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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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Intense Hopes and fears as Woodland homes to go before planners

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FINDING a home and finding a job is the most important challenge for young local people.

So the excitement is intense at the prospect of six live work units on the edge of Rosebush village, edged by the 100 acre forest. The zero carbon homes would be fuelled by wood and solar PV and be built of local timber.

The developers are Coed Preseli and Down to Earth, with the support of Cooperative Wales, PCC housing department and  the Future ‘Generations office of Welsh government. They would be rented to local people in perpetuity, at low rents, people who want to run a business from home, relating to the forest resource or supporting the local area.

Architects plan

Thirteen local young families are queuing up for the six homes, one writes: “It would be mine and my partner’s dream to have something like this project. He is a time served carpenter, spoon carver, furniture maker. He has also done some chainsaw carving. Oh and is a qualified engineer. I am a newly qualified furniture maker, and we are slowly building up a collection of tools to start a workshop of our own.”

Another said: “I used to work in forestry driving a forwarder and harvester mainly doing thinnings, but now I have become an arborist (tree surgeon) and I know Huw the forest manager has been trying to introduce pine Martins and Ospreys down here. Which a friend has been climbing the trees to put in man made nests for them and I’d love to be part of helping them”

Another works with big machinery in forests, leaving his family for long days in an upstairs flat with a small child and no access to a garden. It is hard on them. For this family too, the development would be the answer to their prayers.

The National Park Authority is recommending refusal on the plans

But The National Park Authority is recommending refusal on March 10. They give a number of reasons for rejection. The architect representing the owners have written to explain how each reason is erroneous or has been addressed.

The young families are puzzled. Under One Planet Development people can come in from away and build a home in the open countryside, but local people offered the chance of the workshop they desperately need, with a home to rent at social housing rates, on the edge of an existing village, are all turned down. There is heartbreak and bewilderment among them. 

“We are offering new businesses. We are working and paying taxes. This is our community where our families are. Don’t they want us here?” As a well known north Pembrokeshire Councillor exclaimed “What is wrong with the Park?”

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Aberystwyth walker’s 100 miles challenge in time for 64th birthday

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HYWEL DDA Health Charities has thanked epic fundraiser Annette Smith from Talybont, Aberystwyth who has raised £710 so far walking over 100 miles in 21 days, around her local area to raise money for Bronglais Chemotherapy Day Unit.

Annette normally walks at the most 60 miles a month, so the 63 year old had really pushed her limits. She started on 10 th February and finished mile 100 on Tuesday 2 nd March, ten days before her 64th birthday on 12 th March, when she’ll celebrate her achievement with some well-deserved cake!

Annette has walked every day, trying to get to walk done in the morning to give her a good start to the day.

She says “I want to give something back to our local services in the NHS. I feel incredibly lucky that my family and I haven’t been too affected by Coronavirus and I want to do my bit to help. I feel like I need to do something to say thank you.

“I also want to set myself a challenge and push myself out of my comfort zone. Something for me to feel proud of.

“I have friends who have used or are using the chemo unit and I am worried pressures on services will increase once life starts to go back to normal.”

Annette said the challenge was a test of her physical and mental grit, but added that it was lovely to explore her local area and enjoy the surroundings.

She added “I feel ecstatic that my personal challenge has raised such a goodly sum to contribute to the great work of the Chemotherapy Day Unit at Bronglais Hospital. Their work will continue beyond this current crisis. Thanks to all my supporters and it would be great to think that my efforts could raise even more!”

Hywel Dda Health Charities is the official NHS charity for Carmarthenshire, Ceredigion and

Pembrokeshire. Fundraising Manager Tara Nickerson said, “We are always grateful when people take the time to support our work, delivering services and activities above and beyond what the NHS provides. It’s truly inspiring when people who have received NHS care decide to give back as Annette has. The money she raises will directly benefit NHS patients and staff.”

There’s still time to support Annette’s amazing efforts and donate at

http://www.justgiving.com/anothersmithy

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Cardigan veteran completes three months of icy dips to raise over £4,000 for homelessness charity Crisis

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ICE, snow and rain: Bryan Larkin from Cardigan has swum through it all over the last three months, and all to raise over £4,000 to help people without a home.

A former mechanic in the Royal Electrical and Mechanical Engineers, Bryan took daily dips in December, January and February as part of homelessness charity Crisis’s Icebreaker challenge.

Shunning a wet-suit and smashing his £1,000 target, the 29 year-old has swum in the sea, rivers and waterfalls, as well as plunged into icy water buts and showered himself with cold hosepipes.

“The most challenging moments have to have been when the days were below 0°C with added wind chill and it was snowing or hailing. It meant you were cold before getting in and then even more so getting out and trying to get changed to try to warm up, while your body temperature continues to drop,” said Bryan.

Knowing that my daily efforts have inspired others to donate and take part, to raise crucial funds for homelessness and seeing where that money goes, has really kept me focused and motivated.”

Bryan said hot homemade soups have kept him going through the bad weather, along with friends and family. They also helped him with his video finale, ‘showering’ him with icy hoses, buckets, glasses and balloons of water from around the country.

After leaving the army, Bryan experienced mental health issues and a school friend who has been homeless recommended the Wim Hof Method to him. Named after the Dutch extreme athlete, it combines exposing oneself to cold temperatures with breathing techniques to improve overall wellbeing. Through researching cold water swimming, Bryan then came full circle when he discovered the Crisis Icebreaker.

He relished the opportunity to combine what he had learned with an issue he cares passionately about.

“Seeing my friend getting back on his feet is a big driver for me, even though he’s still struggling big time. It just baffles my mind that people have to live outside,” said Bryan.

Crisis provides year-round support to people without a home, whether they are sleeping rough, in cars, sheds, sofa surfing or in temporary accommodation. Through its eleven Skylight Centres across Great Britain, it provides employment, well-being and housing support to help people end their homelessness for good.

Jon Sparkes, chief executive of Crisis, said: “We are incredibly grateful to Bryan for his truly epic efforts over the last three months. The money he has raised throughout the bitterly cold winter will make a real difference to Crisis’s year-long work to end homelessness. His passion will show people without a home that they are not forgotten.”

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