nhs Archives - Page 7 of 17 - The Stray Ferret

Business Breakfast: Harrogate healthcare company creates 20 jobs

It’s time to join the Stray Ferret Business Club!

The second in our series of networking events in association with The Coach and Horses in Harrogate is an After Work Drinks event on February 23 from 5.30pm. Don’t miss out on this chance to network with businesses from across the Harrogate district, get your tickets now by clicking or tapping here.

Harrogate-based digital health company, Inhealthcare, has created 20 jobs which will help the NHS and private sector with patient monitoring services.

Inhealthcare supports more than 50 NHS trusts in England and provides services to five health and social care trusts in Northern Ireland.

Services provided by Inhealthcare, which is based at Cardale Park, include the management of ‘virtual wards’. Patients get to remain at home whilst they or a carer monitor vital signs and input data on an app, SMS, automated phone call or online portal.

The 20 jobs at the company include app developer roles, automation testers, technical authors and product specialists, as well as account managers, deployment and training managers, and training and support executives.

This takes the number of employees to 44.

Harrogate car dealership wins award for customer satisfaction

Harrogate care dealership, Stratstone MINI has received Reputation’s 800 award for high customer-satisfaction.

The dealership, which is on Wetherby Road, is one of seven Stratstone garages to win this award in 2023.

Reputation, which gives out the award, assess the customer-satisfaction of companies in various industries, including the automotive industry, finance, healthcare, home services, hospitality and real estate.

Businesses are scored, and those that are honoured with the 800 award will have achieved a score above that number.

Kim Costello, chief customer officer at Stratstone, said:

“This recognition is a testament to the hard work and dedication of our associates in North Yorkshire.

“Across Stratstone, our aim is to be the gold-standard for customer-centric business, putting our customers at the heart of everything we do. We look forward to earning this award year after year.”

Decision on 1,300-home Ripon barracks scheme could be made this month

A decision on whether to build a major 1,300-home scheme on an army barracks in Ripon could be made within weeks.

The scheme, which has been submitted by government housing agency Homes England, would see houses built on Claro Barracks off Clotherholme Road.

The proposal was submitted to Harrogate Borough Council in September 2020, but has yet to be decided.

Council officials have now said the scheme could come to the authority’s planning committee this month after negotiations over NHS contributions were nearing an end.

Trevor Watson, the council’s director of economy and culture, told an overview and scrutiny commission meeting on Monday that developer contributions for health was the “last big issue” to overcome.

He said:

“We are confident that we are now approaching the final negotiations in relation to what was the last big issue that has caused a few problems.

“That is the level of contributions towards health provision. We are nearing an agreement on that, I think.

“That will allow us to bring forward the application for determination by Harrogate Borough Council at a special planning committee, we hope on February 23 and we also hope with a recommendation of approval.”

Claro Barracks

Mr Watson added the scheme was a “once in a generation opportunity” to develop a brownfield site included in the Harrogate district Local Plan 2014-35, which outlines where development can take place.

Harrogate Borough Council will be abolished at the end of next month and succeeded by the new North Yorkshire Council.

The negotiations over developer contributions come after NHS managers in North Yorkshire objected to the scheme because of concerns about the amount of funding that would be provided for local healthcare.

In a letter to the council, Andrew Dangerfield, head of primary care transformation at NHS Humber & North Yorkshire Integrated Care Board, said the method used by Homes England to assess healthcare need as a result of the new homes was “at odds” with the NHS.

He added the developer had offered “zero” section 106 contributions to help mitigate demand as a result of increased population due to the scheme.

Mr Dangerfield said:

“The integrated care board is concerned about Homes England’s overall approach to health, they have sought to provide zero section 106 contributions towards the provision of healthcare infrastructure on a development of significant scale (circa 3,000 people), using a methodology which is at odds with the NHS commissioners and local healthcare partners.

“The integrated care board, who has direct expert knowledge of the local surgeries in the area and is responsible for the commissioning of healthcare services have consistently outlined that the existing practices do not have capacity to absorb the population created by the 1,300 homes coming forward as part of this application, and therefore have requested mitigation in the form of a section 106 contribution.”

Mr Dangerfield added that should no contributions towards healthcare be made, then the development “cannot be considered sustainable”.

In October 2020, NHS North Yorkshire CCG – which preceded the integrated care board – said in a letter to the borough council that it was seeking £553,128 from Homes England in contributions to health.

The planned homes in Ripon will include a significant number of two and three-bedroom mid-range houses and will include apartments in the centre.

It also includes a community centre, employment space, shops, parkland, a new primary school and sports facilities.

‘Radical reform’ needed for North Yorkshire NHS dentists, says councillor

A senior councillor has called for radical reform of NHS dentistry in North Yorkshire amid concern over access to appointments.

Cllr Andrew Lee, chair of North Yorkshire County Council’s health scrutiny panel, has written to the government’s health and social committee with evidence over “extremely problematic” access to dentists.

The Stray Ferret has highlighted long waiting lists for NHS dentistry in the Harrogate district in recent years.

Cllr Lee has written to Steve Brine MP, chair of the national health committee, who has called for evidence to support a public inquiry into the matter.

Cllr Lee said:

“For some years, the issues with being able to access an NHS dentist has been a high priority on the agenda for the scrutiny of health committee.

“Feedback consistently indicates it being extremely problematic to find, access and retain an NHS dentist.”

The move comes as North Yorkshire’s health scrutiny committee heard of inequalities in accessing dentists across the county.

For example, in North Yorkshire, Scarborough residents have a greater challenge in accessing dentistry than those in Harrogate, due, in part, to the difference in demographics.

However, 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 added:

“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.”

Stray Views: Concern over Harrogate’s expansion and healthcare

Stray Views is a weekly column giving you the chance to have your say on issues affecting the Harrogate district. It is an opinion column and does not reflect the views of the Stray Ferret. Send your views to letters@thestrayferret.co.uk.

I refer to your recent article entitled ‘GPs ‘extremely concerned’ about new housing in Harrogate’. I have accessed the planning application mentioned and have read the letter from the NHS in detail.

The more I read the more concerned I have become over the existing and future healthcare provision in Harrogate.

If the NHS is advising that the primary care and community services are already in crisis when considering an application for just 49 dwellings then what of the future and the many large housing developments currently under construction in Harrogate and those remaining within the Local Plan.

Clearly, this is a major admission by the NHS that it cannot cope with the rate of expansion of new housing developments yet the planning authority is continuing to grant planning permission for more and more housing in Harrogate.

The NHS letter specifically states:

“Primary Care and Community Services within the area are already running at, or far beyond their existing capacity.”

Furthermore, it goes on to state:

“In conclusion it is difficult to envisage any rationale for Harrogate Borough Council to consider recommending this application without taking into consideration the impact of further residential development in Harrogate on the delivery of local Primary Care Services.”

The letter also refers to capital funding from developer contributions but these are normally made when planning permission is granted. It is highly unlikely that the building of new facilities will commence when the funding is available and it may be years before these facilities come into operation due to land acquisition and the planning process.

At the time of the public consultation for the Local Plan, numerous comments were made regarding the lack of health infrastructure to support this large increase in population not only for doctors but for the availability of NHS dentists and the lack of capacity at the general hospital.

The NHS has highlighted a very serious ongoing problem and the HBC must act now to put healthcare provision as a major priority ahead of any further large scale planning applications. It must ensure that adequate healthcare infrastructure is in step with the number of new dwellings being permitted.

Roger Jestice, Harrogate

Daughter’s concert one to remember

I am writing to thank you for reporting my daughter Jo’s concert at the Wesley Centre in the Stray Ferret.

Jo was delighted to see so many there. We still haven’t quite come down to earth. We were all totally overwhelmed by the support on a Monday lunchtime in January.

To have Jo’s 93 year old primary school teacher who taught her recorder, as well as Stephen Price, her first horn teacher, and Brian Hunt, the ex-head of music at Harrogate Grammar School there to hear her was quite emotional for us all.

Brian Hunt, the one who got her started on the French horn (she was originally a violinist) was someone we had lost touch with.

He retired 17 years ago and when I phoned the school they were unable to give me contact details. However another teacher saw the article in the Stray Ferret and told Brian about it.

I think both Jo and our elder daughter Sarah have only recently come to realise how loved they were by those they were fortunate to come into contact with while growing up, and who influenced their lives so much.

A day to remember forever.

Maureen Greenberg, Harrogate

Do you have an opinion on the Harrogate district? Email us at letters@thestrayferret.co.uk. Please include your name and approximate location details. Limit your letters to 350 words. We reserve the right to edit letters.

GPs ‘extremely concerned’ about new housing in Harrogate

NHS managers have objected to plans for 49 homes at Kingsley Farm in Harrogate and warned that the town’s health infrastructure has “very limited capacity”.

The homes, which have been proposed by Quarterly Kingsley Ltd, are earmarked for the north and north east of the site off Kingsley Road.

The developer said in a planning statement submitted to Harrogate Borough Council the scheme would help to offer a “sense of place”.

However, Nick Brown, of the NHS Humber and North Yorkshire Integrated Care Board, has objected to the plan.

In a letter to the council, he warned GPs were “extremely concerned” about further development within Harrogate.

He said:

“As primary care providers, the GPs and primary care networks are extremely concerned regarding any proposals for further residential development within Harrogate.

“The existing health infrastructure in Harrogate already operates above optimum capacity and has very limited capacity to absorb additional pressures.

“Primary care and community services within the area are already running at, or far beyond their existing capacity.”

The Kingsley area has seen multiple planning applications lodged to build houses on Kingsley Farm, including a revised proposal for 162 homes by Persimmon Homes.

Residents in the area have long held concerns about the amount of housebuilding in the area and its affect on traffic, noise and loss of green space.

Harrogate Borough Council will make a decision on the Kingsley Farm proposal at a later date.

Ambulance workers form picket line in Harrogate today

Striking ambulance workers are operating a picket line in Harrogate today.

Members of the GMB union began their 24-hour action at Harrogate Ambulance Station, which is on Lancaster Park Road close to the hospital, at midnight.

They were joined by members of Unison at noon.

It is the second time staff at Yorkshire Ambulance Service have gone on strike in the last month, although they continue to respond to the most serious category one calls.

GMB rep and paramedic Neil Summers told the Stray Ferret the state of the NHS was the main reason for the industrial action. He said:

“We are literally sitting outside hospitals with patients in our ambulances for hours and hours because they have nowhere to go.

“The hospitals are full and it means we are not able to do our jobs. We hear calls for cardiac arrests and can’t do anything.”

Todays picket line

Mr Summers said York Hospital was particularly bad but paramedics could still be waiting at Harrogate District Hospital for “up to three or four hours”.

He said there needed to be greater investment in the NHS as well as social care to ease problems caused by bed-blocking.

He said pay was also a concern, as many staff had not had an increase in wages for years.

“My pay isn’t terrible but some people’s is appalling.”

Picket line Jan 2023

The pickets have been joined today by local campaigner Lindis Percy, a former nurse, midwife and health visitor. She said:

“What’s going on in the the health service is shocking and this government has caused it.”

Health Secretary Steve Barclay said this morning the NHS is under “very severe pressure”.

He added the government has announced further investment for emergency departments, as well as looking into ways of targeting how to get patients who are fit to leave into social care.

NHS objects to planned 1,300-home development on Ripon barracks

NHS managers in North Yorkshire have objected to a proposed 1,300-home scheme on the Ripon barracks site due to funding concerns for local healthcare.

The scheme, which has been submitted by government housing agency Homes England, would see houses built on the site off Clotherholme Road.

The Clotherholme development would encompass Claro Barracks, Deverell Barracks and Laver Banks.

The proposal was submitted to Harrogate Borough Council in September 2020.

However, in a letter to the authority, NHS Humber & North Yorkshire Integrated Care Board has objected to the plan.

Andrew Dangerfield, head of primary care transformation at the organisation, said the method used by Homes England to assess healthcare need as a result of the new homes was “at odds” with the NHS.

He added that the developer had offered “zero” section 106 contributions to help mitigate demand as a result of increased population due to the scheme.

Mr Dangerfield said:

“The ICB is concerned about Homes England’s overall approach to health, they have sought to provide zero S106 contributions towards the provision of healthcare infrastructure on a development of significant scale (circa 3,000 people), using a methodology which is at odds with the NHS commissioners and local healthcare partners.

“The ICB, who has direct expert knowledge of the local surgeries in the area and is responsible for the commissioning of healthcare services have consistently outlined that the existing practices do not have capacity to absorb the population created by the 1,300 homes coming forward as part of this application, and therefore have requested mitigation in the form of a S106 contribution.”

Mr Dangerfield added that should no contributions towards healthcare be made, then the development “cannot be considered sustainable”.

The Stray Ferret has asked Homes England to comment on the concerns, but had not received a response by the time of publication.

The planned homes in Ripon will include a significant number of two- and three-bedroom mid-range houses and will include apartments in the centre.

It also includes a community centre, employment space, shops, parkland, a new primary school and sports facilities.

A decision on the scheme is expected to be made by Harrogate Borough Council at a later date.

Ambulance workers in Harrogate district begin strike

A picket line is in place outside Harrogate Ambulance Station today in the latest round of strikes.

Staff at Yorkshire Ambulance Service have walked out as part of a national dispute over pay and conditions. A second day of strikes is due to take place on December 28.

Vehicles tooted their horns in support of members of the GMB union picketing on Lancaster Park Road, which is on the same street at Harrogate Disrict Hospital.

Nurses and firefighters have also showed their support and a local cafe dropped off hot chocolate to strikers shivering besides a fire.

Union organiser Katherine Mitchell told the Stray Ferret GMB staff were striking today from one minute past midnight until 10pm. Ms Mitchell said members of Unison were due to join the action at noon today.

She said about 60 staff were employed at Harrogate Ambulance Station and they would continue to respond to the most serious category one incidents during the strike. Some strikers had already been called in to deal with such incidents, she added.

Several staff said the dispute was not only about pay but also about conditions and the state of the NHS. One person said they had waited four hours outside Harrogate District Hospital recently with a patient because the hospital did not have enough staff to escort the person away.

Health Secretary Steve Barclay said this morning NHS contingency plans would not cover all 999 calls and that “ambulance unions have taken a conscious choice to inflict harm on patients” — which drew an angry response from union leaders.

Rail and postal workers in the Harrogate district have been on strike this winter, but Harrogate District Hospital was not included in the first two days of nurses strikes. Firefighters are expected to be balloted in the new year over strike action.

Staffing problems still affecting mental health services for Harrogate district residents

Mental health services for people across the Harrogate district still require improvement, according to the health regulator.

The Care Quality Commission (CQC) found the services provided by Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV) were below the standards expected.

However, inspectors said there had been some improvements since the last inspection report in December 2021.

At that time, TEWV’s forensic in-patient and secure ward services were found to be inadequate, with the trust ordered to make urgent improvements. Now, the service is rated ‘requires improvement’, though the ‘safe’ aspect of the inspection is still rated ‘inadequate’.

The report said:

“Fifteen patients we spoke to raised concerns regarding there not being enough staff on the wards. Patients told us staff spent a lot of time in the office which sometimes made them feel neglected.

“Two patients told us that they had not received their prescribed medication on the day we arrived due to staffing. Another patient told us they did not know who their key worker was.

“However, most patients said that staff were caring towards them.”

In-patient and secure wards for Harrogate district residents are provided elsewhere in the north-east after the mental health unit at Harrogate District Hospital, the Briary Ward, was closed down in 2020. The CQC inspection of TEWV’s services was carried out at Roseberry Park Hospital in Middlesbrough.

The Briary Wing, Harrogate District Hospital, which was closed in May 2020.

Inspectors said data provided about staffing levels over an eight-week period suggested the service was regularly understaffed to an unsafe level. However, managers said the data was inaccurate and there was always a nurse and support staff on duty.

The report said:

“Staff were frequently being moved to different wards during their shift based on risk, which meant they were often working in environments and with patients they were unfamiliar with.

“This was impacting on several areas within the service; incident data showed staff were not always able to provide a timely response to incidents. Staff were unable to carry out all clinical duties on time, such as administering medication and completing clinical audits.

“Staff were regularly unable to take their breaks off the ward. Patient’s hospital ground leave, Section 17 leave (permission to leave the hospital) and visits from friends and family were being cancelled daily at short notice.

“Patients told us they felt neglected and did not have enough time with staff. Carers we spoke to highlighted staffing pressures as a concern and felt it was impacting on patient’s continuity of care and their ability to visit their loved ones.”

Areas for improvement

The CQC set out 12 areas where the service must be improved in order to meet legal requirements, including adequate staffing levels, cleaning all wards, ensuring staff have up-to-date training, and reporting all incidents quickly and accurately

Naomi Lonergan, care group director of the secure inpatient services at TEWV, said:

“We have been working hard to improve the service since the previous Care Quality Commission inspection in June 2021 and we are encouraged by the improvement in the rating.

“We have recruited 70 health care assistants since the last inspection and we are working with local universities to support the recruitment of registered nurses. This is in addition to developing an international recruitment strategy which is already making a difference.

“We have set up a health care assistant council and one for nurses to improve how colleagues contribute to the quality of care within our trust.

“We are also focused on creating a community on our wards, through the work we do with our recovery and outcomes team who put on events and activities for people in our care that help their recovery.

“We recognise that there is more to be done. This includes an unrelenting focus on patient safety with our absolute priority being on safe staffing and safeguarding our patients. We continue to prioritise the experience of our patients, their carers and colleagues to make the improvements we need to and we are confident the service is making these changes and will continue to do so.”

Children’s mental health services ‘requires improvement’

Meanwhile, TEWV’s specialist community mental health services for children and young people which were rated ‘inadequate’ in the ‘safe’ category last year have now been rated ‘requires improvement’.

In a report published in September, following inspections over the summer, the CQC said:

“Although staffing levels, caseloads and waiting times for treatment had improved since the last inspection, the service did not always have enough nursing and support staff to keep patients safe. Vacancy rates varied by team…

“Caseload sizes had reduced across the community teams. Most of the staff told us there had been significant improvements to caseload sizes and caseloads were more manageable. Only two of the staff we spoke with raised concerns about staffing levels and caseload sizes.”

Inspectors said a recruitment drive meant two new matrons were about to begin work, with a focus on managing staff caseloads.

The average waiting time for treatment had reduced to 104 days, compared to 371 days in 2021, and the number of children waiting more than 12 months had reduced to 275 from more than 1,000 in the same time period.

The CQC, which inspected six teams within the community mental health service for children, said TEWV must adequately staff its service and continue to work to reduce waiting times.

Brent Kilmurray, chief executive of Tees, Esk and Wear Valleys NHS Foundation Trust, said:

“We are pleased that the CQC have raised the rating for our community children and adolescent mental health service (CAMHS) in the safe category.

“The CQC report acknowledges improvements that have been made, including how quickly we responded to address the issues identified at the previous inspection. It also recognises that we are achieving our targets of maintaining contact with children and young people on waiting lists.

“This is a step in the right direction, and a testament to the hard work from our CAMHS community teams across the trust.

“We know there is still work to do and more opportunities to improve the service. We will now focus on embedding the recommendations from the report to ensure that we provide the best care to the young people in our communities.”

Less than a month to get jabbed at Harrogate’s showground

Autumn covid booster vaccination clinics are only available at Harrogate’s Great Yorkshire Showground for less than a month.

Tim Yarrow, operations manager at Yorkshire Health Network, which is overseeing the vaccination programme, today urged anyone eligible to book now.

Those showground site, which is currently seeing 1,400 patients a day, is due to close on November 23 and there are currently no plans to re-open it.

It means people will have to seek appointments at local pharmacies when the showground site closes.

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.

The showground is not accepting walk-in appointments. Access to the site is available by car from the road alongside Sainsbury’s.

The NHS is ramping up its winter vaccination campaign.

Health bosses in Harrogate previously said that 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.”

Health officials are also urging people to book a flu vaccine this winter. People can book their jab via their GP surgery.

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