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

WATCH: NHS takes down Nightingale hospital in Harrogate

Staff working on behalf of NHS England have dismantled large parts of the former Nightingale hospital in Harrogate, including the oxygen tanks that have loomed over the town for a year.

Construction workers started the job at 4am today, almost a year to the day since the temporary hospital started to take shape.

The stretch of Ripon Road immediately outside the Royal Hall and Harrogate Convention Centre was closed to traffic while cranes operated.

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We understand the CT scanners will also be removed later today.

The NHS confirmed last month it will dismantle all seven of the Nightingale hospitals across the country.

NHS Nightingale Hospital Yorkshire and the Humber, which was the Harrogate Nightingale’s full name, which never treated any coronavirus patients.

But it was used to provide CT scans to non-coronavirus patients.

Cranes in place to remove Nightingale oxygen tanks in Harrogate

Cranes are now in place ready to remove the oxygen tanks from the former Nightingale hospital in Harrogate.

Workers arrived at around 4am this morning to prepare the site and started by removing the concrete blocks.

Ripon Road immediately outside the Royal Hall and Harrogate Convention Centre is now closed to traffic heading towards the town centre. Crescent Road is being used as a diversion.

Construction workers have told the Stray Ferret that the oxygen tanks are set to be removed at around 7am to 8am this morning.

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We also understand that the CT scanners will also be removed from the former Nightingale hospital later today.

The NHS confirmed last month that it will dismantle all seven of the Nightingale hospitals across the country.

NHS Nightingale Hospital Yorkshire and the Humber never treated coronavirus patients. Staff did use it to provide CT scans to none coronavirus patients.

Harrogate Nightingale dismantling begins

Work has begun to dismantle Harrogate’s Nightingale hospital – almost a year after it was built at a cost of more than £27m.

The temporary 500-bed site was set up at Harrogate Convention Centre in April last year to cope with a surge of coronavirus cases but it has not treated a single virus patient during the pandemic.

NHS England announced this month the emergency hospital would close at the start of April and a spokesperson has now confirmed contractors have started removing medical equipment from the venue.

“The phased dismantling of NHS Nightingale Hospital Yorkshire and the Humber has begun.

“The removal of some larger pieces of equipment will require road closures which will be advertised through the appropriate channels in due course.”

The emergency hospital was one of seven built in England and although it did not treat a single coronavirus patient, it was used for non-virus diagnostic tests and outpatient appointments.

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Earlier this month, the NHS described the network of Nightingale hospitals as the “ultimate insurance policy” as it announced each of the sites, apart from those in London and Sunderland which will stay open for vaccinations, will close next month.

Health officials also said it was a “success” that the Harrogate site was not needed but there are questions over how it would have been staffed, with councillors on the West Yorkshire Joint Health Overview and Scrutiny Committee this week launching an investigation into why the facility was not used for covid patients.

Councillor Jim Clark, the Conservative chairman of North Yorkshire County Council, said there are “questions to be answered” and “lessons we can learn” around the Nightingale.

He told the health committee on Monday:

“We need to know how we would have staffed it, what capacity it would have been able to provide, where the staff would have come from and what effect that would have had on services within the rest of Yorkshire.”

It remains unclear how long the dismantling of the hospital will take and how much it will cost.

However, Paula Lorimer, director of the council-owned convention centre, previously said she was “confident” it will be ready for events to return on 21 June when all restrictions on social distancing are due to be lifted.

 

Harrogate Nightingale closure expected to be announced next month

Expectations are growing that the NHS will decommission the Nightingale hospital at Harrogate Convention Centre next month.

Following the Prime Minister’s announcement of cautious reopening over the coming months, and news that the vaccination programme is already having an impact on covid infection and illness rates, speculation is mounting that the Nightingale hospital will be dismantled when its contract ends on March 31.

It has never been used to treat covid patients, even through the peaks of the crisis when hospital admissions were at their height. With increasing evidence that the chances of severe illness requiring hospitalisation are lower among those who have been vaccinated, it looks likely that the Nightingale will not be needed in future.

Liberal Democrat peer Lord Newby, who lives in Ripon and has long argued for the convention centre to be returned to Harrogate Borough Council (HBC) use, told the Stray Ferret:

“I suspect that the contract won’t be renewed. It certainly should not be.

“There is no immediate or foreseeable use of the convention centre as a hospital – even in the very unlikely event that there were a further major spike in the disease. It has been a costly white elephant from the start and should be returned to the council without delay.”

NHS paying Nightingale bills

The NHS has been paying bills of between £125,000 and £160,000 per month for utilities at the convention centre. While local hospitality businesses are keen to have the centre back up and running to deliver trade for the town, some argue it makes more sense for it to have a steady income which at least covers its costs while major events are not possible.

Kimberley Wilson, chair of guesthouse association Accommodation Harrogate, said:

“The NHS are paying to have the Nightingale in there, so it keeps the bills paid. If they pull out and we can’t use it, it’s haemorrhaging money. If the NHS are happy to pay those bills, it keeps it from being a strain on council resources.

“What’s more important is when can we have events. We want it there until we can get big events in and then we want it out. Let’s just make sure it’s all ready to go when we can.”

Ms Wilson said guesthouses are taking bookings for events from the summer, including the Home and Gift Fair and the Bridal Show, and were hopeful that restrictions would be lifted in plenty of time to allow them to go ahead.

However, she was also keen to hear what the new destination management organisation (DMO) has planned to encourage people to come to the Harrogate district once travel and overnight stays are allowed again, to enable businesses to begin planning.

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The new DMO appointed a manager, Gemma Rio, who began work in October. She was not available for interview with the Stray Ferret, but a spokesman for HBC, which set up the DMO, said:

“Work is underway to establish a new Destination Management Organisation and position the Harrogate district as an exceptional place to live, visit and invest.

“An integral part of this work is the development of a destination management plan that will ultimately guide the activities of the DMO and its partners. In the short term, we have a plan to capitalise on the ‘staycation’ opportunity and attract visitors to the district when it is it safe to do so.”

Announcement expected soon

The NHS has not commented on its intentions for the site, or the other Nightingale hospitals around the country, other than to say it remains on stand-by to be brought into use if needed. However, it is expected that an announcement will be made soon by the government about its future.

Last summer, an initial three-month contract for the Nightingale in Harrogate from April to June was extended by a month to the end of July. Negotiations then continued before it was finally confirmed in mid-August that the hospital would remain in situ until the end of March.

It has since been used to offer CT scans to non-covid patients, helping Harrogate and District NHS Trust to catch up with patient referrals delayed during the early months of the pandemic.

The Stray Ferret asked Harrogate Borough Council and Harrogate Convention Centre about when the convention centre might re-open.

A Harrogate Borough Council spokeswoman said this week’s government route out of lockdown meant the earliest visitors could return to the district was April 12.

A spokeswoman for Harrogate Convention Centre said:

“We cautiously welcome the fact that all lockdown restrictions could be lifted in June.

“As ever, the devil is in the detail and we don’t yet have clear guidance on what these mean for our industry.

“We will continue to monitor the situation over the coming months as we develop our plans for reopening.”

Call for inquiry into Harrogate’s Nightingale hospital

A health scrutiny board could investigate the building and use of the Nightingale hospital in Harrogate.

The West Yorkshire Joint Health Overview and Scrutiny Committee will consider next month whether to accept calls for it to hold an inquiry into decisions made about the facility.

Cllr Jim Clark, who represents Harrogate Harlow division, spent 10 years as chair of North Yorkshire’s scrutiny of health committee and now sits on the West Yorkshire equivalent, ensuring a voice for people in the Harrogate district who are treated at its hospitals.

Speaking to the committee yesterday, he said:

“This was a tremendous success, building the Nightingale hospitals, and the one in Harrogate was built in about four weeks after 10 years of bed closures in North Yorkshire…

“This has always been a campaigning committee and I have been proud to be a member of it… But I think we need a public inquiry into why did we never use the Nightingale hospital? They say now that it was an insurance policy, but if we had needed to use it, could we have used it?

“I wrote to the secretary of state in 2018 saying that we were so short of staff in the Harrogate CCG (Clinical Commissioning Group) at that time that it was affecting performance. So if we had needed the Nightingale hospital there wouldn’t have been people there to man it.”

The health scrutiny committee wrote to the NHS twice last August calling for the Nightingale hospital to be kept open, and again in November suggesting it be used for vaccinations. Cllr Clark praised the work of those running the Great Yorkshire Showground site, but said the awarding of contracts and the ability to make any use of the Nightingale hospital needed to be scrutinised.

He said the example of trouble at Welcome to Yorkshire which was only revealed years after the 2014 Tour de France served as a warning about the need for close scrutiny at the right time.

“We need to get this done now. I would welcome any help you can give me to get a proper public inquiry and it shouldn’t affect the on-going work of the pandemic.”

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Scrutiny committee chair Cllr Helen Hayden told Cllr Clark that a working group meeting in March would decide whether to take his call for an inquiry forward.

Responding to Cllr Clark, Anthony Kealy, NHS England director in West Yorkshire, said the Nightingale was still being used for diagnostic scans and its future beyond the end of March was yet to be announced by the government. He added:

“We have regarded it largely as a success that we have never had to use the Nightingale for in-patient care. It was, as Cllr Clark suggested, developed as a bit of an insurance policy agains the NHS being overwhelmed.

“The Nightingale programme was rolled out very rapidly at the point where we were looking at northern Italy and its health services being overwhelmed. If the NHS had got to that point in April, the Nightingale would have certainly opened, but we managed to avoid that.”

He said while it was true to say it would have had to bring staff in from existing hospitals from the system, that was to be expected. Staff were busy in their daily roles, as would be expected, and would have been redeployed from routine care to run the Nightingale.

However, committee member Cllr Betty Rhodes said “robbing Peter to pay Paul” with staff moving from hospitals to the Nightingale would not have been a workable solution. At the time, she said, the hospital trusts were looking at cutting routine services and could not have spared staff.

She also supported calls for an inquiry, including into the procurement processes used during the pandemic to ensure they represented value for money.

Cllr Hayden added:

“This discussion will go on about procurement, about the Nightingale hospital… We will discuss as a board, looking back at the pandemic and assessing what went right, what went wrong, what do we need to learn from it. It’s going to be an on-going process.”

Harrogate Nightingale ‘could open with five days notice’

The Harrogate Nightingale hospital will be ready to take patients at five days notice by the end of the week, according to its medical director.

Dr Yvette Oade said it was “hard to predict” when the hospital, which was set-up at a cost of £27m to cater for covid patients in Yorkshire and the Humber, might be needed.

But she said people should be “very concerned” because the infection rate was rising rapidly across the region and hospital admissions were increasing.

The government said last week the Harrogate Nightingale was being put on standby.

Speaking on BBC Look North last night, Dr Oade described the hospital as “an insurance policy” that would be required if hospitals in the region reached maximum capacity. She added:

“You only draw on your insurance policies when things have not worked to plan.

“Right now the hospital isn’t needed, our colleagues are doing a great job around the region.

“People should be very concerned. Infection rates in Yorkshire and the Humber are one of the highest in the country. We’ve seen hospital admissions rising quickly.

“By the end of this week we will be ready to open to patients if given five days notice.

“Right now the hospital isn’t needed. It’s hard for me to predict when this hospital might be needed. The important thing is if we are needed then we will be ready.”

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Last week Lord Newby, the Ripon-based Liberal Democrat leader in the House of Lords suggested the hospital might not be able to open fully because it “simply does not have the staff available to allow it to operate safely”.

Asked about staffing, Dr Oade said the Harrogate Nightingale would need staff from other NHS organisations.

She added:

“If we get to the stage where we need the Nightingale hospitals it’s likely that because our acute trust will be so full that some of those procedures that they are currently doing will need to be halted.”

Harrogate Nightingale hospital put on standby

Harrogate’s NHS Nightingale has been asked to “mobilise over the next few weeks” to be ready to accept patients.

In a government coronavirus news conference today, NHS England medical director Professor Stephen Powis said the Nightingale hospitals in Harrogate, Manchester and Sunderland were preparing for the next phase.

Prof Powis said: “We are asking them to mobilise to be ready to accept patients if necessary.

“We are asking those in the high risk areas to go into a high state of alert and readiness. We will do that with other Nightingales if necessary.”

Prof Powis also said that there would be regular testing for NHS staff in high-risk areas “even when they don’t have symptoms”.

It comes after rising coronavirus infections levels and ahead of the government’s new three tier lockdown system to be announced later today.

This is a breaking news story. We will update this page when we get more information.

NHS paid consultancy firm £1m to set up Harrogate’s Nightingale

The NHS paid consultancy firm KPMG almost £1m to help set up Harrogate’s Nightingale Hospital.

NHS documents, which were first reported in the Huffington Post, confirm that during the first three months of the NHS Nightingale in Harrogate, KPMG was paid £922,899 by the Leeds Teaching Hospitals NHS Trust.

A local procurement expert told the Stray Ferret that KPMG would have taken on a project manager role for the hospital to help organise contractors, sort leases, order equipment and work out staffing rotas.

Under emergency covid-19 procurement powers, the NHS did not have to go out to competitive tender for the contract.

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The Stray Ferret asked KPMG how they spent the money and how they ensured the contract represented value for money but they declined to make a comment.

The document also revealed that in June the NHS paid Harrogate Borough Council £378,220 in “miscellaneous expenditure”. HBC told the Stray Ferret that they have not charged the NHS any rent for using the Convention Centre.

After weeks of uncertainty, it was confirmed this week that the Nightingale will remain in place until March 2021 after its contract was extended. However, a review will take place in October to assess its need.

Blow for Harrogate hospitality as major exhibition called off

A major event in the Harrogate Convention Centre calendar has been called off for January 2021.

BIGGA Turf Management Exhibition (BTME) has been taking place at the venue for more than 30 years.

However, with HCC’s future still unknown until the NHS confirms whether the Nightingale hospital is needed over winter, and with social distancing measures making the busy international event difficult, the organisers have cancelled it for the first time since 1989.

Instead, they will hold a “festival of turf” in the summer, which they hope will be outside. A spokesman for BIGGA (the British and International Golf Greenkeepers Association) said:

“The Harrogate Convention Centre, home to BTME since its inauguration as the European Turf Management Exhibition (ETME) in 1989, has been utilised as an NHS Nightingale Hospital since the peak of the outbreak in April and BIGGA is incredibly proud to be associated with a venue that has been transformed to enable the treatment of covid 19 patients, should the need arise.

“However, the alteration of dates will require a new venue to be found and discussions are underway with potential event hosts. Details will be released in due course.

“It is anticipated that BTME will return to the Harrogate Convention Centre in January 2022.”

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The news will come as a blow to the hospitality industry, which benefits from delegates staying in local hotels and guesthouses, eating out at restaurants and visiting other venues in the town. Kimberly Wilson, chair of guesthouse association Accommodation Harrogate, told the Stray Ferret:

“This is an important event for Harrogate. After December 15, Harrogate is very quiet until the Christmas and Gift Fair, which is mostly day trippers, and BIGGA is the first big show of the year.

“It’s a big deal for the town. They take a lot of beds – there are three main days and they do a lot of life-long learning around it, so some people stay for five days. It’s a longer event and they spend a lot of money in restaurants and bars.”

The organisers said they would move their education programme, Continue to Learn, online in January next year. Organisers said they expected the event to return to Harrogate Convention Centre in 2022.

However, with other events also taking place online, fears have been raised about the future of the conference industry, especially if social distancing measures remain in place for many months or even years. Ms Wilson said she was concerned about the potential long-term impact if event organisers decided not to resume in person in future.

Harrogate Convention Centre is currently in use by the NHS as a Nightingale hospital

The announcement about BIGGA follows the news that the Flooring Show is moving from its usual home at Harrogate Convention Centre in September to the Yorkshire Event Centre at the Great Yorkshire Showground in late February. Its organisers are putting on shuttle buses to help attendees get to and from the town centre.

Meanwhile, the Bridal Show has also moved from HCC to the Yorkshire Event Centre and is set for early October this year.

No announcement has been made about whether the Nightingale hospital will remain in Harrogate. The NHS’s contract to use the site expired last Friday, but a two-week extension was announced to enable negotiations to continue.

The Prime Minister has announced £3 billion of funding to enable the Nightingale hospitals around the UK to be maintained if needed. However, the one housed at Birmingham NEC has since been scaled back and the venue is preparing to host events from October 1, when covid guidelines change.