Concern over number of York ambulances diverted to Harrogate hospital

Hospital managers in Harrogate have raised concern over the sustainability of taking in ambulance patients from York.

In a report due before a Harrogate and District NHS Foundation Trust board meeting, Jonathan Coulter, chief executive of the trust, said the issue was having an impact on both patient safety and staff at Harrogate District Hospital.

Mr Coulter said Harrogate had taken in more than 1,500 ambulances from York over the last 18 months.

He said:

“In the spirit of challenge and improvement, we have raised our concerns about the sustainability of the current situation, in particular the impact on patient safety and the impact on colleagues.”

Under a previous agreement, the hospital took in ambulances which had been diverted away from York Hospital during times when the organisation’s emergency department was under pressure.

Harrogate took in patients in an “ad-hoc” manner, meaning that ambulances would request support from hospitals which had the capacity at any given time.


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The trust agreed with Yorkshire Ambulance Service and York and Scarborough Teaching Hospitals NHS Foundation Trust to amend the agreement in May 2023 and redraw the boundaries between the two hospitals and to take patients in a “planned way”.

However, in a statement to the Stray Ferret, the trust said it still receives ad-hoc requests from ambulances some four months later.

A spokesperson said:

“Following a constructive review with both Yorkshire Ambulance Service and York and Scarborough Teaching Hospitals NHS Foundation Trust, in May 2023 we agreed to redraw the geographical boundaries between hospitals in Harrogate and York. Ambulances that previously would have gone to York now come to Harrogate, but in a planned, rather than ad-hoc way.

“Despite this new arrangement, there is still significant pressure across our health system and we continue to receive ad-hoc requests to divert ambulances to Harrogate.

“Providing the best possible healthcare for people who need our help is our main priority and we are in discussions with system partners to see what solutions can be introduced to alleviate pressures before we enter the winter period.”

Members of the hospital trust board will discuss the report at a meeting on Wednesday (September 27).

Harrogate hospital defends new parking charges

Harrogate District Hospital has defended its new parking charges and said the ticketless system is reducing congestion.

Harrogate and District NHS Foundation Trust introduced a new system and charges on September 6.

The old entry barriers have been replaced by automatic number plate recognition.

Visitors are now entitled to 20 minutes of free parking. It then costs £4 for up to two hours, £6.50 for up to four hours, £8.50 for up to six hours and £11 for up to 24 hours.

The new prices have attracted criticism on social media, with some complaining £4 is a lot to pay for a visit that might only last for 25 minutes.

Visitors previously received 30 minutes free parking and were then charged £2.60 for up to 90 minutes, £3.80 for up to two-and-a-half hours and £6.10 for up to four-and-a-half hours.

A trust spokesperson said:

“Increasing parking charges is never an easy decision to make, but we have to ensure that our car parks are well maintained and safe for patients, visitors and staff.

“All funds gathered from parking charges are invested back into the delivery of patient care and maintaining facilities, such as car parks across the trust.

“Over the next five years we anticipate that we will need to invest significant sums in our car parks and security, and the revenue raised through car parking charges will help us to fund this work.

Hospital car park barrier

The old barrier has been removed.

The spokesperson added the trust chose to keep free parking or concessionary rates for certain patients and visitors including blue badge holders, patients receiving cancer treatment, parents visiting the paediatric ward or special care baby unit, and those in receipt of benefits.

They added:

“Parking is also free for the first 20 minutes allowing for patients to be dropped off and collected without the driver needing to pay for parking. It also encourages drivers from waiting in the car park after dropping someone off, ensuring that other people who require our services can find a parking space.”

The spokesperson said car park management firm Parkingeye had not issued any parking charge notices to date because the hospital was operating a grace period.

He did not say how long this would last.

Asked how the new system was working, the spokesman said:

“The new ANPR parking system is helping eliminate congestion on Lancaster Park Road through the removal of barriers which has improved flow into the hospital grounds.

“We welcome feedback from users so that we can further improve on their experience of our new car parking system.”

The ANPR system will be expanded into the trust’s staff car parks in October, where staff will be charged a monthly fee to use the car parking facilities calculated on their vehicle’s emissions, their pay band and their contracted hours.


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Harrogate hospital roof contains crumbling concrete

Harrogate District Hospital’s roof contains the type of crumbling concrete that has prompted the closure of more than 100 schools.

Harrogate and District NHS Foundation Trust has confirmed its buildings contain reinforced autoclaved aerated concrete (RAAC).

The material, popular between the 1960s and 1980s, has been compared to “chocolate Aero”. It has led to one hospital using 3,000 steel props to keep its roof up.

A trust spokesperson said:

“We are following HSE and NHS England guidance regarding managing the risk posed by RAAC roofing and are doing all we can to ensure that any RAAC used in our buildings does not pose any threat to the safety of our patients, staff and visitors.”

The trust is the district’s biggest employer with more than 4,000 staff employed across its sites. The main hospital was built in 1975.

The spokesperson added the trust had been undertaking surveys since last year “to identify areas of concern and monitor all RAAC roofing on our trust sites”. They added:

“We have mitigated risks that have so far been identified through remedial work, such as providing additional structural support where it is required. This work will continue to be undertaken to address any further issues that are found.

“The trust is part of an NHS England scheme to eradicate this form of roofing. We have submitted a bid to NHS England for funding so that we can develop plans to remove all RAAC from Harrogate and District NHS Foundation Trust sites by 2030 at the latest.”


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Concerns about RAAC were flagged up at a trust board meeting in May this year.

A report by the director of strategy said RAAC roofing had been surveyed and “remedial works were underway and mitigation was in place”.

The corporate risk posed by RAAC was rated at 12 — lower than managing the risk of injury from fire and control of contractors and construction work, which were both rated at 16.

It added failure to manage the risk associated with RAAC could lead to “major injuries, fatalities, or permanent disability to employees, patients and others”.

A financial plan included in board papers said the trust had allocated £700,000 for backlog maintenance but this “excluded any national funding for RAAC”.

Harrogate hospital trust paid £4.9m in compensation claims since last year

Harrogate District Hospital has paid out £4.9 million in compensation claims in the last 12 months.

Figures obtained through a freedom of information request by law firm Legal Expert show Harrogate and District NHS Foundation Trust made the payments during the period July 2022 to July 2023.

The claims covered medical negligence complaints, which occur when a healthcare professional provides substandard care to a patient that falls below the standard expected of any healthcare professional.

However, the trust said some of the payouts were historical claims and were not necessarily claims resolved within the 12 month period.

In total, the trust paid £4,914,799.05 in compensation payouts. In the same time period, the hospital received 28 new letters of claims.

A spokesperson for the trust said: 

“In the event that the care we provide falls below our expectations or those of our patients, we have procedures in place to investigate what has happened, so that we can learn and continuously improve patient safety.

“We treat a large number of patients across the year and the vast majority are positive about the treatment we provide – the number of claims we receive reflects an extremely small percentage of the patients we care for.

“It is important to note that the compensation figure is not only for claims which were resolved over the 12 month period in question, but also includes payments for historic claims which have been ongoing for several years.”


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Harrogate hospital to increase visitor parking charges under new system

Visitor parking charges at Harrogate District Hospital are set to increase from next week.

Harrogate and District NHS Foundation Trust will introduce a new car parking system at the hospital on Wednesday.

Automatic number plate recognition will replace the current parking barriers, which the trust says will improve traffic flow. The first 20 minutes will be free then it will cost £4 for up to two hours.

It comes as patients and visitors complained of long queues on Lancaster Park Road, particularly during visiting times in the afternoon.

The new system, which will be managed by Lancashire-based Parkingeye, will identify cars on entry and exit using automatic number plate recognition.

Queues outside Harrogate District Hospital

Queues outside Harrogate District Hospital on Lancaster Park Road.

Visitors will then be able to pay when they leave by entering their car’s registration number into the parking validation machines in the front entrance of the hospital or via a dedicated app.

A spokesperson for the trust said:

“The new barrier less system will provide a better experience for our patients and visitors as it will improve the flow into and out of our hospital car park and reduce the queues on Lancaster Park Road.

“This will help improve road safety, ambulance access, reduce noise pollution that can affect local residents, and remove paper waste produced by our current ticketing system as the new system will be paperless.

“Working with Parkingeye we believe we have developed a system of fair parking for all, which is both clear and transparent and allows our trust to concentrate on our patients, whilst Parkingeye supports us by managing our car parks.”


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Increased charges

Currently, visitors have 30 minutes free parking. Drivers then are charged £2.60 for up to 90 minutes, £3.80 for up to two-and-a-half hours and £6.10 for up to four-and-a-half hours.

Those staying for six-and-a-half hours or more are charged £9.10.

Under the new arrangement, parking will be free for the first twenty minutes, then will cost £4 for up to two hours, £6.50 for up to four hours, £8.50 for up to six hours and £11 for up to 24 hours.

Parking terminals will be available across the hospital and at main reception for those who are eligible for concession or free parking, for example blue badge holders, patients receiving cancer treatment and parents visiting the paediatric ward or special care baby unit.

A trust spokesperson added:

“With the introduction of the new car parking system we will also be increasing our car parking charges for visitors. 

“Increasing charges is always a difficult decision, but we need to do this to ensure our car parks can continue to be well maintained. It will also allow the trust to re-invest the revenue from the car parks back into supporting the delivery of patient care.”

‘Beeping’ barriers to be removed by September at Harrogate hospital

A new “beeping” sound coming from a car park barrier will be removed in the next few weeks, Harrogate Hospital has said.

A resident contacted the Stray Ferret to say the noise, which activates every time the barrier at the entrance is used, was causing a nuisance.

David Spain, who lives around 100m from the hospital, said the beeping sound had originally been present when the barrier was first installed many years ago.

After residents complained about the noise, it was switched off. However, the barrier was recently repaired and, when switched back on, the beeping had returned.

He said:

“With my doors and windows closed, I can hear it clearly from about 6am when people start coming to work.

“Being retired and not having to get up at that time, I don’t really want to be woken by it. It’s not going to shatter any windows, but it is irritating.

“It’s when it goes up that it beeps. When it comes down, it doesn’t beep, which seems strange.”

Mr Spain said he had contacted the hospital to raise the issue when it started around 10 days ago, but had no response.

However, he said he was still pleased to live close to the hospital, which had treated him in an emergency, adding:

“They saved my life – I’ve got no beef with the hospital. I would be dead if it weren’t for them.”

A spokesperson for Harrogate and District NHS Foundation Trust (HDFT), which runs the hospital, said:

“The Trust holds a duty of care for the safety of our patients, visitors and colleagues. Our barriers at the main visitor car park at Harrogate District Hospital are fitted with an alert noise with a set volume as a safety measure to ensure we warn and protect anyone in the vicinity of them.

“This is to ensure that we adhere to our health and safety commitments of keeping our patients, visitors and colleagues from harm and injury.”


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Parking at the hospital has been under review for some time, in a bid to reduce the amount of queuing onto the road at peak times.

HDFT announced earlier this year that a new system would be introduced later this year.

The spokesperson today confirmed this, adding:

“We have recognised that improvements are required to our car parking provision and we are implementing a new car parking management solution across the hospital site that will be in place by September 2023.

“This new car parking system will have number plate recognition which will replace the current barrier system, ensuring no further warning noises are necessary.”

Harrogate hospital cancelled 117 appointments due to consultants strike

Harrogate District Hospital was forced to cancel 117 appointments as a result of last week’s consultants strike.

Members of the British Medical Association walked out for 48 hours on July 20 in a dispute over pay.

Consultants carried out what was described as Christmas Day cover, which meant most routine and elective services were cancelled but full emergency cover remained in place.

At the time, Dr Vishal Sharma, chair of the BMA consultants committee, said consultants had been left with “no option” but to strike after years of pay cuts.

Harrogate and District NHS Foundation Trust confirmed 117 outpatient appointments were cancelled across a range of hospital services due to the walkout last week.

Among the areas affected included breast surgery, trauma, orthopaedics and general surgery. Neurology and gynaecology also saw cancellations.

A spokesperson for the trust said:

“Appointments were re-arranged as a matter of priority with many being re-arranged at the time of cancellation.”


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The hospital is set to be hit by further strike action next month.

Yesterday, junior doctors voted to walk out for four days in August amid an ongoing dispute with government over pay.

Members of the BMA will stage the industrial action from 7am on Friday, August 11, until 7am on Tuesday, August 15.

The organisation is calling for a 35% pay rise in order to restore pay to 2008 levels after below inflation increases.

Dr Robert Laurenson and Dr Vivek Trivedi, co-chairs of the BMA junior doctors committee, said:

“It should never have got to the point where we needed to announce a fifth round of strike action. 

“Our message today remains the same: act like a responsible government, come to the table to negotiate with us in good faith, and with a credible offer these strikes need not go ahead at all.”

Operations and appointments at Harrogate hospital to be cancelled amid consultants strike

Operations and appointments at Harrogate District Hospital look set to be cancelled after consultants announced strike action.

Members of the British Medical Association voted on Tuesday to walk out for 48 hours in a dispute over pay.

The strike by consultants will take place on July 20 and will follow a five-day demonstration by junior doctors.

Harrogate and District NHS Foundation Trust said it will have to make changes to outpatient and theatre services on the days of industrial action.

Consultants will carry out what is described as Christmas Day cover, meaning most routine and elective services will be cancelled but full emergency cover will remain in place.

The move come as the BMA urged the government to come forward with a credible offer in order to avert strike action.

Dr Vishal Sharma, BMA consultants committee chair, said:

“Consultants don’t want to have to take industrial action, but have been left with no option in the face of a Government that continues to cut our pay year after year.

“However, it is not too late to avert strike action and the Government simply needs come back to us with a credible offer that we can put to our members.”


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In response to the decision, a spokesperson for Harrogate and District NHS Foundation Trust said the hospital will draw up plans to ensure “essential services can be maintained on strike days”.

However, they added that some outpatient appointments and operations will have to be rearranged.

The spokesperson said:

“To prioritise emergency care and to keep all our patients safe we will have to make changes to some of our outpatient and theatre services on the days of industrial action. 

“As we have during previous strikes we will have to cancel outpatient appointments and elective operations, however we will be re-arranging any postponed appointments as a priority.”

Ripon hospital to provide more health checks after £1m award

Ripon Community Hospital has been awarded £1 million to expand the number of health checks and scans.

It means GPs will be able to refer more patients to the hospital for life-saving checks closer to home and be diagnosed for a range of conditions.

The NHS England funding is part of an expansion of community diagnostic services announced by the government.

Ripon Community Hospital will refurbish its X-Ray room and equipment and expand the service to six days a week.

The ultrasound room will be extended and its services expanded to six days a week and a second audiology room will be created, with additional staff, to provide more hearing tests in Ripon.

The funding will also help to create two clinic rooms to offer more frequent blood samples and local access to tests such as spirometry, ambulatory ECG and ambulatory blood pressure.

The hospital on Firby Lane, which is part of Harrogate and District NHS Foundation Trust, will have capacity for 27,000 checks a year once services are expanded.

A report by Professor Sir Mike Richards called for a significant increase in community diagnostic services outside of acute hospitals.

Building work will be carried out at the hospital before the extra services can start by the end of this year.

Sue Eddleston, a public governor representing Ripon and outlying villages on the Council of Governors for the Harrogate District Foundation Trust, said she “could not be more delighted” by the news, which she added would benefit Ripon residents.


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Nominations for Harrogate hospital trust governor elections open

Nominations have opened to elect governors to Harrogate and District NHS Foundation Trust.

The trust are seeking nominations from members of the public who are interested in representing three constituencies in Harrogate and surrounding villages;  Wetherby & Harewood, Alwoodley, Adel & Wharfedale, and Otley and Yeadon; and Ripon & West District.

Currently, the Council of Governors comprises 26 governors, consisting of 14 public members, six staff classes, and six partner/stakeholder organisations, such as North Yorkshire Council.

Governors provide a vital link between the public, staff and partner organisations, representing the views and interests of local people and making sure they are considered by the trust’s board of directors.

Sarah Armstrong, chair of the trust, said: 

“Our governors play an essential role, providing a bridge between our members, our community and our Board. They help shape our Trust’s future direction and the services we provide.

“Governors serve a term of three years and have key responsibilities including liaising with the Board of Directors and collectively holding them to account for the performance of the Trust.

“They are involved in the appointment of the Non-Executive Directors on the Board of Directors, and helping us to develop our membership.

“They are also responsible for regularly feeding back information about our Trust, its vision and its performance to the constituencies and stakeholder organisations that elected and/or nominated them.

“HDFT is committed to providing the best possible healthcare service for our community and we have a number of exciting projects over the next few years which will help us to further improve on the service we offer. It is an exciting time for our Trust and we would love to hear from anyone interested in becoming a governor.”


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Nominations close on Monday, June 5, and elections will open on Friday, June 23, when voting packs will be dispatched to members.

The final day of voting will be Thursday, July 13, with declaration of results taking place on Friday, July 14.

Anyone interested in standing can obtain more information and a nomination form by visiting www.cesvotes.com/hdft2023, calling 0208 889 9203 or emailing ftnominationenquiries@cesvotes.com.

To be eligible to stand in the elections, nominees need to be over 16, reside in the constituency they wish to represent and be a member of the Trust. It is free to join and an application form is available on the trust’s website.