Harrogate District Hospital reached maximum bed occupancy this month, with all 292 beds filled.

Figures published by NHS England show that on February 4 the hospital was at maximum capacity although the situation has improved slightly since.

The hospital is currently operating at 90% bed occupancy, as it battles covid and winter pressures, say trust managers.

Officials at Harrogate and District NHS Foundation Trust said the hospital was dealing with a “variety of winter infections”, such as flu and the Omicron variant of covid.

Russell Nightingale, chief operating officer at the trust, said the hospital reached maximum bed occupancy last week “for a short period of time”.

He said:

“Our trust’s primary purpose is to ensure the best possible healthcare service for patients in our care.

“Winter is always a busy time of the year at Harrogate District Hospital as we deal with a variety of winter infections such as flu and the Omicron variant of covid, in addition to all other regular activity.

“Bed occupancy rates are always increasing during the winter months and last week for a short period of time we did reach maximum bed occupancy rates.

“Currently we are at around 90% bed occupancy rates; however we do have process in place to deal with such eventualities and to ensure we can continue to look after our patients.”

Read more:

• Access to NHS dentists in North Yorkshire has ‘got worse’, says MP
• Harrogate district covid rate drops below 1,000 for first time since December

Mr Nightingale said “we do not want patients spending longer than they need to in our hospital” and that tye trust worked with other agencies, such as North Yorkshire County Council, to support them after discharge.

He added:

“We also have our Same Day Emergency Care Unit, which is rapidly assessing and treating patients to reduce the number of patients staying overnight and supporting those who are ready to be discharged and would benefit from being out of a hospital environment.”

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

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

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

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

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

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

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

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

Read more:

• Private Harrogate hospital drafts in robot with £250,000 investment
• Harrogate hospital trust appoints new board chair

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

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

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

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

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

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

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

He said:

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

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

He said:

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

Hospital to continue to encourage staff vaccination

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

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

Read more:

• Former Knaresborough vaccine centre to become gym
• Harrogate district businesses urged to apply for £6,000 covid grants

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

Ms Wilkinson said:

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

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

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

She added:

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

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

The NHS trust that runs hospitals in Harrogate and Ripon is to maintain visitor restrictions while coronavirus case rates remain high.

Harrogate and District NHS Foundation Trust imposed restrictions at Harrogate District Hospital and Ripon Community Hospital on December 23 amid concerns about the Omicron variant.

It means visitors are only allowed for patients on end of life care, patients with a learning disability or severe cognitive impairment such as dementia. Parents or carers of children and birthing partners are also permitted.

Read more:

• Number of covid patients at Harrogate Hospital increases sharply to 34
• Harrogate district reports 278 covid cases as rate continues to rise

At the time, the hospital said it would review the restrictions regularly and relax them “at the earliest opportunity”.

However, although the government removed all Plan B measures a week ago, the trust has yet to say when regular visits will resume.

A spokesperson for the trust said today:

“Visitor guidance has not changed since December 23, 2021, although it is regularly reviewed.

“While infection rates remain at the current levels, we need to maintain the current restrictions on visitors to our wards for the safety of our patients and staff.

“These restriction also still apply to those people wanting to accompany outpatients to their appointments.

“Anyone entering our hospital will also need to wear a mask, ensure they sanitise their hands and maintain social distancing.”

Another 339 covid infections were recorded in the Harrogate district yesterday, bringing the seven-day average to 1,305 cases per 100,000 people — the highest in North Yorkshire and considerably above the England rate of 1,048.

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

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

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

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

Ms Armstrong said: 

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

Read more:

• Private Harrogate hospital drafts in robot with £250,000 investment
• Nearly 200 Harrogate hospital staff have covid or are isolating

Steve Russell, chief executive of HDFT, said: 

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

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

Harrogate hospital bosses said today that 196 staff currently have covid or are isolating as cases of Omicron continue to surge in the district.

Steve Russell, chief executive of Harrogate and District NHS Foundation Trust, said rising infection rates were putting pressure on staff, but added that the trust had contingency plans in place to deal with the increase in absences.

Several hospital trusts across the country have been forced to declare a “critical incident” due to the number of staff who are ill or self-isolating with covid.

But Mr Russell told the Stray Ferret that Harrogate hospital has not declared such an incident.

He added that the hospital was still in a position to provide priority services, despite rising infection rates.

Mr Russell said:

“Rising covid infection rates amongst the public and NHS staff are certainly putting pressure on trusts around the country, including our own. However, we are continuing to provide priority services for our community and have not needed to declare a critical incident.

“There are just over 5,000 people employed at HDFT, and of these 126 colleagues are currently absent from work as they have caught covid and 70 are in self-isolation.

“Currently at Harrogate District Hospital there are 23 patients who have tested positive for covid and nine of these are primarily in hospital for treatment for the virus.”

Rising cases of the Omicron variant has forced staff at a number of NHS trusts in England into isolation, which has led to severe and unsafe shortages of workers.

Read more:

• Harrogate council billed NHS £3 million for Nightingale costs
• Harrogate and Ripon hospitals restrict visitors due to Omicron
• Harrogate not chosen as Nightingale site this time

On Sunday, United Lincolnshire Hospitals Trust, which runs four hospitals in the county, declared a critical incident as it was unable to maintain safe staffing levels.

Since then, seven other hospital trusts have made a similar declaration including University Hospitals of Morecambe Bay NHS Trust and Blackpool Teaching Hospitals NHS Trust.

In the Harrogate district, the surge in cases of Omicron has seen the seven-day covid rate increase to 1,357 per 100,000 people – the highest it has ever been since the start of the pandemic.

Steve Russell, chief executive of Harrogate and District NHS Foundation Trust.

Mr Russell said that Harrogate hospital had contingency plans in place should staffing levels deteriorate further.

They include redeploying staff to services which require support and having dedicated staff who are prepared to take on additional shifts.

He said:

“The staff absences at the trust is creating pressure for our teams, for instance fewer nursing and medical staff means that whilst we are still able to treat our patients’ for their illness or condition and ensure their safety, we are sometimes not able to provide the level of holistic support that we would like.

“It is important that we do all we can to maintain our services so that our patients’ care is not disrupted and we have contingency plans in place should the level of absences continue to rise, for instance redeploying staff where needed or having dedicated staff who are prepared to take on additional shifts. 

“Of course, depending upon staff absences, the situation may arise in the future where we need to prioritise acute care, which could impact upon admissions for operations, tests and outpatients appointments.”

A former chair of Healthwatch North Yorkshire has described the suspension of visitors to hospitals in Harrogate and Ripon as a “scandal” and called for the decision to be reversed.

NHS Harrogate and District Foundation Trust introduced the measure yesterday at Harrogate District Hospital and Ripon Community Hospital due to the threat of the Omicron variant.

Visitors are now only allowed for patients on end of life care, or if a patient has a learning disability or severe cognitive impairment like dementia. Parents or carers of children and birthing partners are also permitted.

Ripon Community Hospital, Firby Lane

It means that many patients will not be able to see their families and loved ones on Christmas Day.

Read more:

• Hundreds of Harrogate hospital staff still unvaccinated
• Harrogate and Ripon hospitals restrict visitors due to Omicron

Chris Brackley, who lives in Harrogate and stepped down in October as chair of Healthwatch, which gives patient feedback to NHS leaders so services can be improved, told the Stray Ferret:

“Harrogate and District Foundation Trust needs to reverse these measures immediately. They are unfair and an absolute scandal.

“If necessary bring in the requirement for visitors to provide proof of a negative lateral flow test. It may not be popular but it would be far better to give people that option.

“From the data I have seen I see no reason to bring in restriction on visitors. We at least need a date for when these measures are going to be under review.

“These new measures were communicated poorly and will leave many alone this Christmas, like my 91-year-old mother in law who fell at home and is suffering with a fractured pelvis.”

Harrogate District Hospital.

Mr Brackley added that he believed the number of unvaccinated frontline staff at Harrogate and District Foundation Trust posed a greater coronavirus risk than visitors, who could have had three vaccinations.

Decision ‘not taken lightly’

Last month the Stray Ferret reported that there were believed to be 450 unvaccinated frontline health staff at the trust, although that number is likely to have been reduced.

The Stray Ferret asked the trust to comment on Mr Brackley’s views.

Emma Nunez, executive director of nursing, midwifery and allied health professionals at the trust, said:

“This decision has not been taken lightly and it is one which trust’s across the country are having to consider. Many trusts already restrict visiting and others are currently considering putting similar restrictions in place.

“We understand that this will be disappointing for people who have a loved one in our care, and we apologise for any upset that this will cause, but we have had to take this difficult decision to protect both our patients and our staff.

“We will be reviewing our visitor arrangements regularly and we will look to relax visiting restrictions at the earliest opportunity.”

The NHS Trust running Harrogate and Ripon’s hospitals has said visitors will only be allowed onto wards in exceptional circumstances due to the threat of the Omicron variant.

Officials at Harrogate and District NHS Foundation Trust said the “highly transmissible” nature of the variant has meant it must bring in new measures.

The new rules will come into place on December 23 and will mean visitors will only be allowed onto wards in certain circumstances.

The exceptions are:

• If the patient is receiving end of life care
• Carers of a patients with a learning disability or severe cognitive impairment such as dementia
• Parents or carers of a children
• Birthing partners

The changes also apply to people coming for outpatient appointments. Patients won’t be bale to bring someone with them unless it is they are a parent of a child or a carer.

Emma Nunez, executive director of nursing, midwifery & allied health professionals at Harrogate and District NHS Foundation Trust, said:

“This decision has not been taken lightly. We understand that this will be disappointing for people who have a loved one in our care, and we apologise for any upset that this will cause, but we have had to take this difficult decision to protect both our patients and our staff.

“We will be reviewing our visitor arrangements regularly and we will look to relax visiting restrictions at the earliest opportunity.”

Read more:

• Vaccine updates: Christmas opening hours for Harrogate vaccine centre
• Disabled Harrogate woman threatened with Christmas eviction from care home

The hospital has had to make this decision before in previous covid peaks and says, once again, it must make the safety of patients and staff a priority.

The trust also emphasised the need for everyone to get behind the vaccine and booster roll-out. It said nearly 90% of its staff have had a first and second dose.

A vaccination centre has been set up at Harrogate hospital as part of the acceleration of the booster vaccine programme. Appointments can be booked on the NHS website.

Candidates standing for election as governors of the organisation that runs Harrogate District Hospital should be required to declare past political affiliations, according to a voter.

Governors represent the interests of the membership of Harrogate and District NHS Foundation Trust, which includes staff and members of the public. Members have the opportunity to contribute to how the hospital is run.

There are 24 governors in total and voting closes tomorrow for three vacant positions. Two are for Harrogate and surrounding villages and one is for Knaresborough and east district. Candidates must live in the area they represent.

Colin Harrison, who is a member of the trust and a Knaresborough resident, said he was surprised that John Batt — who is standing for the Knaresborough vacancy — had not declared his past involvement with the Conservative Party.

Mr Batt’s candidate’s statement describes him as a retired IT consultant who has been elected to Knaresborough Town Council, North Yorkshire County Council and Harrogate Borough Council. But it does not mention he was a member of the Conservative Party.

Read more:

• Vaccination centre to open at Harrogate hospital
• Harrogate’s Valley Gardens to get monthly artisan markets

Trust rules oblige candidates only to declare current political affiliations so there is no suggestion of wrongdoing.

Rule change

Mr Harrison said he accepted there was no wrongdoing but called for the rules to be changed to require candidates to declare past as well as current political affiliations. He added:

“I live in the Knaresborough and east district, and I am therefore entitled to vote in the election, and I am in receipt of the election documents.

“I have never, to my certain knowledge, met Mr Batt, or either of the two other candidates, but it clearly states on the Candidates’ Election Statements three caveats as follows: ‘Declaration of Interests’, ‘Political Party’ and ‘Financial or other interest in the Trust:’. All three candidates have answered ‘None’ to all three of the caveats.

“I find this to be somewhat difficult to reconcile with Mr Batt’s high-profile political background and involvement with the Conservative Party, although by the same token, I have no knowledge of the background of the other candidates other than what appears on the statement.

“It raises the much wider issue of transparency in situations like this. Maybe, in the spirit of openness, there should be a rule change.”

A trust spokesman said it had been informed by Mr Batt that he left the Conservative Party in 2019 and has had no contact with the party, nor paid any subscriptions or donations to it, since.  The spokesman added:

“Our election procedure for trust governors follows the model election rules set out in our constitution and candidates must state on the nominee form if they are a member of a political party, and if so, which party.

“We are unaware of any NHS trust which asks candidates who wish to become a trust governor to declare their past political affiliations.”

The Stray Ferret asked the trust to contact Mr Batt to see if he wished to comment but we did not receive a response from him.

A vaccination centre is set to open at Harrogate District Hospital this weekend as part of the ramping up of covid booster vaccines.

Harrogate and District NHS Foundation Trust confirmed today that it hopes the site will open on Saturday.

It will provide another booster option for over-18s, who can currently receive jabs at the GP-run Great Yorkshire Showground in Harrogate and Ripon Races or one of several pharmacy sites in the district.

Dr Matt Shepherd, deputy chief operating officer at Harrogate and District NHS Foundation Trust, said: 

“The trust is responding as quickly as possible to the national ask to rapidly expand and support the covid-19 booster programme.

“We are currently establishing a vaccination centre for the public at Harrogate District Hospital where we can provide them with covid-19 booster vaccinations.

“The centre is aiming to be open from Saturday, December 18, and members of the public can book their vaccination via the national booking service.”

Read more:

• Meet the showground heroes boosting Harrogate’s vaccine programme
• Walk-in boosters at Great Yorkshire Showground extended to Christmas Eve
• First suspected omicron cases found in Harrogate district

Following the announcement of the speed-up in the booster programme, Health Secretary Sajid Javid told the House of Commons that some non-urgent and elective surgery “may be postponed until the new year”.

The Stray Ferret asked Harrogate and District NHS Foundation Trust whether any non-urgent appointments would be delayed as part of the booster vaccine programme.

In response, Dr Shepherd said:

“We are also reviewing our services to see what treatment we could potentially defer for a few weeks to provide more staff to the community vaccination programme.

“Currently we are not considering delays to surgery, urgent or cancer work. We will of course keep any disruption as minimal as possible and will contact any patients as soon as we can if their care is going to be deferred in any way.”

‘Tidal wave of Omicron’

News that the hospital will provide vaccines follows Prime Minister Boris Johnson announcement on Monday that every adult in Britain will be offered a booster jab by the end of December, as he warned there was a “tidal wave of Omicron coming”.

As part of the effort, the showground site has extended walk-in booster jabs until Christmas Eve.

The showground site, which is run by Yorkshire Health Network, a federation of the 17 GP practices in the Harrogate district, is also offering walk-in clinics for 12 to 18-year-olds from 2pm to 4pm tomorrow and 2pm to 4pm on Monday next week.

So far, 74,680 booster vaccines have been given in the Harrogate district, according to government figures.