Harrogate hospital urges people to stay away from A&E amid ‘very busy’ week

Harrogate hospital bosses are urging people to stay away from its emergency department this week unless it is a life-threatening injury or illness.

Officials at Harrogate and District NHS Foundation Trust said they are expecting a busy week, which may cause long waiting times.

It comes as health leaders in the district warned that covid and flu cases may increase at Harrogate hospital this winter.

In a statement, the trust urged people with non-threatening injuries to stay away from the emergency department.

A spokesperson said:

“This week we are expecting our hospital in Harrogate to be very busy. As a result, visitors to our emergency department with less urgent issues may experience longer waiting times than usual.

“We know that visitors to our emergency department can be in pain, stressed or scared, and our dedicated time will do everything they can to help.

“Your health is our utmost priority and all we ask in return is our staff are treated respectfully as they try to do their job.”

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Health managers in Harrogate have said they expect to see more covid patients in hospitals in the coming weeks.

Dr Bruce Willoughby, Harrogate GP and part of the Humber and North Yorkshire Health and Care Partnership, said:

“Health and care services in North Yorkshire and York, like everywhere, are already extremely busy. We do expect to see more cases of covid in the coming weeks as people mix freely again and spend more time indoors as the weather gets colder. The risk of catching covid is highest indoors and in crowded places.

“More people are likely to get flu this winter as fewer people will have built up natural immunity to it during the pandemic. The best time to have the flu vaccine is in the autumn or early winter before it starts spreading.”

Officials have urged people who are eligible to get a covid booster vaccine this autumn.

In Harrogate, vaccinations are available at the Great Yorkshire Showground until November 23.

People aged 50 and over, pregnant women, carers, frontline health and care workers, care home residents and people of all ages who are vulnerable are eligible for a covid jab now.

Those who are able to book their vaccinations can do so via the NHS website.

Harrogate hospital A&E performance remains ‘well below’ national standard

A&E waiting times performance at Harrogate District Hospital remains “well below” the national standard as health bosses urge people to only attend the department if necessary.

Latest figures show that the hospital had 4,554 attendances to its emergency department in August 2022.

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

According to NHS England figures, 62% of patients were seen within that timeframe at Harrogate hospital.

Meanwhile, a total of 82 patients waited longer than 12 hours to be seen.

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In a report to its board, Jonathan Coulter, chief executive at Harrogate and District NHS Foundation Trust, said the performance remained “well below” the standard set nationally.

He said:

“The board should be aware that our A&E performance in August remained well below the national standard and we had a higher number of 12 hour waits in the department than in previous months.

“The situation has improved in September, but the changes that we have initiated and highlighted earlier need to be delivered in order for us to provide the improved urgent care service that we all want to have in place.”

Visiting the Emergency Department at Harrogate District Hospital pic.twitter.com/8cITeTrHkj

— Harrogate NHS FT (@HarrogateNHSFT) October 3, 2022

The move comes as the trust has urged people to only attend its emergency department if they have a life-threatening or severe illness or injury.

In a statement, the trust said it expected to see a high number of patients at A&E this week.

It said:

“This week we are expecting our hospital in Harrogate to be very busy. As a result, visitors to our emergency department with less serious issues may experience longer waiting times than usual.

“This isn’t ideal and we will endeavour to keep waiting times as short as possible.”

Have you experienced a long wait in Harrogate’s A&E department? We’d like to hear from you. Email contact@thestrayferret.co.uk or call us on 01423 276197. 

Harrogate hospital trust plans home care service to tackle bed blocking

Harrogate and District NHS Foundation Trust has revealed plans to become the second in the country to launch its own home care service in a bid to free up hospital beds.

Chief executive Jonathan Coulter said the problem of patients staying in hospital longer than they should because of a lack of private care services was the “biggest issue” that the trust currently faces.

Up to 90 patients were medically fit but could not leave Harrogate District Hospital in August, compared to around 20 before the covid pandemic.

The trust now wants to follow in the footsteps of the NHS in Northumbria and start providing care for patients in their own homes.

Russell Nightingale, chief operating officer at the trust, told a board meeting on Wednesday the move was a “huge change and big decision” for the trust, but one it had to take because the problem of bed blocking was “only going to get worse”.

He said: 

“If you are in a hospital bed and fit to leave but can’t, it is probably one of the worst places to be.

“In some instances, we have seen a degradation of people’s health in hospital beds when they do not need to be there, despite the great clinical service they receive.

“People want to be in their own homes as this is where they live and are comfortable.”

Mr Nightingale also said he was concerned the current situation would only get worse despite a recent government pledge of £500 million to help people get out of hospitals, which he described as a “drop in the ocean”.

Bed blocking has repeatedly been raised as a concern by hospital bosses who have warned of knock-on impacts on A&E waiting times.

This comes as Harrogate District Hospital has had an exceptionally busy summer and pressure on services is only likely to grow over winter as it tries to tackle long waiting lists and staffing shortages.

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The trust’s home care service will initially run as a six-month trial and cost around £146,000 to provide care for 36 patients.

If the trial is a success, it is estimated around 15 patients who otherwise would be stuck in hospital could be moved back into their own homes each day.

The trust – which already provides home care for some children – has been in dialogue with Northumbria Healthcare NHS Foundation Trust which this year became the first to launch such a scheme.

Some concerns have been raised over the high turnover of staff, as well the impact on the private care sector.

However, Wednesday’s meeting heard that care packages under the Harrogate plans would initially be offered to private care firms for 24 hours before the trust steps in.

More details of the scheme are set to be revealed in the coming weeks.

Harrogate hospital staff selling days off to cope with cost of living crisis

Some staff at Harrogate District Hospital are selling their annual leave and applying for further financial help in a desperate bid to make ends meet.

The hospital is allowing NHS workers to trade time off for extra payments until the end of the year, while a hardship fund has also been set up to help with the soaring costs of energy, fuel and food.

This comes at a time when staff are set to vote on strike action over a below-inflation pay offer which unions have described as another real-terms pay cut.

Jonathan Coulter, chief executive of Harrogate and District NHS Foundation Trust, told a board meeting today that he had “always been against” staff selling annual leave, but the cost of living crisis now meant that providing support was “absolutely vital”.

He said:

“My justification for this is that the financial position of some staff is putting them under more stress than the benefit of having a holiday.”

A total of 17 staff have so far applied for extra payments instead of time off, while 271 applications have been made to the hospital’s hardship fund, which is offering grants of up to £500.

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Wallace Sampson, hospital trust board member and chief executive of Harrogate Borough Council, said he had “mixed feelings” about staff being able to sell annual leave as he believes it is “very much needed” to help with their wellbeing.

In response, Mr Coulter said he agreed but this was the preference of some workers and that a five-day limit on the amount of time off that can be traded would ensure staff do get some down time.

He said:

“There is an absolute maximum of five days, so staff can’t sell all of their annual leave.

“We have agreed the policy for this year as a one-off, partly recognising that people have a lot of annual leave because of covid.

“We will need to review the initiatives, but at the moment they are absolutely vital.”

Winter strike possible

His comments come as strike action could span across several months this winter after the Royal College of Midwives union notified hospital bosses that it will ballot its members over pay.

Other unions including GMB and Unison are also said to be making preparations for a vote.

The prospect of staff striking at what is always a busy time for under-strain services in winter has been described as “worrying” by senior officials at Harrogate District Hospital, which has begun making contingency plans.

Around 100 of the hospital’s lowest-paid staff will see an uplift from a rise in the legal minimum wage to £10.90 in October.

However, Dr Suzanne Tyler, executive director at the RCM union, said the government needed to go further and give all workers a better pay rise after its members rejected a 4% increase offer.

Dr Tyler said in a statement:

“Our members have spoken and just like us they believe a below inflation pay award is not good enough, they deserve more.

“The results and turnout speaks volumes about the feelings of a fragile, exhausted, and undervalued workforce, because taking industrial action is always the very last resort for midwives and maternity staff.

“They obviously now see no other alternative to getting a fair and just pay award from their governments.”

Harrogate hospital plans new £14m operating theatres

Harrogate District Hospital is planning a £14 million project to create two new operating theatres in an effort to tackle waiting times for treatment.

The scheme would see two additional operating theatres, two procedure rooms and a 12-bed ward for patients who require extended stays in care built on the site.

The hospital currently has six operating theatres, including general and emergency surgery.

Officials at Harrogate and District NHS Foundation Trust said the move would help to increase capacity for operations and reduce waiting times for both planned and emergency surgery.

The project forms part of a national funding scheme to help hospitals tackle long waiting lists.

A spokesperson for the hospital trust told the Stray Ferret:

“The number of theatres currently at our trust/Harrogate District Hospital limits the number of operations we can undertake on a weekly basis.

“Additional theatres will enable us to treat more patients each week, which will reduce waits for both planned and emergency operations.”

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The trust added that the project will also help to “future proof” the hospital for a growth in population and changes in demographic in the district.

The scheme has been submitted to senior NHS officials and is currently being reviewed.

Trust officials said they expected a response on grant funding within the next four weeks. However, the project would also require planning permission before it goes ahead.

25,500 patients waiting

It comes as Harrogate hospital is currently tackling a long waiting list for patients awaiting treatment.

According to the trust’s own board papers, there were 25,564 patients waiting for an operation at the end of August.

Of that number, 1,297 had been waiting more than 52 weeks.

While the overall number of patients waiting is down by 65 on July, it is an increase of 3,396 on the same time last year.

In a report to the board, Jonathan Coulter, chief executive at the trust, said:

“We have had a difficult summer and we are now moving towards winter knowing that the current level of acute pressures and community services workload are already significant.

“Combined with the need to reduce our elective care backlog, the challenges that we are managing are significant.”

Harrogate hospital officials ‘confident’ A&E streaming can tackle waiting times

Hospital bosses in Harrogate have said they are confident a new streaming service will help tackle waiting times in A&E.

Harrogate and District NHS Foundation Trust revealed in June that it was to spend £900,000 setting up a service to assess patients at its emergency department.

As part of the plan, those who have a less serious illness or injury will be transferred to another part of the hospital which will have its own designated clinical practitioners.

Officials have now confirmed that the streaming service will be in full operation seven days a week from November this year.

Hospital bosses have so far been running the service four days a week when staff are available.

While there are no formal figures on how many patients the service has seen in that time, the hospital estimates that up to 50 people a day can be triaged through streaming.

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Currently, between 130 and 150 patients attend the hospital’s emergency department daily.

The Stray Ferret asked the hospital whether it was confident that the measure will help to cut down waiting times at A&E.

A spokesperson for Harrogate and District NHS Foundation Trust said:

“The streaming model will have a significant impact on waiting times in the ED [emergency department] – ensuring those walk in patients are seen promptly and allowing the sickest patients to have the focus of senior clinicians.”

Waiting time targets

Latest figures show that Harrogate District Hospital had 5,663 attendances to its emergency department in July 2022.

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

According to NHS England figures, 71% of patients were seen within that timeframe at Harrogate hospital.

The move to create an A&E streaming service comes as other hospital trusts across the UK have introduced similar measures.

In 2018, United Lincolnshire Hospitals Trust spent £500,000 on expanding Boston Pilgrim Hospital’s emergency unit in order to introduce a streaming service.

At the time, ULHT said it felt there were too many patients attending the emergency department who could be seen by a general practitioner instead.

Harrogate hospital introduces yellow socks for fall victims

Harrogate District Hospital has started issuing yellow socks to victims of falls.

The scheme, which has been introduced by other hospitals, allows staff and visitors to identify patients who require extra assistance with their mobility.

Under the scheme, if a Harrogate and District NHS Foundation Trust patient is admitted having previously fallen, they will be automatically given a pair of non-slip yellow socks.

Katie Butterworth, falls specialist and corporate nurse at the trust, said:

“The bright colour of the socks let both staff and visitors know that a patient who is wearing them may need assistance when walking and could be a potential fall risk.

“We would like all staff to see (yellow socks), think (extra assistance) and then act (review falls risk assessment).”

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More than 130 Harrogate hospital staff absent due to covid in June

More than 130 Harrogate hospital staff were absent due to covid last month.

A report from Jonathan Coulter, acting chief executive of Harrogate and District NHS Foundation Trust, has revealed that the increase in spread in the community had led to staff being off sick.

The figure peaked at more than 130 in June amid the spread of the more transmissible Omicron variant.

Currently, 80 hospital staff are absent due to covid.

Mr Coulter said in a report, which will be presented to the trust board on Wednesday, that the spread of covid has put “additional pressure” on staff.

He added that “a small number of staff” would now be affected due to sick pay changes, as the virus is treated like “any other sickness”.

Mr Coulter said:

“The guidance in respect of sick pay for people off with covid has now changed, and covid sickness is now treated and managed in the same way as any other sickness.

“This will have an impact upon a small number of colleagues who continue to suffer with long covid, and who will now move into our usual sickness management arrangements with the risk that after a defined period of time, their pay is reduced or ultimately ceases altogether.

“We are in dialogue with all colleagues affected by this change, but we need to recognise that this will be a difficult time for some.”

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Meanwhile, Mr Coulter confirmed that the trust is currently treating 35 patients who have tested positive for covid.

He added that while the severity of the disease remains low due to vaccine uptake, it has had an impact on flow through the hospital.

He said:

“During the month of June and into July, we have experienced a significant spike in people in hospital who are covid positive. 

“We have currently over 35 people in hospital with CoVid, and whilst the severity of the illness is reduced due to vaccine uptake, the infection control measures that we have had in place result in flow through the hospital being more difficult.”

Positive covid patients at Harrogate hospital doubles in three weeks

The number of patients at Harrogate District Hospital who tested positive for covid has more than doubled in three weeks.

Latest figures supplied by Harrogate and District NHS Foundation Trust show 35 covid-positive patients are currently in hospital — a rise from 14 on June 25.

Of that number, six are primarily receiving treatment for covid.

The figure peaked at 42 positive patients on July 5, but has since declined.

Harrogate hospital officials have put the rise in cases down to the spread of the more transmissible Omicron variant.

Health officials have warned that hospitals are under extreme pressure due to a rise in cases.

West Yorkshire Association of Acute Trusts, which includes Harrogate hospital, said that the increase in cases has meant the availability of beds has been impacted.

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This combined with covid-related staff sickness means patients are also facing delays for planned treatment, officials said.

Dr Phil Wood, chief medical officer at Leeds Teaching Hospitals NHS Trust, said: 

“The significant upsurge in covid-19 cases in West Yorkshire and Harrogate means that our hospitals are facing extreme pressures. Our teams are doing everything they can to make sure that services are safe and, in some cases, planned treatment may need to be postponed.

“We are aware that some people have been waiting for planned operations for a very long time and, wherever possible, we will ensure these go ahead as planned.

“Thankfully, the number of very seriously ill people needing treatment in intensive care for covid-19 is very small and accounts for less than two per cent of total inpatient cases. 

“The covid-19 vaccine is very effective at preventing severe disease in those who have been immunised and I’d encourage anyone who has not yet had their vaccine to book an appointment through the NHS.uk website.”

Harrogate hospital urges visitors to wear masks amid covid case rise

Harrogate District Hospital has urged visitors to wear a mask on inpatient wards following rising covid cases.

The district has seen a spike in cases of the virus this past month due to the spread of the more transmissible Omicron variant.

At the end of May, the district’s rate of infection was 55 people per 100,000. It is now 218.

Now, officials at the hospital have urged visitors to inpatient wards to wear a mask when coming to the hospital.

A statement from Harrogate and District NHS Foundation Trust said:

“Due to rising covid-19 rates in the community, please can visitors wear a mask on our inpatient wards to protect our patients and staff, and prevent the spread of the virus.”

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Harrogate hospital is also treating 11 patients who tested positive for covid. However, none of those patients are in hospital primarily for treatment for the virus.

Last week, public health officials in North Yorkshire urged people to take measures to avoid covid after the rate surged.

Dr Victoria Turner, public health consultant at North Yorkshire County Council, said:

“Cases of covid are once again rising across the UK, including in North Yorkshire.

“The latest increase is being driven by the BA.4 and BA.5 sub-variants of Omicron, which has also caused high rates in other countries across the world.

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