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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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Omicron ‘challenging all parts of healthcare provision’

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THE INCREASING challenge on healthcare from the Omicron variant is currently affecting all parts of healthcare, including GP, dental, pharmacy and optometry provision, Hywel Dda health board has said in its latest press release.

GP Practices across Carmarthenshire, Ceredigion and Pembrokeshire remain under considerable pressure and as a result, more appointments may be offered over the telephone or online.

The board is giving the following advice to service users: “If you are asked to attend the surgery in person, please do so alone unless you need assistance, and remember to wear a face mask.

“Most Practices have online systems, such as E-Consult or Ask My GP, to allow patients to ask a non-urgent question about their health. Please see your Practice’s website for more information.

“My Health Online remains an online 24/7 option for ordering repeat medication; designed for patient convenience and especially useful for those who are self-isolating or shielding. Patients can register for this through their GP practice. Please allow extra time when ordering prescriptions.

“Telephone triage systems are in place in the majority of surgeries to ensure that a patient speaks to a clinical member of staff about their health.

“If a patient needs to be seen in person, the surgery will make an appointment with the most appropriate healthcare professional for their needs.

“Due to staffing issues we have also seen in recent weeks an impact on service pressures in community pharmacies, dentists and optometrists. We continue to work with all of our Primary Care services to make sure that we are able to provide timely and appropriate care but ask that patience and kindness is shown to staff as they are working very hard to try to deliver the services that patients can normally expect to receive from them. 

“Services may vary depending on individual dental practice circumstances, please ensure that you contact your practice who will be able to advise appropriately.

“You may find that you have to wait a little longer than normal to receive your prescribed medication and we would ask that you allow seven days for any repeat medication.”

Jill Paterson, Director of Primary Care, Community and Long Term Care for Hywel Dda University Health Board said: “We wish to reassure patients that GP services are still available to you. When you contact your practice, you will speak to the most appropriate person for your condition and if you need to be seen in person, you will be given an appointment at the practice.

“It may take longer than normal to get through on the phone and you may wish to contact your doctor’s surgery online, if possible.

“We have had reports of verbal abuse targeted at Primary Care staff and this will not be tolerated; please remember they are working very hard to help their patients and we thank you for your patience at this time.

“Many conditions can be treated over the phone with advice and if required, a prescription can be issued to your nominated pharmacy. Please do not put off seeking treatment.

“Pharmacies offer a wide range of services including treatment for minor ailments. Please be aware that pharmacies are also operating at capacity and you may have to wait longer than usual.”

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Education

Review to be held on the post-16 education provision in Ceredigion

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The last review on post-16 provision in Ceredigion took place in 2007-2008

A REVIEW will be held in the near future to gather information and facts about the post-16 education provision in Ceredigion.

The review will coincide with the reforms made through the establishment of the Commission for Tertiary Education and Research (CTER), which is responsible for overseeing the post-16 sector in Wales, along with the recommendations made by Estyn Thematic Review on post-16 partnerships.

The last review on post-16 provision in Ceredigion took place in 2007-2008, therefore it was agreed during a Cabinet meeting held virtually on 11 January 2022 that it would be timely to undertake a further review.

Councillor Catrin Miles, Cabinet Member with responsibility for Schools, Lifelong Learning and Skills, Support and Intervention, said: “It is timely to conduct a review of post-16 provision to gather facts and views on what works and what can be developed.”

It was noted that there were 701 pupils in years 12 and 13 in all Ceredigion schools in January 2020. It was also added that less than 5 pupils were following 51 of the 199 A Level courses provided in Ceredigion schools during the academic year 2021-2022.

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Boris Johnson apologises over latest No.10 party revelations saying it was ‘work event’

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THE PRIME MINISTER says he thought party in March was a ‘work event’ but concedes he should have stopped the gathering on May 20, 2020.

In Prime Minister’s questions on Wednesday (Jan 12), he apologised to the public and said that “I wish that things had been done differently on that night.”

But Boris Johnson said that Labour will have to wait for the outcome of an inquiry to know the exact details of what happened that night.

Labour Leader, Keir Starmer said Matt Hancock resigned when he broke the rules, and Allegra Stratton resigned for laughing about rule breaking. Why does the PM think the rules don’t apply to him. Boris Johnson says that is not what he said.

Starmer said the PM originally said he had been assured there were no parties. Then the video landed, and he pretended he was sickened by the parties. Now it turns out he was at the parties. Starmer added that it was his opinion that the public think he is “lying through his teeth”.

Tory MPs objected, on the grounds that MPs should not accuse each other of lying. Sir Lindsay Hoyle, the Speaker, defended Starmer, saying he is talking about what the public think.

Johnson said he does not accept that. He added a laywer should wait for the facts.

Keir Starmer said that he spoke last night to a woman, Hannah, whose father died last May. She met Johnson last year, and Johnson told her that he had done everything possible to protect her dad. Hannah now knows her father’s death certificate was signed on the day of the party. Does the PM understand how she feels?

Johnson said he understands how she feels. He wanted to apologise. But the government has been doing what it can to protect people. It has the most tested population in Europe. And it has had the fastest vaccine rollout in Europe, and one of the fastest in the world. Apologising again, the PM said: “Whatever mistakes have been made on my watch, for which I apologise, that is the work that has been going on in Dowing Street.”

Simon Hart MP: We have to get to the bottom of this

Simon Hart, the Welsh Secretary, and MP for South Pembrokeshire and West Carmarthenshire, has become the first cabinet minister to publicly express concerns about the latest partygate revelations.  Simon Hart said this morning: “We’re in the middle of an investigation, that was set up by the PM to get to the bottom and to get to the truth about what was reasonable at the time and what wasn’t. It’s frustrating to have to rely on the investigation and we must be careful to not pre-judge that or what the PM will say in a few minutes’ time.

“The one thing I’m not going to do is make light of something that is unquestionably something of a significant public concern.

“I don’t live on a different planet. The frustration and the hurt and indignation and the incredulity that emerging stories like this produce. I’ve got, like everyone, family and friends asking me these questions. We have to get to the bottom of this.

“Judgment will need to be made about what happens next.”

There is some excellent detail about the No 10 party on 20 May 2020 in the Times today. The paper reports that Martin Reynolds, who sent out the email invitation to around 100 staff as the PM’s principal private secretary, became “panicky” in advance of the event, because staff were concerned it was against the rules, but decided cancelling the event would make things worse. The paper reports: “That afternoon, staff began preparations. A row of tables was set up on one side of the garden to act as a bar. In the garden itself more tables were set up in a layout to encourage people to observe social-distancing rules.

“Officials and advisers began arriving shortly after 6pm. While many stayed away, about 40 came. Many took up Reynolds’ suggestion in his email that they should “BYOB” — bring your own booze — taking a trip to the Tesco Express next to Westminster station. The drinks table was well stocked with gin, rosé, red wine and white wine, and guests began to arrive and mingle.

“Two sources said that the prime minister attended, with one saying he was “wandering round gladhanding people”. His fiancée Carrie Symonds, whom he married last year, also attended and was said to have been drinking with Henry Newman, then an adviser to Michael Gove and now a senior figure in No 10.

“The Times has been told that one senior official at the event joked about the risk of surveillance by drones, which was viewed as a tacit admission that the rules were being breached.”

Police in England issued 118,419 fines for breaking lockdown rules between 27 March 2020 and 17 October last year. That included 800 fines in the week when the No 10 party was held on 20 May 2020.

In London 17,745 fines were issued between March 2020 and October last year, including 113 for holding illegal gatherings of more than 30 people.

Ed Davey, the Lib Dem leader, said: “Thousands of Londoners have been fined for flouting lockdown rules during the pandemic. It would be double standards of the worst kind for the police to turn a blind eye when those in No 10 have done the same.”

Carmarthen East and Dinefwr MP, Jonathan Edwards, questioned the British Government on the floor of the House of Commons this week with regard to the ongoing allegations facing the Prime Minister and his Cabinet.

Allegations of a party held by government members and officials during May 2020 continue to plague the Conservative administration, with pressure mounting on the British Government over the past few days.

With an investigation into these claims commissioned, Jonathan Edwards MP questioned the government on what they believed would be an appropriate political sanction should the investigation conclude that a party was held and that the Prime Minister, or other Ministers attended.

The response came that it was not appropriate to comment on this hypothetical situation, and that they would await the results of the independent investigation.

Speaking outside the Chamber, Mr Edwards said: “I have been contacted my several constituents in the past few days outlining their shock, their disappointment, and their anger at the current allegations that this Government faces.

The stories they have shared with me of enormous personal sacrifice, of funerals held over video calls, and of elderly family members unable to see their loved ones in the flesh, have been emotionally powerful, and I thank them for sharing those experiences with me.

Should the allegations of Government Ministers attending a party at this very same period prove to be true, it will fly in the face of the collective struggle that everyday people have endured for almost 2 years now, and it will finally confirm what many of us here in Wales have already theorised: that the political ruling class in Westminster do not care about the citizens that they represent.”

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