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:

 

Knaresborough GPs operating at ‘clinical capacity’

GP practices in Knaresborough are operating at “clinical capacity”, according to clinical commissioning group managers.

NHS North Yorkshire Clinical Commissioning Group, which commissions GP services in the area, recently reviewed the average number of patients to full time GPs in the town.

Details of the review emerged when the CCG recently objected to a new housing development on the site of the former Trelleborg factory on Halfpenny Lane in Knaresborough.

Nick Brown, senior planning and capital officer at the CCG, said in a letter to Harrogate Borough Council that the impact of any further housing developments would be “very significant”.

He said:

“NHS North Yorkshire CCG has recently undergone a review of the GP primary care estates in Knaresborough, consulting with all the GP practices and the Knaresborough and Rural Primary Care Network (PCN) with responsibility for providing services in this locality.

“The confirmed consensus is that the practices are currently operating at clinical capacity in relation to the average number of patients to full-time GP ratio, compounded by existing limitations with internal clinical space.”

Read more:

Mr Brown added:

“The existing GP surgery premises in Knaresborough are currently operating at capacity and the impact of any further local housing development on health services and health infrastructure is very significant.

“The existing health infrastructure cannot absorb the further pressure on delivery of services arising from the housing development.”

On Tuesday, Harrogate Borough Council granted permission to developers Countryside Properties to build 64 homes at the former Trelleborg site on Halfpenny Lane, which closed in 2016.

The CCG asked for £75,937 from the developers to fund improvements to services in the area. How much will be given is to be negotiated.

The CCG made a similar objection in March to plans for new retirement apartments on Wetherby Road in Knaresborough.

It said it was “extremely concerned” that another care facility could increase the elderly population and “overload” local services.

Concern over North Yorkshire’s plateauing covid vaccine rate

North Yorkshire’s plateauing vaccination rates have been raised as a concern by health officials as all remaining covid legal restrictions come to an end today.

A meeting of the North Yorkshire Outbreak Management Advisory Board today heard that while vaccine take up has been “pretty good” across the county, more than 41,000 people have yet to receive a first dose.

That represents around 10% of the population – and areas in Harrogate and Scarborough have been highlighted as lagging behind.

Sue Peckitt, chief nurse at the NHS North Yorkshire Clinical Commissioning Group, told today’s meeting:

“We continue to offer vaccines as an evergreen offer and have been running a number of pop-up sites across the locality including in Harrogate, Scarborough and other areas where we have had very little take up.

“We are now putting out a plea that if those people still want their vaccine, we have plenty available.

“We recently ran a pop-up clinic in Eastfield in Scarborough and had two people attend all day. And two weekends ago we ran another for two days in Harrogate and received 24 people for vaccination. We are just not having people come forward now.”

Ms Peckitt said vaccine take up was lowest amongst 18 to 29-year-olds, followed by 30 to 39-year-olds.

Her plea comes as Harrogate’s Great Yorkshire Showground vaccination site prepares to shut in March. The site at Ripon Races closed last weekend.

Read more:

Vaccines are now being redirected to pharmacies and GP surgeries where an additional booster dose will be offered to all adults over-75 and the most vulnerable over-12s this spring.

An autumn booster programme, aimed at a wider group of people, is also planned later this year.

Pharmacies and GP surgeries will also be used to vaccinate children aged five to 11 from April.

This extension of the rollout comes after months of deliberation over the benefits and risks before official scientific advice concluded the move would help protect the “very small” number of children who become seriously ill with covid.

No legal requirement to self-isolate

As of today, all remaining legal covid restrictions in England have been removed as part of the prime minister’s Living with Covid plan.

It means people who test positive are no longer legally required to self-isolate, although they are still advised to do so.

The decision has come as a surprise to some health officials who have questioned what the changes will do to the spread of the virus.

North Yorkshire’s weekly infection rate is currently at 412 cases per 100,000 people – its lowest level since mid-December.

Dr Victoria Turner, public health consultant at North Yorkshire County Council, described this as a “much improved” picture at today’s North Yorkshire Outbreak Management Advisory Board meeting.

She also said although many people will have some immunity from vaccines or previous infection, people should still be cautious about the virus now all restrictions have ended.

Dr Turner said: 

“There is a very high proportion of the population that will have a degree of immunity, whether through vaccination, direct exposure to the virus or both.

“What that doesn’t mean though is you are therefore immune from getting the virus again.”

Harrogate district vaccine centres could open on Christmas Day

Vaccination centres in the Harrogate district could open on Christmas Day and Boxing Day as part of the government drive to offer all adults a booster by the end of the year.

Firefighters are delivering vaccines in another bid to speed up the programme, public health officials in North Yorkshire revealed at a press conference today.

The officials said things were changing “very rapidly” across the country and although there were still no confirmed cases of the Omicron variant in the Harrogate district, they added it was likely to be present and spreading fast.

Read more:

Amanda Bloor, the accountable officer for the North Yorkshire Clinical Commissioning Group, told the press conference:

“The NHS is already experiencing high demand from patients. I would continue to ask people to be patient and respectful.

“We are expecting that a number of staff leave will be cancelled to mitigate the continued pressures. They are going to be working longer hours to get everyone through.

“In terms of the booster programme. This is the most complex phase yet, we are now moving with pace. We are looking at how best to increase capacity.

“All sites are increasing capacity on a daily basis. You can now access a vaccine very early in the morning to very late at night.

“We anticipate sites being open across the county every day except Christmas Day and Boxing Day but if we need to look at demand on those days we will do so.”

We have compiled a list of the sites in the Harrogate district where you can get a vaccine. You can see it by clicking or tapping here.

Harrogate District Hospital is set to open a vaccine centre tomorrow, which will only have capacity for booked appointments.

It is unclear how many vaccinations the hospital will administer a day or what times it will be open.

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.

Patients express frustration at seeing a GP in Harrogate district

Patients have expressed frustration at trying to see their GP after health bosses said face-to-face appointments were still available.

Amanda Bloor, accountable officer at North Yorkshire Clinical Commissioning Group, last week said national reports that practices were closed and not offering face-to-face appointments were “a myth”.

But her comments sparked a backlash on social media, with some people saying they had “more chance of winning the lottery” than seeing a GP.

Read more:

Ernie Butler, a parish councillor in Darley, said he could no longer book an appointment in person, which left him frustrated.

He added patients from his area were often sent to Pateley Bridge and Birstwith.

Mr Butler said:

“You cannot just go in and see them anymore. They have you waiting three weeks for an appointment.”

Others on social media claimed they could not book an appointment by going into Pateley Bridge surgery.

Local GP practices have been running telephone and online assessments since March last year for patients.

The process, known as “total triage” assesses people first before offering face-to-face appointments.

It has been used throughout the pandemic and NHS England guidance says it has been used to “reduce avoidable footfall in practices and protect patients and staff from the risks of infection”.

A spokesperson for North Yorkshire Clinical Commissioning Group said face-to-face appointments have been available to patients at GP practices.

Ms Bloor told a North Yorkshire Local Resilience Forum press briefing last week:

“I just want to stress that our GP practices across North Yorkshire and York are open, they are seeing patients face-to-face and they have been open throughout the course of the pandemic.

“It is fair to say that services have been provided differently and that has been about protecting patients and staff, particularly through the time of the pandemic, to make sure that we kept people safe.

“But what I don’t want and what the wider NHS does not want is any misconceptions getting in the way of people coming forward, accessing services at their GP practice when they have got health care needs in the full confidence that they will get clinically appropriate personalised care.”

Ms Bloor said that in March there were 387,000 appointments in North Yorkshire and York, which was more than any month in the last two years and more than 60% of the appointments took place face-to-face.

The Stray Ferret approached Pateley Bridge surgery for comment.

90,000 receive covid vaccine in Harrogate as first doses drop

More than 90,000 people in the Harrogate district have received a covid vaccine but the number of first doses dropped dramatically last week due to supply shortages.

According to NHS England figures, a total of 93,618 people in the district have had a first jab.

The number is an increase of 1,325 on last week, which is down on the previous weekly increase of 10,175.

Last month, NHS officials wrote to GPs across the country and warned there would be a “significant reduction in weekly supply” from March 29.

No first doses of vaccines are being offered to the under-50s at the Great Yorkshire Showground in Harrogate this month.

The total number of first vaccines in the district includes:

The data also shows North Yorkshire Clinical Commissioning Group has given 245,899 first doses and 38,899 second doses so far.

Read more:

Last week, Amanda Bloor, accountable officer for North Yorkshire CCG, said it would focus on as “maximum coverage as possible” for those who have not been vaccinated in the first nine priority groups.

Meanwhile, no covid deaths have been recorded at Harrogate District Hospital since March 29.

The death toll at the hospital remains at 178 since the start of the pandemic.

Just five cases of covid have been confirmed in the district in the last 24 hours, according to Public Health England.

It takes the total number of cases since March last year to 7,608.

The district’s seven-day covid rate has increased slightly to 12 infections per 100,000 people.

The North Yorkshire rate stands at 26 and the England average is 30.

Harrogate district GPs start giving vaccine to under-50s

Some North Yorkshire GPs have vaccinated all top-priority patients and are using spare doses on under-50s, a chief nurse has said.

Sue Peckitt, chief nursing officer at NHS North Yorkshire Clinical Commissioning Group, said the county’s vaccination programme was going “exceptionally well”.

She added some surgeries had reached all eligible patients in the top nine priority groups two weeks earlier than expected.

Ms Peckitt added although bookings for all other adults aged under 50 were not yet open, some would soon be called up for last minute appointments using doses that would otherwise go to waste.

Speaking at a meeting of the North Yorkshire Outbreak Management Advisory Board today, she said:

“Many of our primary care networks are asking if they can move into the lower age cohorts and we are telling them to try not to unless it would mean vaccine wastage.

“We do know some of them have exhausted all of their eligible cohorts so you might start to hear some challenge coming back that some individuals below the age of 50 are starting to get pulled forward.”

Read more:

As of Friday, more than 404,000 people in North Yorkshire had received their first dose of a covid vaccine, with almost 40,000 people having received their second.

In the Harrogate district, a total of 82,118 people have had a first dose of a covid vaccine.

The figure for first doses across the UK is 30m and 3.5m for second doses.

The government aims to offer a first vaccine to about 32 million people in nine priority groups by 15 April and every other adult by the end of July.

The programme is now inviting those aged 50 and above who haven’t yet received jabs to book appointments after the first four groups – those aged 70 and over, care home residents, healthcare workers and people required to shield – were offered a jab by mid-February.

Ms Peckitt said while take up of the vaccine in North Yorkshire has been high, some residents were still reluctant to come forward.

She said:

“We are still trying to get the reminder of the eligible cohorts to come forward.

“There have been repeated calls to individuals that haven’t and we are working with them to try understand why they would not want to access the vaccine.”

Over 60s to be offered covid vaccine in Harrogate district

Coronavirus vaccines are set to be offered to the over 60s and those with underlying health conditions in the Harrogate district.

Health bosses at NHS North Yorkshire Clinical Commissioning Group said today the programme was ready to be rolled out further.

The national booking service website is now open to those people over 60 and with underlying health conditions to book their jabs.

Appointments booked in this way are usually offered at a larger regional vaccination centre or a pharmacy.

People will also be contacted by their local GP-led vaccination site inviting them to have the vaccine.

It comes as 48,753 people have been vaccinated in the district so far, according to latest NHS England figures, while 247,629 have received a first dose across North Yorkshire and York.

Read more:

Amanda Bloor, accountable officer at NHS North Yorkshire Clinical Commissioning Group, said: 

“We continue to encourage everyone who is invited for a vaccination to take up the offer to protect not only themselves but their families and loved ones.

“It’s also important that people attend for their second dose when the time comes to get the maximum protection offered by the vaccines currently being administered.

“We’re seeing high take-up of the vaccine in North Yorkshire and York, but if you were one of those in the first four priority groups who did not initially come forward it’s not too late if you’ve changed your mind – you can get in touch with the national booking service online or by calling 119 to get an appointment at one of the larger vaccination centres.

“In North Yorkshire and York we are on target to offer vaccinations to everyone in the nine priority groups by the middle of April.”

Health bosses have urged those who do not want an appointment at a larger vaccination centre or pharmacy not to contact their GP surgery, as a local NHS team will contact them directly.

Vaccinations for the Harrogate district are currently being offered at the Great Yorkshire Showground, Ripon racecourse and the former Lidl supermarket in Knaresborough.

People may also be invited to the mass vaccination centre at Askham Bar near York and the Elland Road stadium site in Leeds.

Stick to two metres, urge local health bosses

Local health commissioners have urged people to stick to the two-metre social distancing rules ahead of ‘Super Saturday’.

It is contrary to the changes brought in by the Prime Minister, who appeared to ditch the two-metre rule last week.

Boris Johnson had rolled out “one-metre plus” guidance, to help the likes of pubs and restaurants ahead of reopening.

Read more:

However, leaders from the NHS North Yorkshire CCG have urged people to remember that the coronavirus has not gone away.

Dr Peter Billingsley said that people should stay two metres apart wherever possible:

“If two metres is not possible then the ‘one metre plus’ guidance should include additional measures such as wearing a face covering or mask, installing screens where possible, sitting side by side rather than face to face and continuing to wash your hands regularly.”