Patients in the Harrogate district are feeling the “catastrophic impact” of the dental crisis on their overall health, according to a new report.

Healthwatch North Yorkshire, the NHS body representing patients, is demanding a task force be set up to address the crisis in the county’s oral health due to a lack of NHS dentists.

The report outlines the impact of not being able to access an NHS dentist on the lives of more than 80 residents in the county, including Harrogate.

‘Urgent reform’

The watchdog said the issue needed “urgent reform”.

Read more:

• Investigation: ‘Shocking’ waits for NHS dentists in Harrogate district
• Watchdog report: Just one NHS dentist per 10,000 people in Harrogate district

A Harrogate case study detailed how one patient suffering gum pain called 10 dentists, both private and NHS, and offered to pay privately, but was told none were taking either NHS or private patients.

They said:

“I called 111 and was told to go and see my dentist, I explained I didn’t have a dentist and was told it was difficult at the moment.

“The pain was worsening so I ended up taking paracetamol, codeine and ibuprofen, spaced out at regular intervals. I again called 111, and only when I said I was now taking three types of painkiller did they take notice.

“They said a dentist would call me at around 7.30am next morning, so be up and ready to go. No phone call until 1.30pm telling me to go to a practice in Harrogate the next morning. I went and was seen for a couple of minutes, confirming that I had a gum infection. The dentist prescribed antibiotics, which did clear up the infection.

“My complaint is that dentists are not bound to give a person in pain help. I have heard this complaint from quite a few friends now, surely they should be duty bound to see emergency cases.”

The recommendations outlined in the report include:

• • Establishing a dental task force for North Yorkshire that tackles the underlying issues identified in this and previous reports.
• • Adopting a collaborative approach to addressing the dental crisis across the Humber and North Yorkshire region to ensure the commissioning of services meets the needs of the wider population.

Nationally, Healthwatch England has led calls for a radical rethink of NHS dentistry and it will be announcing its next steps over the coming weeks.

The government said it was increasing investment in services to improve access.

Acute problem of NHS dentists

Last year, the Stray Ferret revealed that just two Harrogate district NHS dentists were accepting patients but both had a waiting list of at least two-and-a-half years.

The investigation revealed how acute the problem of dental care is for people on low incomes in the district, with one councillor describing the situation as “shocking”.

Meanwhile, a review of NHS dentistry published in August 2021 found that found there was just one NHS dentist practice per 10,000 people in the district.

Healthwatch North Yorkshire is calling for people to share their views and experiences of health and social care, by visiting our website, calling 01423 788128 or emailing admin@hwny.co.uk.

The chief of Harrogate District Hospital has warned problems in the care sector are making it “really difficult” to discharge patients who are well enough to leave.

Official figures show the number of patients who have been in the hospital for more than 21 days has almost doubled from 48 in April 2021 to 83 last month.

Jonathan Coulter, acting chief executive of Harrogate and District NHS Foundation Trust, told a board meeting today a shortage of care home beds and staff were causing the delays to discharging some patients.

He said the continued impact of covid was also having an impact:

“There are capacity constraints all the way through the system, from being able to staff care homes effectively and appropriately through to social care packages.

“All of these things mean people are not leaving hospital even though it is a less safe place for them to be.”

Mr Coulter also said the delays were causing problems for the flow of patients through the hospital from arrivals to discharges.

Harrogate District Hospital

He explained the hospital was working with the care sector to tackle the delays and that other internal action was being taken, including a week-long event to speed up the system.

He added the hospital was continuing to recruit new staff and had committed funding to improve its emergency department:

“The whole pathway is under pressure. It is challenging… but we have got a plan and are sticking with it. The important thing is that we don’t tolerate or normalise where we are at the moment.

“It is also really important that we tackle the improvement work in a really positive spirit.”

Mr Coulter said the pressures across the health and care system were still being exacerbated by covid, although the position was “much improved” from earlier in the pandemic.

He also said the reduction of the covid alert level from level four to three last week marked a “massively important step” for the NHS.

Read more:

• Harrogate Scrubbers complete covid memory quilts
• Majority of young people in North Yorkshire have suffered from poor mental health

Harrogate hospital currently has 15 covid patients, while staff absences as a result of the virus have dropped from over 200 earlier this year to the current position of around 70.

Meanwhile, the district’s weekly infection rate currently stands at 93 covid cases per 100,000 people – its lowest level since at least last September.

Leeds United legends Eddie Gray, Tony Dorigo and Paul Reaney have visited a care home in Harrogate to reminisce about their playing days with residents who have dementia.

The ex-players were at Vida Healthcare’s new facility Vida Court on Beckwith Head Road.

The trio spoke about highlights from Leeds games over the past few decades and major career moments.

Staff also set up goals in the garden for residents to have a kickabout with the players.

It’s 50 years since Eddie Gray and Paul Reaney won the FA Cup as part of Don Revie’s famous side, and 30 years since Tony Dorigo won the First Division title under Howard Wilkinson.

Several players in the Don Revie team have suffered from dementia in recent years, including Jack Charlton and Gordon McQueen.

Sharon Oldfield, home manager at Vida Court, said:

“Activities like this are so important for our residents and they had a fantastic time meeting Tony, Eddie and Paul and sharing a pie and pint with them.

“Wellbeing and life enrichment is crucial to the lives of our residents. This special day was all about reminiscence and nostalgia, and it brought back special memories for everyone in attendance.

“Events and visits like this are crucial for encouraging residents to remember moments in their lives, and building strong bonds with staff.”

Read more:

• Harrogate student scores wonder goal for Leeds youth team
• Harrogate Town to spend £3.5m improving ground

A resident with Paul Reaney

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

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

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

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

He said:

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

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

Read more:

• ‘They’re only trying to help us’: GPs face verbal abuse over delays for non-covid services
• Warning retirement flats plan could ‘overload’ health services in Knaresborough

Mr Brown added:

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

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

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

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

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

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

Five hundred larch trees will be felled in Nidd Gorge due to a disease that is ripping through the woodland.

The Woodland Trust, which owns Nidd Gorge, says the infectious disease is called phytophthora ramorum and is already having a devastating impact on native trees.

Government body Forestry England has given the trust permission to fell the trees before it spreads further.

It means some of the footpaths in the popular beauty spot will close this spring and summer whilst work takes place.

Paul Bunton, community engagement officer at the trust, said:

“It is devastating news for our site team and visitors that we are having to reluctantly fell these diseased trees at Nidd Gorge to protect others. Phytophthora ramorum, while of no risk to the public, is one of the biggest threats to our native tree species at the site.

“Nidd Gorge is and will remain a really popular and cherished woodland close to Harrogate and Knaresborough and we ask the public to bear with us while we carry out the work.

“Our community events are a great opportunity for people to find out more before the work starts,  especially those who visit the woodland on a regular basis.”

Read more:

• Green Shoots: Keeping Harrogate district trees healthy
• MP’s memorial tree at RAF Menwith Hill saved

Keith Wilkinson, chair of Bilton Conservation Group, described what happens to larch trees once they become infected with the disease.

“It’s not a mould or a fungus but it is between the two and it attacks the larch. The needles start dying. It takes a while to kill the tree, but once it’s got it, it’s doomed.”

The Woodland Trust is holding two drop-in sessions in Bilton where members of the public can find out more about the works and ask questions to staff.

These will be held tomorrow (Thursday) at Bilton Community Centre between 6pm and 9pm and on Nidderdale Greenway off Bilton Lane on Saturday between 10am and 4pm.

The rate of covid in the Harrogate district has halved since the most recent wave of infections peaked on March 25.

Latest figures from North Yorkshire County Council show that 441 per 100,000 people currently have the virus.

The rate has fallen sharply since the end of March when it had risen to 1,005 per 100,000 people.

Cases rose due to the BA.2 subvariant of Omicron, a more contagious strain of Omicron that was circulating in January and February.

NHS figures show 110,794 people have had three doses of a covid vaccine in the district, which is 71% of the population aged over 12.

Read more:

• Covid grant funds new ‘hosts’ to welcome Harrogate visitors

• Covid booster clinics to resume in Harrogate tomorrow

Artizan café, which opened on Cambridge Road late last year, is set to expand to an upper floor.

The floor was initially used for offices and storage space. Due to increased demand, it will now be opened up to the public as an extended café area.

Artizan International was founded by Suzie Hart MBE in 2013.

Ms. Hart will be behind the design of the second floor, which will include the same tiles, mosaics and artisan textures on the ground floor.

The café was introduced to help people with disabilities learn hospitality skills and get into the job market.

Anna Maria Wilson, part-time manager at Artizan café, said:

“It was always in the plan. We are definitely doing it sooner than was anticipated because there was that increased demand.

“We have been so busy, that we needed the extra space. It is beautiful up there, and we aim for it to be more of a tranquil and relaxed area for people to enjoy.”

Although the official date is not yet known, the second floor should be open in a couple of weeks for customers to enjoy.

Specsavers Harrogate to join CUES scheme

Specsavers Harrogate is joining the Covid-19 Urgent Eye Service (CUES) scheme

Specsavers Harrogate has announced that it will be joining the NHS Covid-19 Urgent Eye Service programme.

Those with urgent eye health issues can visit the store for treatment under the CUES scheme.

The service was launched to reduce pressure on the NHS during the coronavirus pandemic.

Patients with urgent eye issues and in need of treatment will now be able to visit Specsavers Harrogate to have vision checks, which will be covered free-of-charge by the NHS.

Robert May, optometrist director at Specsavers Harrogate, said:

“The Cues scheme has been set up as we have the expertise and equipment in-store to deal with a range of eye-related emergencies.

“We’re seeing around one hundred customers every week through the scheme, which is definitely taking the pressure off the NHS’ services and waiting times.”

You can find out more about the CUES scheme here.

Read more:

• Health officials warn of 12-hour waits at Harrogate hospital A&E
• New restaurant and bar to open on Harrogate’s King’s Road next week

Health managers are warning of waiting times of up to 12 hours at Harrogate District Hospital’s emergency department.

West Yorkshire Association of Acute Trusts, which is a partnership of six hospital trusts including Harrogate, has urged patients to only attend the department for life-threatening injury or illness.

Hospital officials have warned that some patients are waiting as long as 12 hours for treatment.

Latest figures show that Harrogate District Hospital had 4,595 attendances to its emergency department in February 2022.

The national standard for emergency department waiting times is to admit, transfer or discharge 95% of patients within four hours.

Read More:

• Harrogate hospital bed occupancy high as winter pressures bite
• Harrogate hospital staff to join Parkrun to commemorate national lockdown anniversary

According to NHS England figures, 65% of patients were seen within that time at Harrogate hospital.

Dr Andrew Lockey, consultant physician in emergency medicine with Calderdale and Huddersfield NHS Foundation Trust, which is one of the six trusts that belong to West Yorkshire Association of Acute Trusts, said: 

“It’s really important that people only come to an accident and emergency department if they really need to. Our hospitals are extremely busy, and people are having to wait a long time to be seen.

“Over the past two weeks we’ve faced huge challenges with the sharp uplift in the number of people attending accident and emergency. This places additional pressure on our teams who are responsible for treating patients with serious and life-threatening conditions.

“If you are unwell and are unsure which healthcare service you need, call NHS 111. A highly-trained clinical advisor will direct you to the most appropriate service.”

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.

Read more:

• Covid testing sites in Harrogate district to close next week
• Bride’s disappointment as Harrogate Register Office maintains covid guest limit

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.”

Long before ‘wellness’ became a buzzword, the Victorians were effectively already practising it.

And Harrogate led the way — even back then.

The wealthy and fashionable flocked to the spa town to experience its green open spaces and recuperative and healing powers of spring waters, which were first discovered by William Slingsby in the late 16th century.

Health and wellbeing hotspot

Now, more than a century after the Victorian era, Harrogate Borough Council’s new tourism body, Destination Harrogate, is set to promote the district as a health and wellbeing hotspot once again.

It will draw on the district’s rich spa heritage and accessibility to the great outdoors to attract visitors, events and investment to create a strong local economy.

The approach forms one of three key objectives in a three-year plan, which sets out a vision, priorities and actions that will be put in place to make the district “a first choice destination”.

Speaking to the Stray Ferret, Gemma Rio, head of Destination Harrogate, explained what this would involve.

She said:

“People have been coming to Harrogate since 1571 to take the waters and have a leisure experience, so that’s not new, but it has developed over the years.

“Now you can still go to the Royal Pump Room Museum and understand the spa heritage and our roots and how we became this great leisure destination, but you can also go to the Turkish Baths, you can go and have an incredible spa experience at Rudding Park or Grantley Hall.

“So the whole district is very good at that traditional health and wellbeing piece.”

Rudding Park Spa.

Wellbeing different for everyone

Ms Rio, who was appointed in October 2020, said one lesson that had been learnt as a result of the pandemic was that health and wellbeing is different to everyone.

She said:

“For some people it is a massage and a jacuzzi, but to others it’s a walk in the Nidderdale AONB, or it’s seeing a show at the theatre, or it’s just being with family around the table at one of our great independent restaurants. So that’s what we are going to try and pull out in our campaign.”

The multi-channel campaign, which will have a digital marketing focus, is being launched in April and will run for most of the year.

Ms Rio said:

“If someone is a really avid walker, we want to tell them that story and plan itineraries for them around walking and country pubs.

“Our supporting campaigns will also try and pick up the same messages.

“Every year Visit Harrogate ran a successful gardening campaign. Our partners loved that campaign, they have seen some great results from it.

“Obviously as a destination, gardening is a real strength of ours as well. We’ve got RHS Harlow Carr, Newby Hall and various places that have great gardens.

“So even our gardens campaign is going to try and link in with the health and wellbeing priority as well.”

RHS Garden Harlow Carr.

Read more:

• Harrogate tourism body makes health and wellbeing top priority
• Head appointed to lead new Harrogate district tourism body

Attracting business events

The focus on health and wellbeing will also be used to attract more leisure and business events, with one of the target sectors for conferences being the medical industry, Ms Rio explained.

She said:

“Where else to hold your medical conference than a destination that has this incredible spa heritage and medical story to tell?

“Where better to base you new health and wellbeing business, or really any business?

“If you want to invest in a place, knowing that you’re going to be somewhere where your employees health and wellbeing will be looked after. A place where their work/life balance will be stronger. It’s much easier to employ people to come and join you if you base yourself somewhere like the Harrogate district.

“It’s a really exciting campaign.”

Collaboration is key

Ms Rio said when the three-year blueprint, known as the Destination Management Plan (DMP), was written, a consultation with residents and businesses was carried out in order to come up with the three main priorities set out in the document.

She said:

“This theme came up over and over again and I think in many ways it’s a bit of a no-brainer. We’ve got the history, we’ve got a great story to tell.

“Health and wellbeing has rocketed as a trend over the past couple of years. Plus we already have strong products, like the Turkish Baths. So it’s not trying to promote something that we are not actually that good at.

“It’s not rocket science what we have come up with. But I think what we have not done as a destination is work together to really push that in the same way that a place like Bath does.

“The story has always been there but we haven’t really taken advantage of it in a way that we can now.

“Everyone is really keen to work with us to see this become a success, and I think as a destination that’s the only way it can work. That collaboration is absolutely key.”

‘Core part’ of district’s identity

Ms Rio said the health and wellbeing campaign will continue to evolve and grow as a “core part” of the district’s identity.

She said:

“Other campaigns will run alongside it to highlight other strands such as retail or arts and culture, but there will always be this golden thread running through it.

“A trip to Harrogate district is good for you, regardless of whether you are into massage, theatre or walking.”

Nidderdale AONB.

One of the main messages that will be promoted by the campaign will be length of stay, which will aim to encourage visitors to come for long weekends or weeks away in the district.

Ms Rio added:

“The way we do that is we try and prepare itineraries. So we are adding some functionality to the Visit Harrogate website this year that makes it easy for someone to say ‘I’m going to go to this experience in the morning, have lunch at this pub, stay at this hotel’. That helps to encourage people to stay longer, which benefits the local economy.”