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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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A level results still high in Ceredigion

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THE ‘A’ level examination results published today by the WJEC (15 August) show that high standards are being achieved in Ceredigion schools once again. 97.9% of entries for WJEC examinations were graded A* to E, with 27.9% of the entries achieving the top ’A’ grades.

Ceredigion pupils continue to outperform the Welsh average. More pupils in Ceredigion achieve the top ’A’ grades and A* to E grades. The below table shows a comparison with average Welsh figures. These don’t include Welsh Baccalaureate results and those from examination bodies other than WJEC.

Wales 2019             Ceredigion 2019

Grade A* – A           27.92%                    27.0%

Grade A* – B           56.0%                      n/a

Grade A* – C          77.5%                        n/a

Grade A* – E          97.9%                       97.6%

Councillor Catrin Miles is the Cabinet member responsible for Learning Services. She said, “I would like to extend my warmest congratulations once again to Ceredigion’s sixth form students for their successes in this year’s A Level and AS examinations.

These results are the culmination of a long journey through school life which has seen them nurture and develop the academic and interpersonal skills that will enable them to move confidently into higher education, training or employment in fields of their choice. I wish them good luck for the future and would like to sincerely thank all who have contributed to their school journey in any way.”

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MP Ben Lake calls for reform of police funding

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HAVING recently shadowed Dyfed Powys Police officers in Aberystwyth, the Ceredigion MP has again urged the UK Government to review the police funding formula for rural areas.

Mr Lake visited Aberystwyth police station as part of the #GiveADayToPolicing campaign, a scheme for Members of Parliament to better understand the challenges currently facing police forces across the UK.

During his visit Mr Lake had the opportunity to experience a variety of aspects of local policing – from spending time with the neighbourhood policing team, meeting officers from different departments, and discussing policing challenges with front-line police officers.

Mr Lake has challenged the UK Government on several occasions to reform the formula for police funding – highlighting the need for the funding formula to take into consideration the seasonal pressures on forces, particularly the significant increase to the population of coastal areas during the summer months.

Mr Lake said: “I am very grateful to the officers of Aberystwyth police station for their welcome, and for taking the time to speak with me. I now have a better understanding of the challenges our police officers face, as well as a deeper level of respect and admiration of their work and commitment to public safety.

“As I have previously stated, we cannot expect a one size fits all approach to work effectively across the whole of the UK, and as such, it is imperative that the criteria used to allocate the Home Office police grant are revised so that they reflect the increased demands and unique challenges facing rural forces in areas such as Ceredigion, especially during summer months.”

Mr Lake added: “It is widely acknowledged that Welsh police forces have suffered under the present funding formula, and so it is high time that the UK Government either amends the formula accordingly, or devolves the responsibility for policing to the Welsh Government so that they may do so themselves.”

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New waste trial launched in Aberystwyth

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A NEW trial has been launched in Aberystwyth as part of the Caru Aber campaign, to help keep the town centre clean on waste collection days.

Heavy duty sacks will be placed on Aberystwyth streets on Monday afternoons before the black bag collection on Tuesdays in the following streets; Portland Street, Portland Road, Queen Street, Corporation Street, Eastgate Street, New Street and Cambrian Place.

Black bags should be put in the sacks by 8am on Tuesday mornings for collection. The intention is that the sacks contain the waste until it is collected. The sacks will be retrieved after the waste has been collected to avoid clutter and obstruction on the streets.

Councillor Dafydd Edwards is the Cabinet member responsible for Highways and Environmental Services together with Housing. He said: “We see this trial as a practical and relatively cost effective way of responding to long standing issues relating to domestic waste presentation in Aberystwyth town centre. The sacks will also provide a visible reminder to residents in the town centre on what days to present their black bags.

“The trial forms part of the Caru Aber campaign, and the wider Caru Ceredigion campaign, where the council looks to work with local communities to address issues which are of concern or are important to them.

“This innovative approach is another example of positive proactive action the council is taking. We hope that the residents of the town centre will play their part by making good use of the sacks as this will be the critical factor in measuring the success of the scheme.”

Clean recycling and food waste should continue to be presented on a weekly basis in the containers that the council already provides through clear bags and food caddies.

Ensuring that the right waste is presented in the right way and on the right day will help to make sure that the town’s streets are kept clean and that the waste is contained, managed and treated in the most cost effective and environmentally friendly way as possible.

The sacks were first used in readiness for waste collections on Tuesday 6 August 2019. The initial feedback is positive as they have worked to contain the waste on the streets, which were noticeably cleaner.

This latest initiative is developing on feedback and experience from two other trials undertaken. The success of the trial will be monitored on an ongoing basis and reviewed to reflect the experience which will include looking at ways of engaging all residents.

For more information about the new scheme, please contact the Customer Services Contact Centre on 01545 570 881 or by e-mail on clic@ceredigion.gov.uk.

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