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27 care failings before baby’s stillbirth

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A DOCTOR whose conduct of a difficult birth was heavily criticised by the General Medical Council remains on the GMC register as a member of staff at Hywel Dda UHB.

Alan Treharne qualified for appointment to the specialist register as a consultant obstetrician in October 2016.

On March 12, 2017, was responsible for the management of the delivery of a child following a complex and difficult pregnancy.

Arthur Wyn Jones was stillborn and Dr Treharne’s conduct of the birthing process was panned by a subsequent investigation.

Kara Jones and her partner Sam Penfold from Tre’r Ddol originally attended Bronglais Hospital. However, due to Ms Jones’ Type 1 diabetes, the pregnancy was complicated and Ms Jones was directed to the notionally safer consultant-led facility at Glangwili, almost three hours’ drive from her home.

In a report on S4C’s Newyddion Nawr on Tuesday (Aug 13), the couple said during the pregnancy became increasingly concerned over both the consistency and standard of care they received at Glangwili’s Ante-Natal Unit.

“We didn’t have a clue. Had no idea what was going to happen. Every time we went back there [Glangwili], they told us ‘we’re not sure about this, we’re not sure’,” she said.

Their baby, Arthur Wyn Jones, died 24 minutes after being delivered on March 12, 2017.

Ms Jones said that her reports that the baby had stopped moving were brushed aside and that her concerns about the course of her pregnancy as she approached the delivery date were similarly ignored.
Newyddion Nawr, which had a copy of an internal Hywel Dda UHB investigation, reported that medical staff ‘missed [numerous] opportunities to acknowledge the complexity of the pregnancy”

The failings in the care given to Kara Jones and her unborn child included several failings to act on abnormal scan results and not acting quickly enough to deliver Arthur when there were clear indicators the birth was going badly wrong.

Newyddion Nawr reported that the Board identified 27 separate indicators which should have raised the alarm were missed or ignored by medical staff during the pregnancy.

The consultant obstetrician responsible for overseeing the delivery received a formal warning from the General Medical Council in June last year. That warning expired just over six weeks ago, on June 29.

No restriction was placed upon Dr Treharne’s practice despite the content of the warning, which reads: “Dr Treharne failed to obtain an adequate clinical history for the patient; failed to adequately assess readings of foetal heartbeat and contractions; did not arrange continuous monitoring; did not appreciate the full significance of the clinical risks; and wrongly concluded that there was no immediate urgency to deliver the patient’s baby. The baby was stillborn.

“This conduct does not meet with the standards required of a doctor. It risks bringing the profession into disrepute and it must not be repeated. … Whilst these failings in themselves are not so serious as to require any restriction on Dr Treharne’s registration, it is necessary to issue [a] formal warning.”

Dr Treharne is shown on GMC records as a member of staff awaiting revalidation by Hywel Dda Health
Board. The responsible officer for revalidation is shown as Dr Philip Kloer, Executive Medical Director and Director of Clinical Strategy for the Health Board.

Responding to the Newyddion Nawr report, the Director of Nursing, Quality and Patient Experience for the Board, Mandy Rayani, said: “On behalf of Hywel Dda I wish to offer our sincere condolences and apologies for the distress experienced by Ms Jones and her family.

“A thorough investigation was undertaken by the health board as well as the GMC. This resulted in a number of recommendations to change procedures and clinical pathways.

“Additional learning and training for the whole multidisciplinary team have taken place across the health board area. We wish to provide assurance that all of these recommendations have been implemented.”

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Views sought on Aberaeron coastal defence scheme

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ABERAERON has a dynamic coastline with a legacy of flooding and damage from storms. These events continue today and with the onset of climate change and the predicted rises in sea levels these events are likely to increase in frequency and severity. Aberaeron is exposed to a wide range of wave conditions from the North-West and South-Westerly directions; with storm waves entering through the harbour entrance causing overtopping of the harbour walls and in extreme conditions overtopping the inner secondary wall. Storms in December 2013, January 2014 and October 2017 led to the closure of Quay Parade and overtopping of the current defences within the harbour and south beach.

Councillor Dafydd Edwards, Cabinet Member with responsibility for Highways and Environmental Services said, “Ceredigion County Council along with the Welsh Government are committed to protecting the town. The Welsh Government have provided funding to design a scheme that will prevent the surrounding area suffering from future storms. It is predicted that 168 properties will be at risk of flooding by 2111 if nothing is done. The Council has engaged Atkins Consultants to design such a scheme. After investigating the effectiveness of various coastal defence options, they are seeking views on the scheme that is being put forward as the modelling confirms that it meets the current and future flood protection requirements.

The main aims are to protect the coastline from rising sea levels and storms; to protect people and property from flooding and to reassure residents and businesses that measures are in place to prevent flooding and coastal erosion. Opportunities for improved facilities, connectivity, investment and the re-design of open space within the harbour will be provided within the scheme and it will also enable other investment opportunities to be investigated.”

The Council is undertaking a public consultation which will allow residents and visitors to provide their views on the scheme. This which will include changes to South Pier, an extension to North Pier and the introduction of flood defence walls around the harbour areas. Feedback received will be taken into account during any detailed design for the scheme.

The consultation is available on the Council’s website at www.ceredigion.gov.uk/consultations with an opportunity to provide feedback. The consultation is open from 22 September 2020 until 20 October 2020. Due to the current Covid-19 pandemic restrictions, the public consultation will be held on-line only. Should you have any queries, contact clic@ceredigion.gov.uk or 01545 570881.

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Lampeter to have its say on £10,000 funding for community groups

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Community groups in Lampeter will soon have the chance to apply for funds from a pot of £10,000
committed by Dyfed-Powys Police Police and Crime Commissioner Dafydd Llywelyn.
The commissioner has called on groups to take advantage of funding for projects that aim to
improve safety in the area.

Mr Llywelyn has committed £140,000 for Neighbourhood Policing Teams to spend within the
communities they serve. Each team will receive £10,000, with communities themselves voting on
how the money is allocated.

Lampeter is next on the list of events – and the NPT is calling on partner organisations and people
who live or work in the town to join forces and form a community planning group to make key
decisions.

Mr Llywelyn said: “I have committed to fund this new and innovative approach to community
funding as I think it’s vital that local residents have a say in how money is spent in their local area.
“They are best placed to work with the police, and indeed other partner agencies, to identify where
the money is needed and what would most benefit the local communities.
“Communities should be influencing the decisions.

“I urge the various community groups in Lampeter to consider the funding that I have made
available, and to contact the Lampeter NPT to discuss ideas, so the whole community can work
together to improve community safety.”

The planning group will attend several meetings – either socially distanced or online – over the next
few months to agree on key decisions and planning. Details will then be released on how groups can
apply for the funding, and an event will take place, giving people a chance to vote on which projects
should benefit.

Superintendent Ifan Charles, force lead on participatory budgeting, said: “Participatory budgeting is
a way of giving communities a greater say in how their community evolves.

“Problem solving to find long term solutions to solve the issues that cause communities the greatest
harm, is at the core of our new neighbourhood policing model.

“Through informed community engagement and problem solving, the new neighbourhood structure
should reduce the long-term harm for our communities and with that, demand on our response
officers, but this will only work if our communities and partners are equally engaged.
“Participatory budgeting has worked really well elsewhere and I’m really excited to lead the
introduction of this innovative approach here.”

If you live, work or play in Lampeter and would like to be involved, or if you have any questions,
please register an interest at LampeterPB@dyfed-powys.pnn.police.uk
Follow the NPT on Twitter at @LampeterPolice for further updates. #LampeterPB

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Newtown: Online threat to ‘use of firearms at a school’ lead to swift police action

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DYFED-POWYS POLICE was made aware this morning, the force said, of “utterly irresponsible and scaremongering posts” on Facebook, suggesting that the authors of the posts were going to use firearms at a school in the Newtown area.

The posts were by individuals local to Newtown, and police acted swiftly to address this, which resulted in the arrest of three local men, aged 20, 21 and 27 on suspicion of malicious communications and public order. As part of the initial response schools were also given advice to be vigilant.

A spokesman said: “Understandably the posts caused serious concern in the area, and unfortunately the subsequent rumours led to misunderstandings. This is turn led to calls to the police alleging there was a man with a firearm seen outside Newtown High School.

“Police had to respond appropriately to these calls based on the threat allegedly posed, and a firearms unit was sent to the school. We can confirm that there was no man at the school, and when we have delved further into the detail of the calls, it has transpired that they were as a result of the rumours circulating, and not based on first-hand accounts.

“Police have also carried out thorough searches as a result of the arrests, and no weapons have been recovered. The local Neighbourhood Policing Team will also be present at the school at home time to reassure and inform parents, pupils and staff.

“We hope this clarification will reassure the community of Newtown that there is no threat to schools in the area, and the matter was dealt with seriously and swiftly. We would also appeal to everyone to stop sharing the posts and any associated rumours, in order to prevent any further unsubstantiated fear and alarm in the area.”

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