Harrogate District Hospital has issued an urgent appeal for patients to return crutches and walking sticks.

Pamela Bagot, principal physiotherapist at the hospital, contacted the Stray Ferret to say the therapy services department wanted to offer them to patients who had undergone surgery or been involved in an accident.

“If you have any crutches and walking sticks you no longer use sitting around at home, please drop them off at therapy services at Harrogate District Hospital so we can reuse them and help our patients back up and walking as soon as possible.

“As most people know, there are problems with transporting goods and deliveries around the country, and by individuals returning these items we will ensure that we have enough patient equipment during the winter months.”

Anyone able to help should ask at hospital reception for therapy services.

Read more:

• Ripon hospital in line for further £212,000 refurbishment work.
• Harrogate engineer spends year crafting incredible Christmas light and music show

The race is on to vaccinate around 450 frontline staff at Harrogate District Hospital after the government announced it was making covid jabs mandatory.

Health Secretary Sajid Javid last week announced he expected to set a deadline for all unvaccinated workers to get both jabs by the beginning of April in a move which he said would help protect patients and the NHS as a whole.

However, there are concerns it could lead to more staffing shortages in the health service which is still dealing with pandemic pressures and long backlogs.

The vaccine mandate will affect around 100,000 unvaccinated staff in England and follows a consultation which considered whether the rules already in place for care home workers should be introduced.

It is estimated around 90% of all staff are vaccinated, although the numbers vary at different hospital trusts with coverage at some falling to around 80%.

At Harrogate District Hospital, the figure is 91% although bosses believe it could be higher as it doesn’t take into account new starters or staff who have been vaccinated outside of work.

Steve Russell, chief executive at Harrogate and District NHS Foundation Trust, said: 

“The vast majority of our staff have had their covid-19 vaccinations, however, there are a small number who have not yet been jabbed.

“We understand there can be a variety of reasons as to why some staff have elected not to have the vaccine.

“We are keen to support those members of staff who are eligible for the vaccine, but have yet to have it, to try and allay their concerns using impartial, factual information.”

The deadline for care home workers to get vaccinated passed last week with around 250 staff in North Yorkshire now facing losing their jobs if they can not be redeployed.

Read More: 

• Major drop in applications for social care jobs across North Yorkshire 
• Care sector staffing crisis in North Yorkshire prompts major recruitment drive
• Compulsory covid vaccines make recruitment harder, say district care homes

Officials at North Yorkshire County Council – which has launched its biggest-ever care recruitment campaign – say vaccine take up in the county has been good, although they admitted the numbers of unvaccinated staff was still significant for a sector already struggling with a depleted workforce.

If a similar trend is seen for the NHS, the health service could find itself severely short of staff come the spring.

Mr Russell added: 

“On a daily basis we see how severe the effects of contracting covid-19 can be and it is important that we do all that we can to ensure the safety of our patients, visitors and staff.

“The covid-19 vaccination is an effective means of preventing the spread of the virus by building protection. Since it has become available we have been encouraging all of our staff – not just those that are patient facing – to get vaccinated.

“Over the last couple of months we have also been offering our colleagues the booster if they are eligible.

“We have and will continue to encourage colleagues who have not yet had the vaccination to get jabbed by spring 2022 and if the need arises we will follow government guidance regarding those people who have elected not to have the vaccination.”

Harrogate District Hospital has the capacity to increase its number of beds by 50 as part of winter escalation plans.

Dr Matt Shepherd, deputy chief operating officer and consultant in emergency medicine at Harrogate and District NHS Foundation Trust, revealed the numbers in an interview with the Stray Ferret yesterday.

Talking about the trust’s winter plans, Dr Shepherd said the hospital currently has 260 beds, 20 more than in summer, and has the potential to increase this to 310. Ripon Community Hospital has the capacity to increase beds from 16 to 20.

The hospital covid situation remains considerably better than last winter, when the number of patients in Harrogate with coronavirus peaked at 70, and during the first wave in spring last year, when the figure was about 40.  He said:

“Up to four or five weeks ago we had on average four or five patients with covid, then it crept up to 10 and then a couple of weeks ago it went up to 20. It’s trickled down in the last few days to 15.”

The Harrogate district currently has one of the highest covid rates in the country, with the seven-day rate currently 727 per 100,000 people.

But he pointed out that this time last year the hospital had cancelled many other services due to covid and this time staff were heading into winter dealing with coronavirus “on top of other things”.

‘Big impact’ of vaccines 

How worried is he about the months ahead?

“It’s a bit like when covid first arrived. It’s that fear of the unknown. Your imagination runs wild with worst case scenarios, which could be very difficult.

“But the vaccine programme has had a big impact. We are seeing far fewer covid patients in intensive care.”

Read more:

• Harrogate district schools urged to bring back face masks
• Harrogate hospital invests £110,000 in staff and dementia care

The hospital currently has eight beds in intensive care and four are being used. Last winter it had to increase the number from eight to 30 to cope.

After two previous waves of covid, the trust now has well rehearsed ‘flex’ plans to cope with fluctuating coronavirus patient numbers. Dr Shepherd said:

“We currently have half a ward devoted to covid patients. When we get to the mid-20s we convert a full 30-bed ward.”

Waiting list increase

He expects extra patients with other respiratory viruses this year because people are mixing more.

It spells difficult times ahead for staff, particularly as the district’s high infection rate has forced a lot of staff to isolate.

Like other NHS organisations, the trust is also dealing with recruitment problems. Dr Shepherd says shortages are often specific to certain areas, such as theatre staff and nurses.

It doesn’t sound like a good time for any of the trust’s 4,000 staff to put in requests for a fortnight in Lanzarote over Christmas. Dr Shepherd says:

“It’s the relentless nature of the last year and a half. The chances of proper rest haven’t been the same. Staff having to isolate is one of the biggest challenges now.”

The impact of lockdown is still being felt. The trust waiting list was 18,000 pre-covid. Now it’s 22,000. Dr Shepherd says the situation varies from department to department.

“There’s been good progress in some areas, for example scans, where we’ve really caught up and there is no real backlog. Also endoscopy.

“But some of the more complex operations take much longer to do and patients are still waiting much longer than they have done in the past in Harrogate and much longer than I would like. We are a small hospital and there are only so many operating theatres.”

Pressure on the emergency department has increased significantly, with most people now seen and either admitted or discharged within six hours rather than four.

Masks and vaccines enough for now

Medical organisations, including the British Medical Association, have said this week it’s time for the government to adopt winter planning now to prevent the NHS being overwhelmed by growing numbers of coronavirus cases.

Dr Shepherd says Harrogate and Ripon hospitals have “never stepped away from asking people to wear masks”.

Does he think it’s time for other measures?

“It’s important that we inform the public that infection rates are higher in the Harrogate district and the best thing they can do is attend vaccination clinics.

“Masks and vaccines are the first next step. If that’s not enough and we continue to see a rise we need to consider a more mandatory position.”

Harrogate and District NHS Foundation Trust has been awarded £110,000 to fund better dementia care support, improved outdoor spaces and wellbeing projects.

NHS Charities Together, the national charity raising funds for hospitals, awarded the sum to the trust.

The trust used some of the money to buy new DVD players and tables for dementia patients at Harrogate District Hospital for entertainment and to help them stay in touch with family, especially when the hospital has to limit visits.

Hospital patients and visitors will also notice that some outdoor spaces have been transformed with physical and mental wellbeing in mind.

The new look includes fresh seating, garden pods, planting, wind chimes and even an outdoor barista. The spaces can be used as an escape for both staff and patients.

Funds have also been used by the hospital on microwaves, coffee and tea making facilities for staff.

Read more:

• Harrogate Theatre appoints new panto director after tragic death
• Warning for dog walkers after four sheep killed near Pinewoods

Matron Tammy Gotts said:

“It is important our patients never feel lonely and the tablets will help improve how they can communication with their friends and family.

“It also means that our patients would still be able to communicate with their loved ones should we ever face another lockdown.

“Having access to more entertainment options will also improve the hospital experience for patients. The outdoor spaces also provide the opportunity for patients to spend more time outside the wards in a pleasant environment.”

Sammy Lambert, business development, charity and volunteer manager, said:

“The funding we have been awarded is helping us to further improve the high level of care we are able to provide.

“Whilst it is wonderful that the funding will be of benefit for patients suffering from dementia, we are also pleased that it will have a positive impact on the wellbeing of our NHS colleagues who have worked tirelessly over the pandemic.

“Their wellbeing is vitally important and simple changes, such as developing outside spaces where they can relax for a moment, will ensure they feel well, healthy and happy at work.”

About 350 frontline staff at Harrogate hospital have not been fully vaccinated against covid, it has been revealed, as a consultation on whether to make the jabs mandatory gets underway.

That figure represents just under 10% of the 3,598 frontline staff at the hospital and was revealed by Dr Jacqueline Andrews, executive medical director at the Harrogate and District NHS Foundation Trust.

She said the trust was urging all remaining staff to get doubled jabbed and that managers were speaking with those workers about their concerns.

Dr Andrews said: 

“It is vitally important that we all continue to do everything we can to minimise the risk of covid-19 transmission in hospital and in the community.

“We have encouraged and supported all our staff to be fully vaccinated against covid to keep themselves, their families, fellow colleagues and patients safe and improve our organisational resilience over what is likely to be a challenging winter.”

Government plans are already in place to make it a legal requirement for all care home workers to be fully vaccinated, while implementing the same rules for frontline NHS staff is currently being considered in a consultation.

Read More: 

• Knaresborough vaccine site moves to offer 1,500 jabs a day
• Parents to protest against covid jabs for children outside St Aidan’s

Across North Yorkshire, around 430 care home workers are not fully vaccinated and health officials have insisted they are making progress on reducing this number.

The date from which it will become a legal requirement for all care home staff in England to be double jabbed, unless medically exempt, is November 11.

Concern over mandatory vaccines

The move has sparked concerns that making the jabs mandatory could lead to thousands of job losses, which would only worsen the current staffing shortages in both sectors.

And there are now new warnings that employers could face legal action if they sack staff because they have not been fully vaccinated.

Ben Kirkham, regional organiser for the GMB union, said mandatory vaccines could open the door to claims of unfair dismissal if employers sacked staff without offering them redeployment into roles where vaccines were not required.

He said: 

“GMB is opposed to a mandatory requirement for NHS staff – or any other employees – to be vaccinated.

“If the government takes this course and an employer thinks that this gives them the green light to dismiss our members then they need to think again.

“Dismissing any employee because they have not been vaccinated still gives rise to the potential for a claim for unfair dismissal. That employer would still be obliged to look for alternative work for the employee to undertake.

“At one stage we were clapping on a Thursday to show our thanks for the work the NHS and social care staff did during the pandemic, now the government hopes we will get behind insisting they be vaccinated so they can continue to be employed – that simply cannot be right.”

‘We must protect patients’

The consultation on mandatory vaccines for NHS staff is seeking views on the proposals and any impact on staffing and safety such as reducing staff sickness absence.

Staff, healthcare providers, patients and their families are all being urged to have their say, with a final decision expected this winter.

Launching the consultation last week, health secretary Sajid Javid said: 

“Many patients being treated in hospitals and other clinical settings are most at risk of suffering serious consequences of covid-19, and we must do what we can to protect them.

“We will consider the responses to the consultation carefully but, whatever happens, I urge the small minority of NHS staff who have not yet been jabbed to consider getting vaccinated – for their own health as well as those around them.”

Harrogate hospital bosses have warned this winter will be “more challenging than ever before” as staff continue to battle with covid backlogs and brace themselves for peak pressures.

Although covid patient numbers and deaths are much lower than this time last year, the hospital is now battling to clear a backlog of routine screenings, operations and other appointments delayed by the pandemic.

It is also preparing for a surge of seasonal illnesses.

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

“Winter is always a challenging time and this year it will be more challenging than ever before as we continue to be affected by the pandemic.

“Whilst there are concerns about other respiratory virus infections occurring in high numbers, campaigns like the one for flu vaccinations are designed to protect the most vulnerable.

“The pandemic has also effected waiting lists, and waiting times have grown as it was not possible to sustain planned admissions for operations, outpatients and tests.

“It is now a major priority to return these services to pre-pandemic levels.”

Winter flu resurgence

Last year saw hardly any winter flu, while other respiratory viruses were only circulating at very low levels.

This was put down to lockdowns and social distancing, meaning the normal winter viruses did not get the chance to spread.

Read More: 

• Harrogate district surgeries postpone flu jabs due to ‘transportation difficulties

• 500 staff at North Yorkshire care homes could leave due to compulsory vaccinations

But Public Health England has now warned that immunity to these viruses will have diminished, and very young children will not have been able to develop any at all.

This expected resurgence of winter flu, combined with the risk of increased covid hospitalisations in the colder months, means hospitals locally and nationally are now making preparations for peak pressures from October when seasonal illnesses usually escalate.

At Harrogate hospital, covid patient numbers have remained steady over recent weeks but have climbed into double figures with 11 people needing treatment as of yesterday.

Five recent covid deaths

The hospital has also reported five covid deaths in the last three weeks after going more than four months without any fatalities.

Dr Shepherd said this has shown the risks of covid remain “very real” – even with the success of the vaccination programme.

He also said the virus was still having a knock-on effect on routine health services and causing delays for patients.

He said: 

“Whilst the latest covid admissions are significantly lower than the waves we experienced in the past, this virus has not gone away, it is still affecting how we operate, and we must be prepared if there is an increase in infections.

“We have been able to manage patients with covid by looking after them in dedicated areas, which prevents further transmission of the virus and keeps other patients and our colleagues safe.

“Whilst we do our utmost to see patients as soon as possible, these measures have on occasion led to longer waiting times in the emergency department than we would have seen before the pandemic.

“We know this is not ideal and we are grateful to our visitors for their patience and understanding.”

Harrogate and District NHS Foundation Trust could take over the running of health services for young people in Northumberland.

If approved, 95 health visitors and 30 school nurses will transfer from Northumberland County Council to the trust.

A survey on the proposal is available as part of the consultation, which runs until August 15.

Since 2015, local authorities have been responsible for the delivery of health visiting and school nursing services. But Northumberland County Council decided to continue providing the services in partnership with the NHS.

Until now it has done so with Northumbria Healthcare NHS Foundation Trust but the contract between the two organisations ends in September.

The county council has now identified Harrogate and District NHS Foundation Trust as its preferred provider for a new contract from October.

The council said in a consultation document it wanted the Harrogate trust to take over Northumberland’s services because it had experience in delivering the services to young people in the north east and had shown it was an “engaged and supportive partner”.

Read more:

• Grab-a-Jab walk-in vaccinations available in Knaresborough all week
• Staffing a major challenge says new Harrogate leisure company boss

Although, the council’s statutory duties would be handed over to the Harrogate trust, the local authority would still remain ultimately responsible for ensuring they are met.

A separate consultation with staff will take place in the coming months.

The consultation responses will be shared with the county council’s cabinet and the Harrogate trust before a final decision is made.

The number of coronavirus patients at Harrogate District Hospital has tripled in the last week, a media briefing heard this morning.

Amanda Bloor, accountable officer at NHS North Yorkshire Clinical Commissioning Group, told North Yorkshire Local Resilience Forum the hospital was treating nine patients compared with three seven days ago.

However, the number remains well below the 67 patients the hospital was treating at the height of the second wave in February.

Ms Bloor added the increase has been mirrored across the county:

“Unfortunately the number of patients does continue to rise. As of yesterday, there were 136 patients across our hospitals in North Yorkshire and York.

“This is up from a figure of 112 this time last week – and 16 of those 136 patients are in intensive care.

“If the number of patients with covid does continue to rise, it could have an impact on our hospitals’ ability to carry out planned procedures.

“We are not seeing that significantly at the moment but we do just need to keep an eye on those numbers.”

A breakdown of the figures shows there are nine patients in both Harrogate and Scarborough hospitals, 26 in York and 92 in South Tees.

Read more:

• Harrogate district charities receive £45,000 from Local Fund
• Harrogate district records 31 covid cases as rate drops dramatically

There has not been a covid-related death at the Harrogate hospital in more than three months.

This is due to high levels of vaccine uptake but Ms Bloor said there was still work to do to ensure more people are protected, particularly the younger population.

She said: “The vaccination programme is now open to all age cohorts and is particularly focusing on the younger cohorts.

“With the easing of restrictions from July 19, it is potentially understandable that younger people may feel there is now no advantage of getting vaccinated but we are seeing some younger people in hospital with covid who are actually quite poorly.

“I would continue to urge everyone to come forward for their vaccination – it is the best method of protection.”

Infection rates falling

It comes as Harrogate’s weekly infection rate continues to fall. The rate reached a record high of 534 cases per 100,000 people on July 18 and now stands at 348.

Health officials believe the drop in cases across the country could be down to schools closing for the summer holidays and people meeting up outdoors due to the recent sunny weather.

What they have said for certain though is that the number of people being admitted to hospital with covid needs to start falling as well to show that the virus is really in decline.

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

“The number of people in local hospitals with Covid over the last week has continued to increase, however, we do know that hospitalisation data does tend to lag a bit.

“If that starts to go down too, then we can start to be a bit happier that the decline in cases we are seeing at the moment is a real one.”

Harrogate and District NHS Foundation Trust has said it is “disappointed” after an anonymous e-mail was circulated criticising chief executive Steve Russell’s leadership.

A highly critical e-mail has been circulated to non-executive directors at the trust, the chair of HDFT, Angela Schofield, the Care Quality Commission and to the media.

The e-mail, which is anonymous, makes unsubstantiated allegations against Mr Russell and accuses him of being at the centre of a culture of fear at the hospital.

The sender of the e-mail said it had been circulated as there was “no other way to safely surface” the concerns and that it was sent anonymously because of an alleged “fear of reprisal”.

It goes on to say that staff and senior leaders at the hospital are scared to speak up and the reason for the e-mail was a result of “two years of sustained and escalating behaviour”.

It says:

“We are scared. They are scared. We are worried. They are worried. We/they cannot speak up openly even with our internal routes available.”

The Stray Ferret tried to reach out to the anonymous sender, but received a bounce back e-mail.

Speaking on behalf of Mr Russell and Harrogate and District NHS Foundation Trust, a spokesperson said in response:

“It’s disappointing that someone feels this way and has written what they have. We are proud that colleagues across the Trust provide high quality patient care and embody our Trust values.

“There are ways to raise concerns, including anonymously, both within the Trust and with external regulatory bodies, and we provide information and support for colleagues to do that wherever appropriate.”

Read more:

• Map shows second covid vaccine rate in Harrogate district
• Yorkshire Ambulance Service says some patients waiting ‘longer than we would like’

The trust appointed consultancy firm Deloitte to carry out a review into the trust’s culture and leadership in August 2019.

It included Harrogate Integrated Facilities (HIF), a subsidiary which runs the hospital’s estates.

The results of the review was published in a report last year.

The review found that staff view both the board of directors and executive, which includes Mr Russell, positively, with management being “frequently described as an open and inclusive team”.

However, the report found concerns over the hospital’s estates department.

Following interviews with 52 members of staff and 63 surveys, the report found “widespread concerns” over bullying, leadership and poor recruitment practice at HIF.

Behaviour cited in a report included defacing tools or belongings with offensive graffiti, collectively ignoring or ostracising people and damaging belongings of individuals, including gluing of equipment or lockers.

After the review, the hospital board agreed to launch an investigation which will be carried out by an external body into reported bullying and poor recruitment practice in the department.

A woman from Harrogate who suffers up to 20 migraine days a month says she isn’t being prescribed a set of drugs that could help her.

The National Institute for Health and Care Excellence (NICE) approved the anti-CGRP drugs for use in March 2020 yet Tiffany Snowden says the NHS in England still isn’t prescribing them.

Anti-CGRP drugs are the first medication created specifically for episodic or chronic migraines.

Ms Snowden says only other option being to buy the medicine herself at a cost of £350 per month.

Before discovering the anti-CGRP medication Mrs Snowden had been prescribed three different medications, but Mrs Snowden said they made her feel very ill.

Tiffany Snowden and her husband Matthew

Read More:

• Harrogate hospital chief executive racially abused by England fan
• Forty two new positive covid cases in the Harrogate district

Having found out that the drugs have been available in England and Wales since March 2020, Ms Snowden filed a freedom of information request to Harrogate and District NHS Foundation Trust asking how many people had been prescribed them in the district.

The trust did not meet the deadline to return the information to Ms Snowden.  A spokesperson told the Stray Ferret:

“A response to Tiffany’s Freedom of Information request will be with her shortly. We are working hard to respond to FOI requests but owing to operational pressures during the covid pandemic, replies may be delayed.

“While we are unable to comment on individual cases, anti-CGRP drugs, which currently include erenumab, galcanezumab and fremanezumab, are available as potential treatment for patients accessing services for episodic and chronic migraine. That is for those patients that fulfil the NICE criteria for their use.”

In response, Ms Snowden — who says she does fit the NICE criteria — said:

“That is great news that the hospital is able to prescribe those drugs under the NHS but it does not change the difficulty patients in our district are having in accessing them”.

The NHS North of England Commissioning Support Unit has said the drugs will be available from this month in England and Wales.