Harrogate care boss relieved as government ends mandatory covid testing

A Harrogate care boss says she is relieved after the government announced an end to mandatory covid testing in care homes.

Sue Cawthray, chief executive at Harrogate Neighbours, said homes were now trying to adapt to the “new normal” and scrapping testing would save time.

The Department of Health and Social Care announced that routine asymptomatic testing will end on August 31 in hospitals and care homes as covid cases fall nationally.

However, testing for symptomatic cases among residents and staff and those being admitted to a home from hospital will continue.

Ms Cawthray said the ending of asymptotic testing will also be a relief for care home residents.

She said:

“Removing mandatory testing in care homes is a huge relief as testing takes up considerable time – not only administering the tests, but logging the results as well as having to ensure all staff are doing it within the guidelines, Residents have been fed up with the testing regime too – we are all trying to return to the new normal.

“We are still being asked to wear PPE and we will continue to be vigilant with staff and residents by reporting any positive cases. Staff will still have to let us know through our sickness reporting system if they have any symptoms and then they will test as per the guidelines.”

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The end of mandatory testing comes as the NHS is set to roll out Autumn covid booster vaccines for those aged over 75 and who are most susceptible to serious illness.

Ministers have encouraged people to take up the jab, which will be available to book through the National Booking Service ahead of a rollout starting from September 12.

Steve Barclay, health and social care secretary, said:

“Thanks to the success of our world-leading vaccination roll-out, we are able to continue living with covid and, from August 31, we will pause routine asymptomatic testing in most high-risk settings.

“This reflects the fact case rates have fallen and the risk of transmission has reduced, though we will continue to closely monitor the situation and work with sectors to resume testing should it be needed. Those being admitted into care homes will continue to be tested.

“Our upcoming autumn booster programme will offer jabs to protect those at greatest risk from severe COVID-19, and I urge everyone who is eligible to take up the offer.”

New omicron strain sees Harrogate district covid rate rise

The rate of covid in the Harrogate district has more than doubled since the end of May.

Latest North Yorkshire County Council data shows there are currently 113 positive cases per 100,000 people in the district.

The rate was at as low as 52 cases per 100,000 people on May 30.

Whilst the rate has begun to climb up again for the first time since March, it is still far below the peaks seen in January and April 2022.

Source – North Yorkshire County Council

North Yorkshire County Council public health consultant Dr Victoria Turner said the rise was being driven by the BA.4 and BA.5 sub-variants of omicron.

The sub-variants have also caused high rates in other countries across the world.

She said:

“There is evidence that BA.4 and BA.5 are more transmissible than previous variants, and there is limited protection from infection with previous variants against BA.4 and BA.5.

“The ways to prevent the spread of BA.4 and BA.5 remain the same as for other covid variants. Meeting outdoors where possible or in well-ventilated areas indoors, wearing a face covering in enclosed or crowded spaces, and good hand and respiratory hygiene will all reduce the risk of transmission.”

Dr Turner said anyone who has tested positive for covid should stay at home for five days.

Covid tests are available to be purchased from pharmacies.

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Harrogate district covid rate almost trebles in a month

The rate of covid-19 in the Harrogate district has climbed to 997 per 100,000 people, according to the latest figures from North Yorkshire County Council.

On March 1, the rate was 343 per 100,000 people, the lowest it had been since September 2021.

But cases have risen due to the BA.2 subvariant of Omicron, a more contagious strain of Omicron that was circulating in January and February.

Council health officials also believe a change in social behaviour, as well as waning vaccine protection, are behind the rise in case numbers.

Second highest in the county

The Harrogate district has the second-highest infection rate in North Yorkshire. Selby is the next highest at 1,015. The England average is 879.

The government no longer publishes daily data on how many people have caught the virus.

From Wednesday, testing sites across North Yorkshire, including on Tower Street in Harrogate and Ripon’s coach park, will close.

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Whilst covid rates have continued to rise, Dr Victoria Turner, public health consultant at North Yorkshire County Council, said there were early signs rates were “flattening off”.

However, she said waning vaccine immunity, a change in behaviour and more social contacts are still driving cases up.

She told a meeting on Friday:

“There has been a general behaviour change amongst the population. People are out and about more, and having more social contacts.

“There is also potentially a little bit of an effect of waning vaccines which are still holding strong in terms of preventing serious illness, but there is potentially some waning for those who had their booster doses first in terms of acquiring infection.”

Covid testing sites in Harrogate district to close next week

Covid testing sites across North Yorkshire, including on Tower Street in Harrogate and Ripon’s coach park, will be closed next week.

As free testing comes to an end from Friday, April 1, the last day for the testing sites to operate will be Wednesday, March 30, North Yorkshire County Council‘s Outbreak Management Advisory Board heard today.

Cllr Michael Harrison, the county council’s executive member for adult services and health integration, asked whether testing would still be made available for care homes and other key groups, such as schools, but was told an announcement on this had not been made yet. There was also no information about any free testing for care and education settings.

Public health consultant Victoria Turner said:

“I think it’s fair to say that is the one we are going to be looking at most closely. We are expecting care guidance coming out next week as well on this.

“From what was said in February we expect there to be some symptomatic testing remaining for care home staff but that’s about as detailed a picture as we get at the moment. Care homes are going to be the one area we still have a particular focus on from April 1.

“We are still seeing quite a lot of outbreaks in care settings, or rather whenever there’s a high degree of community transmission there’s an inevitability that that does affect care settings as well.

“We were hoping that we could have done some of that planning before April 1 but unfortunately the guidance just isn’t out yet.”

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The outbreak management advisory board, which was set up to recommend on the county’s covid response and communications, has also been stood down. It had been meeting monthly but members agreed there was little need to continue as national restrictions were removed.

However, the group said it will remain in abeyance, rather than being disbanded, so it can be brought back into action if required, such as with the emergence of a new variant.

Infection rate almost trebles this month

At present, cases are still rising, though at a slower rate than previously.

The Harrogate district’s infection rate, which was 343 per 100,000 people at the start of the month, is now at 923.

Hospitalisations are also rising at a slower rate, with 30 patients with covid currently being treated at Harrogate District Hospital.

Deaths among people who have tested positive for covid within the last 28 days remain steady, at an average of one each day across North Yorkshire.

Richard Webb, corporate director of health and adult services, said:

“Many of us are continuing to work on the impact of acute and long-term covid in many different ways.”

Meanwhile, covid vaccination centres are preparing to begin giving spring booster jabs to over-75s, and vulnerable children aged between five and 11 in the county are now being given their first doses.

788 Harrogate hospital patients were sent back to care homes without covid test

Almost 800 Harrogate District Hospital patients were allowed to return to their care homes without being tested for covid, it has been revealed.

Figures obtained by the Local Democracy Reporting Service provide the clearest picture yet on how patients were moved between the hospital and care homes – a practice which is believed to have fuelled infections amongst the most vulnerable.

The figures show a total of 788 patients were discharged into care homes without being tested between March 2020 and November 2021.

But the hospital says it has followed national guidance on when to carry out tests and that “patient health and safety is our primary concern”.

It also said the figures will include patients who were tested before arriving at the hospital, although it added “we do not record this information”.

Russell Nightingale, chief operating officer at Harrogate and District NHS Foundation Trust, said: 

“During the covid pandemic, steps were taken to ensure patients could continue to be looked after in a safe environment – this was especially important for vulnerable and elderly people.

“A policy was introduced on April 15, 2020, requiring inpatients who were being discharged from hospital to a care home to have a covid test.

“Only patients who had received a negative covid test were discharged.

“If they tested positive, infection prevention measures were put in place for the individual to prevent the virus from spreading and so that the patient could be treated appropriately.

“They would remain in hospital for the required period before they were discharged.”

However, this approach did not apply to patients attending appointments or the emergency department who were allowed to return to their care homes without being tested.

And crucially, the testing of inpatients was only introduced by the government in April 2020 – almost three months after the first covid case was detected in England and when there was no protection from vaccines.

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It is thought covid was transmitting at a much quicker rate than was known at these early stages in the pandemic, and once inside a care home it often spread to residents with devastating consequences.

410 care home deaths in North Yorkshire

Since the start of the pandemic, a total of 410 covid deaths have been reported by North Yorkshire care homes which have had to deal with PPE and testing shortages, as well as ever changing government guidance on visiting restrictions.

Harrogate hospital said it was not impacted by the testing shortages.

But Harrogate and Knaresborough MP Andrew Jones said the government did recognise there were “challenges” with testing as he also praised staff at the hospital for their efforts during the pandemic.

Mr Jones said: 

“It seems clear to me that the staff at Harrogate hospital sought to deal with patients in the safest and most practical way during the pandemic.

“This must have been extremely difficult for them particularly in the early days of the pandemic when the world was fighting against something new and about which medical science knew little but could see it was deadly for many.

“There were also challenges with protective equipment supply, testing capability was still limited and hospitalisation rates were high.

“The description they have given about their testing regime would seem to most people to be practical and credible with patient safety at its heart.

“I want to again put on record my thanks to the clinical staff and also to the non-clinical support staff for ensuring the highest standards of patient care in unprecedented circumstances.”

Ripon MP ‘confident’ covid tests supply is improving after complaints system is in ‘chaos’

Skipton and Ripon MP Julian Smith has said the supply of covid tests is improving after complaints that the system is in “chaos”, with health workers and residents left empty handed.

Mr Smith was told at a North Yorkshire County Council meeting on Friday that there have been no lateral flow tests available at Skipton’s pharmacies with staff at the town’s vaccination centre also unable to get tested as demand soared over the festive period.

Conservative councillor Mike Chambers, who represents the Ripon North division, described the system as being in “chaos” after people in the city have struggled to get test kits.

Mike Chambers

Mike Chambers

Independent councillor Andy Solloway, who represents Skipton West, told the meeting the shortages were putting a strain on the local economy and had also led to some residents launching abuse at pharmacy staff. He said:

Conservative MP Mr Smith said the government recognised there has been a surge in demand for tests and that while supply chains were improving, he would write to Health Secretary Sajid Javid to highlight the issue.

He said:

“The government is aware there was a big crunch point just after Christmas and they are now more confident on supply.

“This is an important issue as we need to get people confident to go to their workplaces, particularly health workers and others on the frontline.”

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‘Ridiculous situation’

Friday’s meeting also heard complaints from Conservative councillor Stuart Martin that health workers – including a family member – had been unable to get tested.

Stuart Martin

Stuart Martin

Councillor Martin, who represents Ripon South and is also chairman of the county council, said:

“My daughter is a paramedic and some of her colleagues came to my door over the Christmas break as they were unable to access any testing kits whatsoever.

“Luckily we had a couple of tests that we were able to give them, but this is a ridiculous situation.”

It comes as the government has said the current Plan B covid restrictions will remain in place for now.

Changes from tomorrow

It has also been announced that people who test positive with a lateral flow test do not need a follow-up PCR test if they do not have symptoms. These changes come into force from tomorrow.

Mr Smith told Friday’s meeting that he believed the Plan B rules – which include working from home, face coverings on public transport and in public places, and NHS covid passes – were “relatively soft” and that the decision to stick with them was “proportionate”. He said:

“It feels as if that judgement has been correct, but obviously there are still very strong crosswinds on parts of the NHS.

“We are not out of the woods yet and we all need to do whatever we can to encourage the following of the rules.”

Harrogate hospital covid deaths reach 199

The Harrogate district has reported a further 161 covid cases, according to today’s government figures.

The district’s covid rate now stands at 438 infections per 100,000 people.

Across the county, the average stands at 404 and the England rate is 478.

Harrogate District Hospital currently has 12 covid-positive patients – a figure which has fallen from 25 over the last month.

The hospital last reported a death of a patient who died within 28 days of testing positive on Friday. Since the pandemic began 199 people have died with covid at the hospital.

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Harrogate’s Great Yorkshire Showground reopened today as a vaccination site.

Although Harrogate is the largest place in the Harrogate district, the town has not had a vaccination site since August, when the showground stopped administering jabs.

Since then residents have been travelling to Knaresborough, Ripon and Pateley Bridge, or further afield to Leeds and York, for appointments.

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, as the government aims to speed up the vaccination programme.

Those eligible can book appointments on the NHS booking site here.

Harrogate district covid rate creeps up again

The Harrogate district seven-day covid rate of infection has increased to 58 cases per 100,000 — up from 52 yesterday.

The latest figure is above the North Yorkshire rate of 45 but below the figure for England of 74.

Ten more infections in the district were confirmed today by Public Health England.

The district’s worst affected area is Ousebourn, Hammerton and Tockwith, which has recorded 11 infections in the last seven days. Bilton is next, with nine.

Tadcaster, which has recorded 12, has had the most cases in the whole of North Yorkshire.

However, another day has passed without any deaths at Harrogate District Hospital.

Seventy-eight per cent of adults in the district have received first vaccines; 65 per cent have had second jabs.

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Mobile testing site opens in Harrogate car park for first time

A mobile testing site has opened in Harrogate today for the first time and is set to be there three days a week “until further notice”.

NHS test and trace staff set up the site this morning at West Park car park on Tower Street.

The car park will close on Monday, Tuesday and Thursday each week for testing.

It comes as workers continue to dismantle the permanent testing centre in the Dragon Road car park near Asda, which closed on Sunday (May 23).

Health officials announced in March that the Dragon Road site would close as the Harrogate Convention Centre. The centre said it needs the space for parking.

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The move from a permanent centre to a mobile unit is a further sign that the emergency response to the pandemic is scaling back.

Matthew Robinson, head of resilience and emergencies at North Yorkshire County Council, said:

“The advantages of mobile testing sites is that we can flex and strengthen as we go.

“If cases are increasing in a particular area we will continue to provide more frequent testing in that location.”

The site at the Dragon Road car park is now closed.

This follows news that the vaccination centres in Harrogate and Ripon will also close in August.

Local pharmacy sites in Knaresborough and Pateley Bridge will play a larger part in the vaccine roll out.

For more information on testing go to www.northyorks.gov.uk/book-coronavirus-covid-19-test-if-youve-got-symptoms

West Park car park to host Harrogate covid testing

Harrogate’s permanent coronavirus testing centre off Dragon Road will close this weekend and be replaced by a mobile unit in West Park car park.

In a sign that the emergency response to the pandemic is being scaled back, the permanent site in the Dragon Road car park near Asda will close on Sunday

The mobile units at the West Park car park will open several days a week although precise details are not yet known.

Speaking at a briefing on Wednesday, Matthew Robinson, head of resilience and emergencies at North Yorkshire County Council, said the move to mobile units was being done so tests could target hotspot areas.

He said:

“The advantages of mobile testing sites is that we can flex and strengthen as we go. We will make sure that if covid cases are increasing in a particular area we will continue to provide more frequent testing in that location.”

It was announced in March that the Dragon Road site would close due to the car park being needed by Harrogate Convention Centre, but health officials have now decided a permanent replacement site will not be needed.

The Coronavirus testing site on Dragon Road, Harrogate.

The site on Dragon Road.

Officials are instead urging residents to use the mobile sites, online ordering and local pharmacies where testing has become more widely available.

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The closure of the site follows an announcement that the vaccination centres at the Great Yorkshire Showground in Harrogate and Ripon racecourse will also close in August – with local pharmacy sites set to play a larger part in the rollout.

Dr Ian Dilley, GP partner at East Parade Surgery in Harrogate and clinical director of the Mowbray Square Primary Care Network, said in a statement on Tuesday:

“With the huge number of people now vaccinated in the local area, we feel August is an appropriate end date.

“We need to be mindful of the other pressures that will be placed on doctors’ surgeries as we head towards autumn and winter, and the annual flu vaccine campaigns that GP practices need to provide.

“We also need to enable our kind hosts at the Yorkshire Events Centre and Ripon racecourse to provide their own events as restrictions continue to be eased and more public events are permitted.”

There are two types of coronavirus tests: rapid tests, known as lateral flow tests, and PCR tests, which are sent to labs for analysis.

Mr Robinson said anyone with symptoms should get a PCR test – and not a lateral flow test – because they are more accurate and can also better detect variants of concern.

He said:

“Now that lateral flows are more readily available it is easy to think you can just do one, especially if you have got them laying around your house, but the national testing policy is very clear and it is a PCR test that is needed for anyone with symptoms.

“The PCRs miss fewer positive cases and they can help us identify strains of variants as well which is really important at the moment.”

For more information on testing go to www.northyorks.gov.uk/book-coronavirus-covid-19-test-if-youve-got-symptoms