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

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.

 

‘A costly PR stunt’: calls for an inquiry into Harrogate Nightingale

A senior politician from Ripon has described the Harrogate Nightingale as a “costly PR stunt”, amid calls for an inquiry.

Lord Newby’s criticism comes after NHS England said this week the hospital, which cost £27 million to set up, would be decommissioned at the end of the month.

It has not treated a single covid patient, prompting calls for an inquiry.

Lord Newby, the Liberal Democrat leader in the House of Lords, who lives in Ripon, said:

“The Nightingales were a costly PR stunt.

“They could never be used as planned because there was never the staffing for them. They were introduced because the government was desperate to be seen to be responding effectively to the pandemic, which at the time looked to be potentially out of control.

“The Harrogate Nightingale should have been closed months ago, in order to avoid the high cost of maintenance and so that Harrogate could begin to plan for its reopening.”

Jim Clark, a Conservative who represents Harrogate Harlow on Harrogate Borough Council, repeated his

call for an inquiry on BBC Look North yesterday.

He told the programme:

“It wasn’t an insurance policy in Harrogate because we didn’t have the staff to man it and I think it’s then been discovered that as soon as it was built it wasn’t essentially fit for purpose.”

The Stray Ferret asked Harrogate and Knaresborough Conservative MP Andrew Jones and Richard Cooper, leader of the Conservative-controlled Harrogate Borough Council whether they supported calls for an inquiry. Neither replied.

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Asked the same question on Look North, Cllr Cooper said the location of the Nightingale Hospitals was likely to be considered as part of a wider covid inquiry. He added:

“But we’ve been pleased to host the Nightingale and to host the thousands of diagnostic tests that have been carried out there.”

Pat Marsh, leader of the Liberal Democrats on Harrogate Borough Council, supported calls for an inquiry, adding:

“Over a decade of Conservative cuts has led to an NHS operating on a shoestring. Whether there was ever the staff to run such a Nightingale hospital, should it have been toward full capacity, needs to be made clear.”

Margaret Smith, chair of Harrogate and Knaresborough Labour Party, said the Nightingales were “a legitimate insurance policy” in the early days of covid when it seemed hospitals could be overwhelmed. She added:

“There seems little point in wasting any more public money on an inquiry at this stage.”

 

NHS confirms Harrogate Nightingale to close

The NHS has confirmed that the Harrogate Nightingale hospital is to return to being a convention centre.

NHS England said in a statement today all seven Nightingales “will transition back to local NHS services” from next month.

It added the Harrogate site would continue to provide diagnostic testing “for as long it takes to return the building to it previous purpose”.

So it is not clear precisely when the building will revert to its status as Harrogate Convention Centre and begin hosting events again.

The hospital has not treated a single covid patient but has provided CT scans to non-covid patients.

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An NHS spokesperson said:

“Since the very early days of the pandemic the Nightingale hospitals have been on hand as the ultimate insurance policy in case existing hospital capacity was overwhelmed but, as we have learned more about coronavirus, and how to successfully treat covid, existing hospitals have adapted to significantly surge critical care capacity and even in the winter wave – which saw more than 100,000 patients with the virus admitted in a single month – there were beds available across the country.

“Thank you to the many NHS staff and partners who worked so hard to set the Nightingales up so swiftly and of course the public who followed the guidance on controlling the spread of the virus and helped to prevent hospitals being overwhelmed.”

Harrogate Nightingale hospital set to be ‘stood down’

Harrogate’s Nightingale hospital will be “stood down” at the end of the month, according to a leading health publication.

Health Service Journal reported today the seven Nightingale hospitals will either be closed or used for administering vaccines or providing non-covid services from 1 April.

Harrogate, along with Birmingham, Bristol and Manchester, will be among those permanently close, it added.

The Stray Ferret reported a fortnight ago that an announcement about the closure of the Nightingale, at Harrogate Convention Centre, was expected.

Now Health Service Journal, which is read by senior healthcare managers, has said it “understands” a decision has been made.

It says the London and Sunderland Nightingales will continue to be used for covid vaccines.

The Exeter Nightingale will continue to be used for diagnostic work and the four remaining sites, including Harrogate, will close.

Harrogate Nightingale has never treated covid patients although it has been used for scans.

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The NHS has been paying utility bills of between £125,000 and £160,000 per month at the convention centre.

Liberal Democrat peer Lord Newby, who lives in Ripon, has described the Harrogate Nightingale as a “costly white elephant from the start and should be returned to the council without delay”.

Last month, Cllr Jim Clark, a Conservative who represents Harrogate Harlow division on Harrogate Borough Council, called for an inquiry into the use of the Nightingale hospital in Harrogate.

NHS insists Harrogate Nightingale ‘can take patients if required’

The NHS has insisted the Harrogate Nightingale hospital is able to take patients despite concerns it lacks the capacity to do so.

Many people are wondering why the building remains on standby at a time when the new mutant strain of covid has sent infections soaring and put tremendous strain on hospitals.

A record 53,000 people were confirmed to have covid yesterday and hospital admissions have surpassed the peak of the first wave.

The Health Service Journal even reported yesterday there were plans to transfer patients from overloaded London hospitals to Yorkshire.

But the Harrogate Nightingale, which was set up at the town’s convention centre at breakneck speed in spring for covid patients in Yorkshire and the Humber, has yet to treat a single person with coronavirus. It has been used for CT scans.

Ripon peer Lord Newby, the Liberal Democrats leader in the House of Lords, has said the Nightingale “simply does not have the staff available to allow it to operate safely”.

Conservative MP John Redwood has called for ministers to explain why they are not using the Nightingales.

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The NHS has repeatedly declined to issue more than a brief statement in response to questions from the Stray Ferret about the Nightingale or requests for interviews.

It did so again yesterday when we asked if there were still plans to use the hospital, particularly in light of reports that the London Nightingale was being dismantled.

A spokesperson for the NHS in the north east and Yorkshire said:

“The Nightingale hospitals in the north east and Yorkshire has been running a clinical imaging service since June with more than 3,000 patients receiving a diagnostic test or CT scan, and can take patients if required.”

 

 

Harrogate council billing NHS over £100,000 a month for Nightingale

Harrogate Borough Council is continuing to bill the NHS over £100,000 a month for gas, electricity and water at Harrogate’s Nightingale hospital.

Set up at the council-owned Harrogate Convention Centre in April at a cost of £27m, the Nightingale has so far not treated a single covid patient.

The council does not charge the NHS rent for the building. However, figures from Leeds Teaching Hospitals NHS Trust show the venue, which opened in the early 1980s, incurs significant costs for utilities.

The payments for utilities have been ongoing throughout the year and were previously reported by the Stray Ferret in August.

The most recent published figures are below:

August: £144,583

September: £161,518

October: £124,449.

The NHS’ contract with the council to run the Nightingale is due to end in March 2021.

A council spokesman said:

“Any costs relating to the use of utilities at the convention centre are calculated on standard metered usage. These costs are then passed onto the client throughout the term of the contract.”

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The Stray Ferret has requested interviews with the NHS about the Harrogate Nightingale on numerous occasions but so far has not received one.

Last month, Lord Newby, the Liberal Democrats leader in the House of Lords, said the time had come to let the council take back control of the building.

The first event listed on the convention centre’s website is the Assemblies of God conference from May 6-8.

Hospitality businesses that rely on trade from the convention centre have suffered this year from its closure.

The Stray Ferret reported earlier this month that the Kimberley Hotel on King’s Road has permanently closed.

Strayside Sunday: the inconsistencies, anomalies and inequities of a tier

Strayside Sunday is our weekly political opinion column. It is written by Paul Baverstock, former Director of Communications for the Conservative Party. 

The Covid-19 limitations we have all had to live with these past 10 months are really starting to grind.  As the country emerges from its second national lockdown we have to contend again with the inconsistencies, anomalies and inequities of a tiered system of restrictions that have been placed on our liberties.  Unsurprisingly, compliance fatigue is setting in.

Pubs and restaurants are open again, albeit if only for patrons of the same family or support bubble.  As local establishments returned to business this week they and their diners had to contend with the presence of Big Brother, in the form of North Yorkshire Police and Harrogate Borough Council staff, checking that those present were practising safe social distancing and that table guests were support bubble appropriate.  Three of Harrogate’s best restaurants, William and Victoria’s, The Fat Badger and The Tannin Level had the pleasure of entertaining the state’s loyal foot soldiers, tiptoeing table to table, encroaching on the privacy and relaxation of their guests.  Enforcement activities smack of a lack of trust, both in the individual and the establishment. As far as we know Winston Smith wasn’t among those present.

Being of solid Yorkshire stock, most of the diners would no doubt pass Environment Secretary George Eustace’s “Scotch Egg test,” namely consuming a ‘substantial’ meal to accompany their libations.  I don’t know about you but I think a scotch egg is a snack, consumed guiltily, either at a motorway service station, or (secretly, so your partner doesn’t notice) on the way home from doing the weekly shop.  And am I alone in feeling a little irked about the selection of a Scotch Egg as the people’s meal?  Surely a vol-au-vent would be more suitable for genteel Harrogate.

As with all government public pronouncements of late, this was quickly contradicted by Michael Gove, the Chancellor of the Duchy of Lancaster, who, between the Brexit negotiation skirmishes he is coordinating to no great effect, seems to be acting as if he, rather than Bojo, is the one in charge.  Wherever one looks at the top of government for leadership and consistency, despair sets in.

This seems to be the view of a great many of the Conservative Party’s MPs who this week rebelled en masse when asked to rubber stamp the latest tiered lockdown regulations in parliament.  55 Tories rebelled, another 16 abstained or failed to vote at all.  All the other parties, including Labour largely abstained.  So too the Liberal Democrats, without irony, notwithstanding that ‘liberal’ is actually in their name.  Little wonder then that they remain an irrelevance.  If we can’t rely on Ed Davey’s tribe to stand up and put the case for freedom, dignity and the well-being of individuals, then who will?  Given that is what is written in the Liberal Democrat’s constitution, one could be forgiven puzzled disappointment.

Residents of Pateley Bridge and the Nidd Valley in particular will be wondering who is in their corner?  There hasn’t been a single case of Covid in the locality for ten days and yet they find themselves dealing with the blanket restrictions of Tier 2 lockdown.  Smaller, independent hospitality businesses in the area, operating without the advantages offered by large national ownership, see no way to open profitably.  This can’t be fair.  Small businesses are struggling on, having invested in making their venues Covid-secure, but unless circumstances change soon they will become financially unviable and we will lose them.  Our communities will be all the poorer for it.

One Lib Dem who spoke up this week is Lord Newby of Rothwell, leader of the yellows in the Lords.  He argues that the time has arrived for the NHS to hand back Harrogate’s Convention Centre to the council.  Press ganged into action as a Nightingale Hospital, the building is yet to receive a single Covid-related patient.  While we of course have to be thankful that the hospital lay dormant through two case number peaks, there remains lingering doubt about whether and how the NHS would have been able to adequately staff the hospital had it been necessary.  It’s time for Harrogate Borough Council to take back the centre and get on with building back better .

The news that vaccines are now in the country brings some solace at least and at last.  We know that healthcare workers and care home residents and staff are to be vaccinated first.  This has to be the right thing to do.  Not least because frontline NHS staff have shown their usual dedication to providing care in the face of considerable risk to their health and emotional wellbeing.  The government now needs to break with its recent history of staccato do’s and don’ts and communicate clearly how the rest of vaccination programme will be rolled out across the population as a whole.  By providing clarity about who will be vaccinated when, we can each inform our own behaviour accordingly.  In the end the government is going to have to trust us to decide what is best for ourselves and our families.  It’s called

Freedom.

That’s my Strayside Sunday.

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Leeds nearest hospital to get first vaccines

Leeds will be the nearest place to receive the first coronavirus vaccines, according to national media reports this morning,

Health Secretary Matt Hancock said yesterday 50 hospitals were ready to receive the vaccine within days.

The Department of Health has yet to publish an official list of hospitals or details of how the jab will be administered. But the names of the 50 hospitals appear to have been leaked to the national media, some of which have published them today.

According to the reports, Leeds Teaching Hospitals NHS Trust, whose hospitals include Leeds General Infirmary, is the nearest to the Harrogate district.

The Harrogate Nightingale is not included on the list.

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The vaccine must be kept at -70°C until it is used, which means sites chosen to administer it must have adequate storage facilities.

Hancock has also said there will be a community rollout of the vaccine, including GPs and pharmacists.

The Stray Ferret asked Harrogate and District NHS Foundation Trust if it could confirm it was not on the list.

A spokesman replied:

“Any comment on decisions on which hospitals are on the list would be something for the NHS England regional communications team.”

‘Time to hand Harrogate Nightingale back to council’

One of the Harrogate district’s most senior politicians has said the time has come to accept the Harrogate Nightingale hospital will never be used for covid and handed back.

Lord Newby, the Liberal Democrats leader in the House of Lords, said the NHS should let Harrogate District Council take back control of the building.

Lord Newby spoke to the Stray Ferret after receiving what he described as “non answers” to a series of questions he submitted to the government about staffing and bed capacity at the Nightingales in Harrogate, Sunderland and Manchester.

He asked how many nurses were required and was told by the Conservative peer Lord Bethell that “each Nightingale team has been developing a clinical model that can be scaled up as and when additional capacity is required in the region”.

Lord Newby said last month he doubted the Harrogate Nightingale had the staff to fully open and has now said:

“The only conclusions which one can draw are that the NHS has no firm plans to staff up the Harrogate Nightingale.

“If it were ever to be used for covid patients, it would obviously have to be staffed by existing staff now working in regional hospitals – all of which are already stretched – and cannot easily release doctors and nurses..

“I do not therefore believe that the facility in Harrogate will ever be used for covid and that the government should now accept this reality and hand the site back to the council.”

‘Flawed concept’

The government has described the Nightingales as “insurance policies”. But with the peak of the second wave of the pandemic believed to have passed, and a vaccine on its way, the chances of them being used have receded.

Lord Newby said the concept of using the Nightingale was “flawed from the start”. He added:

“The government should instead have looked at ways in which it could have freed up facilities in existing NHS facilities to allow for greater intake of covid patients, if this had been required.”

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The Stray Ferret has requested interviews with the NHS about the Harrogate Nightingale, which was set up to treat covid patients in Yorkshire and the Humber, on numerous occasions but so far has not received one.

A spokesperson for the hospital said in a statement:

“The NHS Nightingale Yorkshire and the Humber is getting ready to care for patients should it be needed and has been operating a clinical imaging service since June to support local trusts in delivering diagnostic and surveillance CT scans, with more than 3,000 patients having now been seen at the clinic.”

Lord Newby replied:

“‘Getting ready’ is very different from ‘being ready’. The fact they’ve got a scanner there is irrelevant. The are plenty of other sites in Yorkshire where they could have put this.”