s almost like weaponising that process.”

There has been an increase in concerns being raised across York and Scarborough hospitals in the last three years but these were mostly about ‘behaviours and relationships’ or ‘bullying and harassment.’

Simon Morritt, chief executive of York Teaching Hospital NHS Foundation Trust, said: 

“How easy it is to raise concerns is really important to us.”

Harrogate hospital spends nearly £1 million on staff cover for strikes

Harrogate District Hospital has spent £923,000 on staff cover for industrial action since April.

The hospital has been hit by numerous strikes in the last five months, with consultants and junior doctors staging walkouts in disputes over pay.

In a report due before a trust board meeting today, Jonathan Coulter, chief executive of Harrogate and District NHS Foundation Trust, said a “significant cost” had been spent covering for striking staff members.

In total, between April 1 and August 31, the trust spent £923,000 on bank and internal staff to cover for junior doctors and consultants. 

Bank staff are temporary workers who agree to work flexible shifts with a hospital trust. Some trusts keep a record of their own bank staff to call upon for shifts.

The trust said no agency workers were used to cover staffing during the strikes.

The Stray Ferret asked the trust how it intended to recoup the money spent during the industrial action.

A spokesperson for the trust said:

“The trust is in ongoing discussions with NHS England on the expectations regarding funding and managing this pressure.”

It comes as both junior doctors and consultants are set to carry out further walkouts in October.

Members of the Hospital Consultants and Specialists Association and British Medical Association will strike from 7am on Monday, October 2, until 7am on Thursday, October 5.

In his report, Mr Coulter said it was important to remember staff were in dispute with the government, not the hospital trust.

He added:

“We need to always remember the impact that this industrial action is having and the cost for patients who have services disrupted and delayed, the actual financial cost of cover, and the more significant opportunity cost, as management time is necessarily taken up with planning and managing these periods of strike action safely.”

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Vida Healthcare continues drive for excellence

This story is sponsored by Vida Healthcare.

James Rycroft, Managing Director, discusses how Vida Healthcare is leading the way in the provision of care for people living with dementia.

Supporting the dementia journey

When we founded Vida, our aim was to create a safe place for people living with dementia and their families, where our staff would be trained as dementia ambassadors. Over the years we’ve looked into and deployed a range of alternative approaches and techniques. This innovation has given us the tools to provide outstanding care to our residents. We’re so proud to play a part in people’s dementia journeys. We’re always looking out for new approaches that support their wellbeing.

Our care is centred around taking the time to get to know our residents and support them as individuals. By learning about their family and friends, hobbies and interests, likes and dislikes, we can make meaningful connections. That helps people to feel at home. We are also passionate about providing the most effective care by keeping up to date with the latest research and findings, alongside drawing on our high level of clinical expertise.

We continue to secure numerous awards and accolades as a result of our continued drive for excellence. As of June 2023, all three care homes are rated ‘Outstanding’ by the Care Quality Commission.

Our specialist houses

We have worked closely with healthcare experts, specialist architects, interior designers and landscape gardeners to help create unique environments in our homes. Every element, from our residents’ bedrooms to our outdoor spaces, has been designed with our residents’ health and wellbeing in mind.

Residents are made to feel at home.

Within all three of our homes there are multiple, smaller houses which allow us to provide tailored care for our residents no matter where they are on their journey with dementia. In total we have 20 specialist care homes across our three buildings. Each house has a similar look and feel but offers a different level of care and support. Should care needs change over time, our residents do not have to experience the upheaval of moving to a completely different care home.

Our staff

Every member of the Vida team has been selected because they share our values. Vida treats everyone with respect and dignity. We are transparent, honest and fair at all times. We support people to make their own decisions so that they can lead independent lives where possible, and we treat everyone equally.

Our in-house Learning, Performance and Development team that form our bespoke staff training programme, Vida Academy, are always on hand to support our staff to excel. They provide our staff with multiple opportunities to learn new skills, develop in their roles and achieve career progression. Vida Academy supports all our staff, from new starters through to senior managers. The academy promotes lifelong learning and establishes our team as dementia ambassadors.

Communicating with families

As we have developed and grown as a provider we have recognised the importance of clear and engaging communication channels in order to inform and update family members, and build their trust in our ability to care for their loved ones.

Effective communication with families is essential which is why we have developed our own in house app, Family Team Talk. The app offers a lifeline for our families, giving them a digital platform and news feed to keep up to date with daily life through text, video and image posts from staff. Originally launched in response to the Covid-19 pandemic, the app continues to raise the morale of relatives, residents and staff and give everyone a greater feeling of connectivity and reassurance.

For more information, please visit www.vidahealthcare.co.uk or contact admissions@vidahealthcare.co.uk. You can view the life inside Vida by visiting us on our social media pages.

 

Local politicians raise concern over lack of Harrogate and Knaresborough NHS dentistry

Local politicians have raised concern over a lack of access to NHS dentistry in Harrogate and Knaresborough.

Both Conservative MP, Andrew Jones, and Tom Gordon, the Liberal Democrat parliamentary candidate for Harrogate and Knaresborough, said the issue had been raised with them multiple times.

It comes as this week, the Stray Ferret reported that another dentist on Harrogate’s King’s Road will go “membership only” once its NHS contract runs out in December.

Chatsworth House Dental Clinic told patients it will now only take appointments from those as part of its membership scheme.

In a letter seen by the Stray Ferret, it said it planned to cut its patient list by 70% as part of the plan — which it said would “reduce appointment waiting times” and “improve prevention of dental disease and decay”.

Chatsworth House Dental Clinic on King’s Road.

Gail Hindson, a patient who received a letter from the dentist, questioned why patients would require longer appointments.

She said:

“Why do patents need longer appointment? In the 40 years I have been a patient I have never felt my appointment time did not meet my needs.

“What support are they providing to those patients they are rejecting either due to lack of finance or understanding of the process?”

Concerns over lack of access

The decision by Chatsworth House Dental Clinic raised concern over the the lack of access to NHS dentistry in Harrogate and Knaresborough.

NHS Humber and North Yorkshire Integrated Care Board, which replaced North Yorkshire CCG in April, is responsible for the commissioning of dental care in the district.

A review of NHS dentistry published in August 2021 found there was just one NHS dentist practice per 10,000 people in the Harrogate district.

Harrogate and Knaresborough MP, Andrew Jones, has taken concerns over the lack of NHS dentists to the ICB.

He said the organisation should begin expanding NHS dental provision in Harrogate and Knaresborough.

Mr Jones said:

“It is positive that dental provision has moved from being controlled nationally to a more local approach. I want to see this local management produce results for our area quickly.

“Recently a small number of constituents have contacted me having had problems getting access to an NHS dentist. Anecdotally this is a wider problem. I am also concerned that residents moving into the new estates in our area will be left without dental cover.

“So I want the ICB to begin expanding the NHS dental provision in Harrogate and Knaresborough and to keep the level of service under review as the new estates become fully occupied.”

Tom Gordon, the Liberal Democrat parliamentary candidate for Harrogate and Knaresborough, said the issue was one that “kept coming up on the doorstep”.

He added people had also told the local party about their concerns at accessing an NHS dentist appointment.

Mr Gordon said:

“Access to NHS dentistry is one of the biggest issues that keeps coming up on the doorstep time an time again.

“That’s why we have been campaigning on this issue since I was selected earlier this year, and I have met with Daisy Cooper MP, the Lib Dem health spokesperson, and she raised it in Parliament, when our current MP has failed to do so at any point in the last 13 years.

“Over the summer we launched our local dental survey. The results made for a shocking read.

“43% of people who responded to our dental survey are not currently registered with a dentist, with more than 60% of those people having not seen a dentist in years.

“Just 30% of people we spoke with told us they were currently registered with an NHS dentist, with just under half travelling outside the district to see them. The rest pay for private care.

“More than half of the people we spoke with told us that they have delayed seeing a dentist because of the associated cost.”

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Harrogate NHS dentist to move to ‘membership only’ patient scheme

A Harrogate dentist has announced it will only see patients on a membership only basis from December.

Chatsworth House Dental Clinic, which is based on King’s Road, announced it will move to a monthly payment scheme once its NHS contract comes to an end.

The move comes as concern has been raised about the lack of access to NHS dentistry within the Harrogate district.

In a letter to patients seen by the Stray Ferret, Chatsworth House said it made the decision to “reduce appointment waiting times” and “improve prevention of dental disease and decay”.

It said:

“After careful consideration, we have decided that from 1st December 2023 we will be seeing patients on a membership basis only.

“We know this decision will allow us to spend more time with you, reduce appointment waiting times, improve prevention of dental disease and decay, and offer you a greater choice in the variety of treatments we are able to deliver in a much more relaxed environment.”

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The letter adds that patients will be offered a membership plan of £21.45 per month – or 70p per day.

The practice had previously proposed plans to refer NHS patients to Starbeck Dental Centre in August 2020, but later dropped the proposal.

The Stray Ferret approached the clinic for comment on its plan, but had not received a response by the time of publication.

NHS dentist fears

It comes as politicians have raised concern over the lack of access to NHS dentistry in Harrogate and Knaresborough.

Daisy Cooper, MP for St Albans and Liberal Democrat health spokesperson, raised the issue in the House of Commons in February.

She said only half of children in North Yorkshire managed to see an NHS dentist last year, adding:

“In Harrogate if you are lucky enough to find an NHS dentist taking on any new patients you face a two-and-a-half year wait to see them. This is a shocking state of affairs.”

Meanwhile, Conservative Cllr Andrew Lee, chair of North Yorkshire Council’s health scrutiny panel, wrote to the government’s health and social committee in February with evidence over “extremely problematic” access to dentists.

A review of NHS dentistry published in August 2021 found that there was just one NHS dentist practice per 10,000 people in the Harrogate district.

Cllr Lee said:

“Radical reform is absolutely needed. The solution lies in the management of dental services. Recruitment and retention remain difficult, and dentists themselves are frustrated with the service they can provide.

“The problem does not lie with recruiting dentists, the problem lies with a broken and dysfunctional dental contract with severe underfunding. Dentists themselves cannot rectify this and it is creating by default a two-tier system whereby those that can afford to go private do so and others struggle to access any kind of care.”

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.”

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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

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.”

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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.”

Local Lib Dems call for investigation into ‘mass exodus’ of ambulance staff

Harrogate and Knaresborough Liberal Democrats have called for an investigation after figures revealed a rise in staff vacancies at Yorkshire Ambulance Service.

Figures obtained by the party show the number of employees leaving the service annually had increased by 28.3% since 2019/20.

According to the data, in 2022/23 alone, 892 staff left the ambulance trust and its vacancy rate was 17% – the highest in the country.

By comparison, South Central Ambulance Service had the next highest with 16%.

Tom Gordon, the Liberal Democrat parliamentary candidate for Harrogate and Knaresborough, called on the government to investigate the ‘mass exodus” of staff.

He added that a recruitment drive should be launched to retain, recruit and train paramedics and other ambulance service staff.

Mr Gordon said:

“This is deeply disturbing and there needs to be an investigation immediately.

“We are fortunate to have a great district hospital, and fantastic ambulance staff, but paramedics and our hospital are feeling the strain of years of Conservative neglect.”

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A spokesperson for Yorkshire Ambulance Service said the vacancy figure included vacancies for all service lines including emergency operations, non-emergency patient transport service and the NHS 111 urgent care service.

They added:

“While these figures look stark in isolation, it’s important to remember there is natural attrition in every organisation and many reasons why people choose to change jobs.  Yorkshire Ambulance Service is committed to increasing its workforce, including the number of frontline clinical roles.

“The nature of our work is diverse and very much focused on providing high quality patient care, and we are committed to supporting colleagues in a positive workplace environment.”

Martin Flaherty, managing director of the Association of Ambulance Chief Executives, added:

“There is no doubt that recruitment and retention of all grades of frontline staff ranks foremost in the priorities of the boards of each of our member services so of course it is worrying to see an increase in those leaving the ambulance service. 

“However, it is important to note that the data that was requested includes all ambulance staff groups, not just paramedics, including wider clinical roles and also non-clinical such as 111 call handlers and administrative staff. 

“There is also natural attrition in every organisation and many reasons why people may choose to move on in their careers. This is not unique to the ambulance service, and indeed there are recruitment and retention issues across the wider health and social care arena.”

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.”

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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”.

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