‘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.

North Yorkshire spends twice as much as other areas on HRT, figures show

North Yorkshire spends nearly twice as much as other areas on Hormone Replacement Therapy for women aged between 45 and 60.

According to analysis by the BBC Shared Data Unit, North Yorkshire Clinical Commissioning Group spent a total of £621,387.40 on the drug between April 2021 and June 2022.

The figure amounts to £12.04 per woman aged 45 to 60 in the county — more than double that of the lowest spend in Leicester at £5.56.

However, it is lower than the highest area in West Suffolk NHS, which spent £14.09.

The data comes as experts said the decision-making of local health boards had contributed to a postcode lottery and that some women were not being offered the full range of options because their local health board did not fund them.

HRT replaces hormones that are at a lower level approaching the menopause. Not every patient will need or want HRT, and clinicians advise against it in some circumstances, including for patients with a history of certain types of cancer or blood clots.

Diane Danzebrink, of the Menopause Support charity, said GPs’ “hands were tied”.

She said:

“Often we will hear from women who are being prescribed oral tablets as a first line, and they’re not being offered options.

“Sometimes that is because those options are purely not available on their local CCG formulary. So that sort of ties the hands of their doctors to be able to offer them choices. But we do definitely see that it seems to be in some parts of the country rather than others.”

An NHS England spokesperson said:

“The NHS has a Menopause Pathway Improvement Programme, which includes increased learning for clinicians in how they can best support menopausal women, and working with clinical colleges and menopause organisations to improve awareness and understanding.

“A new Menopause Optimal Pathway will also guide clinicians and help women in the workplace during peri-menopause, menopause and post-menopause.”

Read more:

 

Harrogate hospital staff selling days off to cope with cost of living crisis

Some staff at Harrogate District Hospital are selling their annual leave and applying for further financial help in a desperate bid to make ends meet.

The hospital is allowing NHS workers to trade time off for extra payments until the end of the year, while a hardship fund has also been set up to help with the soaring costs of energy, fuel and food.

This comes at a time when staff are set to vote on strike action over a below-inflation pay offer which unions have described as another real-terms pay cut.

Jonathan Coulter, chief executive of Harrogate and District NHS Foundation Trust, told a board meeting today that he had “always been against” staff selling annual leave, but the cost of living crisis now meant that providing support was “absolutely vital”.

He said:

“My justification for this is that the financial position of some staff is putting them under more stress than the benefit of having a holiday.”

A total of 17 staff have so far applied for extra payments instead of time off, while 271 applications have been made to the hospital’s hardship fund, which is offering grants of up to £500.

Read more:

Wallace Sampson, hospital trust board member and chief executive of Harrogate Borough Council, said he had “mixed feelings” about staff being able to sell annual leave as he believes it is “very much needed” to help with their wellbeing.

In response, Mr Coulter said he agreed but this was the preference of some workers and that a five-day limit on the amount of time off that can be traded would ensure staff do get some down time.

He said:

“There is an absolute maximum of five days, so staff can’t sell all of their annual leave.

“We have agreed the policy for this year as a one-off, partly recognising that people have a lot of annual leave because of covid.

“We will need to review the initiatives, but at the moment they are absolutely vital.”

Winter strike possible

His comments come as strike action could span across several months this winter after the Royal College of Midwives union notified hospital bosses that it will ballot its members over pay.

Other unions including GMB and Unison are also said to be making preparations for a vote.

The prospect of staff striking at what is always a busy time for under-strain services in winter has been described as “worrying” by senior officials at Harrogate District Hospital, which has begun making contingency plans.

Around 100 of the hospital’s lowest-paid staff will see an uplift from a rise in the legal minimum wage to £10.90 in October.

However, Dr Suzanne Tyler, executive director at the RCM union, said the government needed to go further and give all workers a better pay rise after its members rejected a 4% increase offer.

Dr Tyler said in a statement:

“Our members have spoken and just like us they believe a below inflation pay award is not good enough, they deserve more.

“The results and turnout speaks volumes about the feelings of a fragile, exhausted, and undervalued workforce, because taking industrial action is always the very last resort for midwives and maternity staff.

“They obviously now see no other alternative to getting a fair and just pay award from their governments.”

Harrogate hospital plans new £14m operating theatres

Harrogate District Hospital is planning a £14 million project to create two new operating theatres in an effort to tackle waiting times for treatment.

The scheme would 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 hospital currently has six operating theatres, including general and emergency surgery.

Officials at Harrogate and District NHS Foundation Trust said the move would help to increase capacity for operations and reduce waiting times for both planned and emergency surgery.

The project forms part of a national funding scheme to help hospitals tackle long waiting lists.

A spokesperson for the hospital trust told the Stray Ferret:

“The number of theatres currently at our trust/Harrogate District Hospital limits the number of operations we can undertake on a weekly basis.

“Additional theatres will enable us to treat more patients each week, which will reduce waits for both planned and emergency operations.”

Read more:

The trust added that the project will also help to “future proof” the hospital for a growth in population and changes in demographic in the district.

The scheme has been submitted to senior NHS officials and is currently being reviewed.

Trust officials said they expected a response on grant funding within the next four weeks. However, the project would also require planning permission before it goes ahead.

25,500 patients waiting

It comes as Harrogate hospital is currently tackling a long waiting list for patients awaiting treatment.

According to the trust’s own board papers, there were 25,564 patients waiting for an operation at the end of August.

Of that number, 1,297 had been waiting more than 52 weeks.

While the overall number of patients waiting is down by 65 on July, it is an increase of 3,396 on the same time last year.

In a report to the board, Jonathan Coulter, chief executive at the trust, said:

“We have had a difficult summer and we are now moving towards winter knowing that the current level of acute pressures and community services workload are already significant.

“Combined with the need to reduce our elective care backlog, the challenges that we are managing are significant.”

Harrogate mental health crisis team remains in Ripon

Harrogate’s mental health crisis team is still operating out of Ripon, two years after health bosses closed the town’s Briary unit.

Tees, Esk and Wear Valleys NHS Foundation Trust, which runs mental health services for the district, moved the team to The Orchards at Ripon following the closure of the Briary unit at Harrogate District Hospital in May 2020.

The crisis team provides specialist inpatient care for adults and children with mental health problems who may otherwise need to go to hospital.

The 29 staff were relocated after managers were unable to find alternative accommodation in Harrogate.

At the time, health bosses said the move was a short term solution until a new base in Harrogate was found.

The Stay Ferret asked the mental health trust whether a new base had been identified for the crisis team and if it had returned to face-to-face consultations.

A spokesperson for Tees, Esk and Wear Valleys NHS Foundation Trust said:

“Following the transformation work associated with adult and older adult mental health services, there was a requirement for services other than hospital liaison to move out of Harrogate District Foundation Trust.  

“In the planning of this, the adult and children’s crisis teams were accommodated at the Ripon community base at The Orchards from May 2020, as the crisis team coverage included Harrogate, Ripon and the rural district areas. The crisis team continues to operate from their own office spaces in Ripon.”

They added:

“Because of the nature of the crisis and home-based treatment team, the way we met the needs of patient and carers did not change, in that, we retained face-to-face contact throughout covid balanced with telephone or video contacts, depending on patient choice and level of need as we had done before.”

Read more:

In March 2021, health bosses told the Stray Ferret that the team needed to return at the “earliest opportunity”.

When the Briary Wing closed in April 2020, inpatient mental health services transferred to York.

North Yorkshire Clinical Commissioning Group, which buys medical services for the county, said the transfer of inpatient beds “released £500,000”, which could be invested in community mental health services.

Have you been affected by this change in mental health services? Get in touch at contact@thestrayferret.co.uk

Yorkshire Ambulance Service declares ‘critical incident’ status

Yorkshire Ambulance Service has urged people to only call 999 for serious or life threatening injuries because it is under “extreme pressure”.

YAS, which covers the Harrogate district, said in a statement it was operating on Resource Escalation Plan 4.

This is the equivalent to Black Alert for hospitals and is only declared when an ambulance service can no longer effectively deliver a service due, typically due to a major incident

All 10 ambulance trusts in the country have now declared a similar status.

Staff shortages and hot weather are among the reasons.

Read more:

YAS has asked people to consider contacting their GP, pharmacy or practise self-care as alternative options to the ambulance service.

A spokesperson for YAS said:

“An extremely high volume of calls is currently having a significant impact on both our 999 and NHS 111 operations.

“We have taken the decision to move to REAP Level 4, our highest level of escalation, and while the situation is being managed in line with the plans that we have in place to protect our core services, unfortunately there are patients who are facing delays and we are very sorry that we are unable to respond to them as quickly as we would like.

“All emergency calls are categorised according to the nature of a patient’s illness or injury and those in a life-threatening condition are always prioritised. It’s important that members of the public only call 999 for an ambulance when it is a serious or life-threatening emergency. This will help us to focus our efforts on our most poorly patients.

“You can also help us by not calling back to check where the ambulance is as we need those phone lines to be free for those in a life-threatening condition. However, if the condition of the patient changes or if you feel you no longer need an ambulance, it’s important that you let us know.

“For anyone with less serious illnesses and injuries, they should consider self-care, their local pharmacy, GP surgery, urgent care centre or making their own way to the emergency department. Our NHS 111 service is also available online at 111.nhs.uk or by calling 111.

“We will continue to monitor the situation closely and thank all our hard-working staff and volunteers for their efforts at this challenging time.”

Bilton man says government is failing young people with mental health issues

A man from Bilton who battled undiagnosed Post-traumatic stress disorder for six years says the government is failing young people with mental health issues due to a lack of funding.

Ben Rothery, 22, said his mental health first began to suffer as a teenager when he struggled to come to terms with his sexuality and was bullied by other children.

He also developed a problematic relationship with food and his weight increased to 18 stone.

The bullying led to a suicide attempt aged 16 and further traumatic events at university increased his suffering. Despite seeking help through the NHS several times, they were unable to diagnose what was wrong with him.

He said in one year, he told at least 10 people within the NHS about the same traumatic experiences.

He said:

“I shut everything positive out of my life. I didn’t know what was going on.”

Huge waiting lists

After his suicide attempt six years ago, he was first referred by his GP to CAMHS, an NHS service for young people with mental health problems.

Mr Rothery said the waiting list was “huge” but he was offered regular sessions for a year.

He was one of the lucky ones, with reports of some young people waiting up to two years for sessions.

Whilst helpful, he said CAMHS was unable to diagnose him with any mental health condition, which left him confused.

Things began to improve at school, and after coming out as gay during his school’s 6th form prom, his confidence improved. He went to university in York to train to be a teacher and his future looked bright.

He said:

“It was the happiest I’d ever been. I finally looked in mirror and that was who I wanted to be.”

But whilst at university, his mental health began to suffer again. He starved himself and lost six stone in just two months.

He then suffered a painful fallout with people he thought were friends and faced more bullying.

He bought a pride flag that he hoped to take to his first Harrogate Pride event. However, somebody went into his bedroom, urinated on it and posted a video all over social media. He said he then “isolated himself completely”.

Retreating into own world

When the first covid lockdown happened in March 2020, Mr Rothery said “the world stopped when I needed it to stop”.

He dropped out of university with thousands of pounds worth of debt, moved back home to Harrogate with his family, and retreated into his own world.

He said the experience at university was traumatic and he didn’t feel like he could talk about it.

“People said, ‘it’s just drama’ but it really affected me. It was like being so high up, feeling like you made it in life, then plummeting straight back down. I was lower than when I tried to commit suicide at 16″.

Read more:

Seeking help

In early 2021, Mr Rothery decided to seek help again. His GP referred him to IAPT, an NHS talking therapy service.

But he was offered just three hours of CBT treatment and it didn’t address his problems. He was still desperately seeking a diagnosis and an answer to why he was feeling so bad.

He said:

“I thought I had anxiety that had spiralled out of control. I had looked into PTSD, but I thought only people who had suffered really extreme things, like soldiers or victims of sexual assault had that.

“I felt like I hadn’t been listened to. Everybody I spoke to didn’t understand my problems.”

He said he carried on struggling until late last year when he had a “complete meltdown” and contemplated suicide again.

“I sat sobbing in my bedroom. I thought, I don’t want to leave my mum and dad. I saw how my previous suicide attempt made them feel. But I just thought, I don’t want to wake up.”

Next therapist

With his mental health problems now at an all-time low, he visited his GP again.

The doctor presented him with two options: go back to IAPT again or take medication. But he didn’t want to rely on chemicals to feel better.

Fortunately, his dad, who is a painter and decorator, had a customer in Harrogate who is a trained therapist. A deal was agreed where he would do work for her in return for offering sessions for Ben.

Private therapy sessions usually start at least £50 an hour, out of reach for most young people in Harrogate on lower salaries, so the offer changed his life.

He said it was the first time somebody had listened and told him what was wrong with him: PTSD brought on by the traumatic events of his teenage years and at university.

“That was the first time somebody told me what was wrong with me.

“It’s like a filing cabinet that has been thrown over and reorganising. It was the first time I’d felt listened to. I felt like I’d achieved something. For six years since 16 I’d been trying to get support but nobody seemed to know what to do.”

Doing better now

Mr Rothery says since the private therapy sessions finished he is doing much better. He has a fulfilling job and a good support network including his mum and dad.

But he fears that there are countless other people in Harrogate who are suffering with poor mental health in silence⁠ —and they are unable to afford expensive private therapy sessions that could make all the difference.

A report published in May by Harrogate-based Healthwatch North Yorkshire found that 72% of young people said they had experienced mental health or well-being issues in the past year.

Mr Rothery said:

“The biggest frustration for me is that anybody who didn’t have a support system at home like me would not have survived as long as I did. It crossed my mind that i could stop it all with one solution, but I’d be giving up. If i was to commit suicide, I’d give up all this fight.”

He added:

“If everybody tried to get help and came forward to their GPs, maybe more would be done.”

Calls for action over ‘overwhelmed’ North Yorkshire children’s mental health services

Children’s community mental health services need a root and branch review, officials in North Yorkshire have said.

North Yorkshire County Council’s director of children and young people’s services Stuart Carlton, said ongoing concerns over a lack of available support had been highlighted to the Department for Education.

It comes amid concerns the strategy to deal with a post-pandemic surge in youngsters requiring support is grossly inadequate.

Mr Carlton said increasing the amount of help for children with mental health issues ranked alongside child exploitation and online safety as the most significant challenges his colleagues were facing.

He was speaking at a meeting of the authority’s children and young people’s scrutiny committee a year after the NHS announced it was rapidly expanding children’s mental health services to offer support teams in schools to almost three million pupils by 2023.

At the time, the NHS said by intervening in mental health issues early it was hoped to prevent problems escalating into serious concerns.

Read more:

Earlier this year the committee heard mental health services for children in the county and elsewhere were struggling to cope with an “exponential growth in demand” due to the isolation and upheaval of the pandemic, compounded by factors like pressure experienced by children on social media platforms.

In February, Tees Esk and Wear Valley NHS Trust bosses told the scrutiny meeting its community-based mental health team (CAMHS) was treating more than 2,500 children across the county.

They said referrals to its services for issues such as eating disorders had risen from about 100 a month at start of pandemic to more than 300 a month during 2021.

18-month waiting list

Four months on, a youth support worker told the committee the waiting list for CAMHS had risen to 18 months, which was not a sufficiently timely reaction to what children needed.

She said: 

“The biggest challenge we face on the ground is mental health. I cannot overestimate how challenging it is. Pretty much all the young people we work with have some element of mental ill health.”

When asked about a timeframe for getting mental health support teams into schools, Mr Carlton said the authority had told government officials the scheme was too being implemented too slowly and the ambition needed to be to get mental health teams available for all schools.

He added: 

“I just don’t see how that’s going to happen. I have called nationally for a fundamental CAMHS review because it is not working. It needs significant funding and significant review and enacting clearly across the whole of the country.”

Mr Carlton said the authority was providing support to schools through mental heath training while working with North Yorkshire NHS bosses to reassess what was needed from the service and how it could be modernised.

He said there had been promising collaborative work with the NHS, but financing extra support for children would be “very challenging”.

Mr Carlton said:

“We can see through the pandemic increased demand. The services are probably feeling a bit overwhelmed and overstretched and it’s an area of absolute focus.

“Any interaction with a child from a professional is a mental health opportunity. However, we need enough capacity for specialist support when it is required.”

Harrogate district patients feeling ‘catastrophic impact’ of dental crisis

Patients in the Harrogate district are feeling the “catastrophic impact” of the dental crisis on their overall health, according to a new report.

Healthwatch North Yorkshire, the NHS body representing patients, is demanding a task force be set up to address the crisis in the county’s oral health due to a lack of NHS dentists.

The report outlines the impact of not being able to access an NHS dentist on the lives of more than 80 residents in the county, including Harrogate.

‘Urgent reform’

The watchdog said the issue needed “urgent reform”.

Ashley Green, chief executive officer at Healthwatch North Yorkshire, said:

“The case studies presented in this report reiterate the severe issues facing people across North Yorkshire. To hear the drastic measures people have resorted to after not being able to access an NHS dentist is harrowing.

“The financial impact, the impact on people’s mental health and on people’s physical health – these case studies reiterate the disaster people across our county are facing.

“Urgent reform is needed, and we urge that something is done now — before the situation gets even worse.”

Read more:

A Harrogate case study detailed how one patient suffering gum pain called 10 dentists, both private and NHS, and offered to pay privately, but was told none were taking either NHS or private patients.

They said:

“I called 111 and was told to go and see my dentist, I explained I didn’t have a dentist and was told it was difficult at the moment.

“The pain was worsening so I ended up taking paracetamol, codeine and ibuprofen, spaced out at regular intervals. I again called 111, and only when I said I was now taking three types of painkiller did they take notice.

“They said a dentist would call me at around 7.30am next morning, so be up and ready to go. No phone call until 1.30pm telling me to go to a practice in Harrogate the next morning. I went and was seen for a couple of minutes, confirming that I had a gum infection. The dentist prescribed antibiotics, which did clear up the infection.

“My complaint is that dentists are not bound to give a person in pain help. I have heard this complaint from quite a few friends now, surely they should be duty bound to see emergency cases.”

The recommendations outlined in the report include:

Nationally, Healthwatch England has led calls for a radical rethink of NHS dentistry and it will be announcing its next steps over the coming weeks.

The government said it was increasing investment in services to improve access.

Acute problem of NHS dentists

Last year, the Stray Ferret revealed that just two Harrogate district NHS dentists were accepting patients but both had a waiting list of at least two-and-a-half years.

The investigation revealed how acute the problem of dental care is for people on low incomes in the district, with one councillor describing the situation as “shocking”.

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

Healthwatch North Yorkshire is calling for people to share their views and experiences of health and social care, by visiting our website, calling 01423 788128 or emailing admin@hwny.co.uk.

Majority of young people in North Yorkshire have suffered from poor mental health

A report from a Harrogate-based organisation has found that 72% of young people said they had experienced mental health or well-being issues in the past year.

The research is part of a new report published by Healthwatch North Yorkshire. It says mental health services need “significant improvement” so more young people aged 16-24 can access the help they need.

As well as a survey, researchers organised focus groups at Harrogate College and Selby College to gather the views of young people.

Of those who said they had experienced poor mental health, only half said they sought help.

Reasons given for not seeking support included long waiting times to access support, the stigma surrounding mental health, and not knowing where to go.

Of those who did seek support, most respondents sought help from their GP, talked to friends and family, or got support at their school, college, or university.

Read more:

Those people who did get support from NHS services had a mixed response.

Some found the services helpful, but many raised concerns about long waiting times and fragmented services.

Helena, a young student involved with this research shared her own mental health experiences:

“Mental health and well-being are important topics that affect us all. However, this area still has a lot of stigmas around it, and there is a lot more that needs to be done to improve the mental health services across North Yorkshire and promote mental health across schools and colleges.

“Through personal experience I have come to value the importance of having support from all people, whether that is my friends or family, or the services provided locally, they are all vital in helping me to manage my own mental health.”

“I would call on all service providers in health and education to read this report and act on its recommendations and findings. Together we need to ensure that mental health services and support are equally provided cross the county.”

Read the full report here.