Last chance to have you say on quality of Harrogate hospital care

Time is running out for people in the Harrogate district to have their say on how they feel about the care they receive at local hospitals.

Harrogate and District NHS Foundation Trust, which runs Harrogate District Hospital and Ripon Community Hospital, is carrying out a survey aimed at improving services and quality of care.

The survey runs until Monday and will be used to improve the experience for patients, highlight areas where the trust performs well and identify the areas where it needs to improve.

Matt Graham, the trust’s director of strategy said: 

“HDFT’s last strategy was created in 2014 and during this time the trust, the NHS, and our communities have changed significantly.

“The covid pandemic has meant that over the last two years we have had to adapt to the pressures we have faced and this has impacted upon the services we have been able to offer. It is important we now look to the future and create a strategy which delivers on our top priorities – to provide the highest quality of care for the people in our communities and the best possible experience for our patients.

“We need to get the perspective of our patients, carers and other members of the community so that we can understand what issues are important to them.

“We will then use this feedback to improve the care we offer over the next five years so that we are well placed to meet the opportunities and challenges of the future.”

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The trust has also conducted a focus group this month in collaboration with Healthwatch North Yorkshire.

The one-hour session gave people the opportunity to learn about why the trust is refreshing its strategy, comment on feedback received to date, and have their questions answered.

You can take part in the online survey here and for more information on attending a focus group email hdft.strategy@nhs.net.

Harrogate care boss: Vaccine mandate led to ‘significant’ staff losses

A Harrogate care home manager has criticised the government’s NHS vaccine review, which was announced this week.

Health Secretary Sajid Javid said the policy of compulsory vaccines for NHS staff would be paused while a consultation is held on the policy.

But the pause was announced after it became a legal requirement for health and social care staff to be double vaccinated.

James Rycroft, managing director of Vida Health Care, which is based in Harrogate, said the mandate had led to a significant number of staff leaving the care sector.

He said:

“The social care sector has suffered significant losses to our workforce due to the compulsory vaccine policy at a time when we were already experiencing a national staffing crisis.”

Mr Rycroft added that the care sector has had to deal with the fallout of the policy without any support from government.

He said:

“I hope that by allowing staff back to the social care sector, even if they’re unvaccinated, we’ll be able to begin combatting the ongoing recruitment crisis, although the safety of everyone remains our main priority so we would have to ensure precautions are in place.”

Hospital to continue to encourage staff vaccination

Meanwhile, Harrogate hospital officials have said they will continue to encourage staff to get the vaccine despite the review.

Of the 5,000 staff employed by Harrogate and District NHS Foundation Trust, 98% have had at least one dose of a covid vaccine and 97% are double vaccinated.

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Angela Wilkinson, director of workforce and organisational development at the trust, said staff had been encouraged to get a vaccine through a variety of communications including weekly online videos, emails and one-to-one conversations with managers.

Ms Wilkinson said:

“Vaccines save lives and are the most effective way to prevent infectious diseases. 

“Since the development of a vaccine for the covid virus, we have actively encouraged our staff to get their jabs. 

“We have provided staff with a wide variety of information including how they can get their vaccinations and what the benefits are. We have also engaged with staff who have not had the vaccination to support them, allay any fears and dispel any myths.”

She added:

“We await the outcome of the consultation on ending vaccination as a condition of deployment as this will determine whether staff in patient facing roles will need to be legally required to have the vaccination if they wish to work for our trust.

“Nonetheless, we will continue to encourage all of our staff to have the covid-19 vaccination.”

Number of covid patients at Harrogate Hospital increases sharply to 34

The number of positive covid patients at Harrogate District Hospital has increased significantly in the last seven days.

Currently 34 patients are confirmed to have covid — nine more than last week.

The figures come as the district’s seven-day covid rate stands at 1,290 per 100,000 people. The rate has steadily increased since dropping to 1,171 on January 17.

The North Yorkshire average is 1,090 and the England rate is 1,082.

UK Health Security Agency statistics now include figures for reinfections.

Latest figures show that since January 24, the Harrogate district has recorded a total of 1,953 infections.

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Meanwhile, the number of deaths from patients who tested positive for covid at Harrogate District Hospital since March 2020 stands at 220.

Latest NHS England figures show that two patients died on January 28.

The government lifted Plan B restrictions, which included mandatory face coverings and vaccine passports for major events, last Thursday.

Harrogate hospital trust appoints new board chair

Harrogate and District NHS Foundation Trust has appointed Sarah Armstrong as the new chair of its board.

Current chair Angela Schofield announced she is retiring having been in the role since November 2017.

Ms Armstrong, a former director of operations at Healthwatch and chief executive of York Centre for Voluntary Service, will take up the role from April 1.

She is also a non-executive director at Harrogate Integrated Facilities, a wholly-owned subsidiary company of the hospital trust that looks after its estate.

Ms Armstrong said: 

“I am delighted to be appointed chair of HDFT. Being a non-executive director over the last few years has enabled me to understand the work that the trust does, and the difference it makes. I feel extremely proud to be part of HDFT and very much look forward to undertaking this new role.”

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Steve Russell, chief executive of HDFT, said: 

“Sarah’s vast knowledge and experience has been invaluable since she joined the trust’s three years ago and I am looking forward to working with her in her new role.

“The energy and enthusiasm she brings is infectious and her inquisitive, challenging nature keeps us on our toes and ensures we are always striving to provide the best possible healthcare for our community.”

Private Harrogate hospital drafts in robot with £250,000 investment

A private hospital in Harrogate has drafted in a robotic surgical assistant and made improvements at the building with a £250,000 investment.

BMI The Duchy Hospital, based on Queen’s Road, is now the only hospital in the Harrogate district with the ROSA Knee System.

The robot is designed to help surgeons carry out more personalised procedures with a greater degree of accuracy.

It has a robotic arm that is guided by the surgeon. The robot also analyses data to help surgeons plan, carry out and assess the knee replacement.

This investment comes as the private hospital, which is part of the Circle Health Group, continues its work with Harrogate and District Foundation Trust to help ease NHS waiting lists.

Orthopaedic surgery among the most in-demand services in the NHS.

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Professor Nick London, Mr David Duffy, Mr Jon Conroy and Mr Mark Farndon have used the new system.

Professor Nick London said:

“So far we’ve had excellent outcomes for patients. As we continually strive towards getting 100 per cent of patients the best outcome from their surgery, there is a significant group who may benefit from the advantages the ROSA robot brings.”

Rick Sanders, executive director at BMI The Duchy Hospital, said:

“We are delighted that robotic-assisted knee surgery is now available here in Harrogate. It gives our highly experienced consultant surgeons the option of using this state-of-the-art equipment.”

The investment also means new camera system for surgery, new LED lighting and redecorated interior.

Mr Sanders added:

“As patient activity at our hospital increases and we continue to work closely with the Harrogate District Foundation Trust to ease their waiting lists. The improvements will help us offer the best experience possible for our patients.”

Inquiry reveals Harrogate Nightingale cost £31.6 million

An inquiry into Harrogate’s Nightingale hospital has revealed the facility cost £31.6 million.

The 500-bed hospital at Harrogate Convention Centre was one of eight Nightingale hospitals set up at the start of the covid pandemic in March 2020. It was dismantled last year without treating a single covid patient.

Of its £31.6 million costs, £17 million was spent on building and dismantling works, £10.4 million on running costs and £4.1 million on equipment.

A further £1.1 million was spent on security and around £500,000 on cleaning and food.

Members of West Yorkshire Joint Health Overview Scrutiny Committee launched the inquiry into the hospital after raising questions over why it was not used to treat any covid patients and how it would have been staffed if needed.

The committee has now concluded that while these questions remain unanswered, the need for the eight Nightingale hospitals across the UK showed there was insufficient critical care capacity in regular hospitals.

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Harrogate Borough Council – which owns the convention centre – also charged £4.2 million for staffing, utilities, business rates.

The committee said while it had not reached a conclusion on the costs, it had asked for its findings to be presented to a full public inquiry into the government’s handling of the pandemic set to be launched later this year.

Meanwhile, the inquiry also found that the nation had to be better prepared for future pandemics.

It said:

“The country needs to learn from this experience to plan for future pandemics.

“Although we learnt that staffing the Nightingale hospital would have only required 0.6% of the NHS hospital workforce across Yorkshire and the Humber, this only worked when nearly all elective hospital work had been suspended.

“This still feels like it would have been very tight and put significant pressure on certain key professions.”

‘Most frightening experience of my life’

The Nightingale hospital opened in April 2020 amid fears that the NHS might be overwhelmed by covid and it was dismantled almost a year later at a total cost of £31.6 million.

Members of the West Yorkshire Joint Health Overview Scrutiny Committee suggested there was a public view that the seven Nightingale hospitals were a “major waste of money”.

However, senior NHS officials have argued that had the hospitals not been built and it subsequently proved they were needed, the consequences would have been “unthinkable”.

Speaking at a meeting with the committee in September, Steve Russell, chief executive of Harrogate and District NHS Foundation Trust, said:

“If they had been needed and they hadn’t been built, we would have been asked far more difficult questions than why did you spend £30 million.

“I cannot describe to you the feeling of sitting in the convention centre looking at the chart that in four days we will run out of ventilation beds until you get this hospital mobilised.

“It was the most frightening experience of my life.”

The committee also praised the thousands of staff involved in setting up and running the Nightingale, including NHS workers, council staff, contractors and volunteers.

The committee said: 

“The predicted numbers of covid patients for Yorkshire and the Humber far outweighed the number of hospital beds that could be provided for all levels of care, which was why it was important to have the further capacity that the Nightingale hospitals gave us.

“We have nothing but admiration for the way in which they, NHS colleagues throughout Yorkshire and the Humber and partner organisations responded.

“It is a tribute to the work of the NHS, local authorities, the community and voluntary sector and many others that we did not need to use the Nightingale Hospital.”

Harrogate not chosen as Nightingale site this time

Leeds has been chosen ahead of Harrogate to provide a Nightingale surge hub for Yorkshire and the north-east of England.

NHS England announced today it was on a “war footing” and had chosen eight hospitals in different English regions to deal with a potential wave of Omicron patients.

St James’ University Hospital in Leeds has been selected in our region to provide a temporary structure capable of housing about 100 patients.

Harrogate Convention Centre was one of eight Nightingale hospitals set up in spring last year in England to treat covid patients.

It had 500 beds but closed this year without treating a single patient.

However, the huge increase in infections caused by Omicron has prompted health managers to devise plans for extra capacity. All eight regional sites chosen this time to be Nightingale surge hubs are within existing hospitals.

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An NHS press release said placing the new Nightingale facilities in hospital grounds would make it easier to flex staff and equipment if there is a surge in admissions.

Other hospital sites could follow — NHS trusts have been asked to identify areas such as gyms and education centres that can be converted to accommodate patients.

4,000 beds

The plan is to create up to 4,000 ‘super surge’ beds across the country.

Professor Stephen Powis, NHS national medical director, said:

“Given the high level of covid infections and increasing hospital admissions, the NHS is now on a war footing.

“We do not yet know exactly how many of those who catch the virus will need hospital treatment, but given the number of infections we cannot wait to find out before we act and so work is beginning from today to ensure these facilities are in place.”

Professor Powis urged the public to “play their part” by getting booster jabs. He said:

“The science is clear. Two doses of vaccine do not provide enough protection against Omicron so if you have not yet had a life-saving booster do not delay any longer.”

Health Secretary Sajid Javid said:

“We hope the Nightingale surge hubs at hospitals will not have to be used but it is absolutely right that we prepare for all scenarios and increase capacity.”

The first eight of the Nightingale surge hubs will be at the following hospitals:

North East and Yorkshire – St James’ University Hospital, Leeds
North West – Royal Preston Hospital
Midlands – Solihull Hospital, University Hospitals Birmingham and University Hospitals Leicester
East of England – Lister Hospital, Stevenage
London – St George’s Hospital
South East – William Harvey Hospital, Ashford
South West – North Bristol Hospital

Working on Christmas Day: Harrogate taxi driver

Not all heroes wear capes, and while most of us are tucking into our turkey spare a thought for those who are still working on Christmas Day.

Kevin O’Boyle, the owner of Central Taxis in Harrogate, says he has worked every Christmas Day except three in the last 56 years.

Mr O’Boyle may therefore appear more likely to wear a Grinch outfit than a Santa hat on the big day, but he certainly has that special Christmas spirit inside.

He is semi-retired but always steps up to the plate when needed. And he is rarely more needed than on Christmas Day.

Central Taxis has a contract with Harrogate and District NHS Foundation Trust as well as Yorkshire Ambulance Service.

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So when public transport stops on Christmas Day, NHS staff turn to taxis to get them to work. Mr O’Boyle told the Stray Ferret:

“There are quite a number of NHS staff who rely on public transport so when that stops they turn to us for help.

“Not only do we take NHS staff to work but we also do other vital work. Like last Christmas, I was picking up drugs for the hospital from Manchester.”

He may have regrets about missing Christmas with his four children but Mr O’Boyle feels a sense of duty to the NHS so he is willing to make the sacrifice.

So when you are celebrating tomorrow spare a thought for those in the Harrogate district who are working.

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.”

Today only: Harrogate vaccine centre offers walk-in boosters

Harrogate’s Great Yorkshire Showground is to accept walk-ins this afternoon to help with the roll-out of the covid booster programme.

Those eligible for a booster can just turn-up between 1.30pm and 4pm at the showground. Currently, there are no other walk-in sessions scheduled for the site, which re-opened this week.

To qualify, people need to be aged 40 and above. At least six months must have passed since their second dose and they must have no coronavirus symptoms.

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.

Non walk-in appointments can be booked on the NHS booking site here.