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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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Parents warned to look out for respiratory illness in children

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RSV is a common respiratory illness which is usually picked up by children during the winter season

RESPIRATORY Syncytial Virus (RSV) is circulating amongst children and toddlers in the Hywel Dda area (Carmarthenshire, Ceredigion and Pembrokeshire)  

Hywel Dda UHB Medical Director and Deputy Chief Executive Dr Philip Kloer said: “Because of the COVID restrictions, there have been few cases of RSV during the pandemic, but this virus has returned and in higher numbers now people are mixing more.

“RSV is a common respiratory illness which is usually picked up by children during the winter season, and causes very few problems to the majority of children.  However, very young babies, particularly those born prematurely, and children with heart or lung conditions, can be seriously affected and it’s important that parents are aware of the actions to take.”

Parents are being encouraged to look out for symptoms of severe infection in at-risk children, including:

*a high temperature of 37.8°C or above (fever)

*a dry and persistent cough, difficulty feeding, rapid or noisy breathing (wheezing).

The best way to prevent RSV is to wash hands with soap and water or hand sanitiser regularly, dispose of used tissues correctly, and to keep surfaces clean and sanitised.

Most cases of bronchiolitis are not serious and clear up within 2 to 3 weeks, but you should contact your GP or call NHS 111 if:

  • You are worried about your child.
  • Your child has taken less than half their usual amount during the last two or three feeds, or they have had a dry nappy for 12 hours or more.
  • Your child has a persistent high temperature of 37.8C or above.
  • Your child seems very tired or irritable.

Dial 999 for an ambulance if:

  • your baby is having difficulty breathing
  • your baby’s tongue or lips are blue
  • there are long pauses in your baby’s breathing
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New Quay RNLI rescues person cut off by the tide

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New Quay RNLI returning to station with two members of the Coastguard team

NEW Quay RNLI’s inshore lifeboat was launched on service on Saturday September 11 following a report of a person cut off by the tide at Traeth Gwyn, New Quay. 

With three crew members on board the inshore lifeboat Audrey LJ it launched on service at 11.15am and did an extensive search of the beach before finding the casualty who had been cut off by the high spring tide.  

Brett Stones, New Quay RNLI’s helm said, “There was an initial confusion on the location of the casualty but an update from the New Quay Coastguard Rescue team, who had fought their way down from the cliff top through thick undergrowth, allowed us to locate the person. 

“We then transferred the casualty and two of the coastguard team onto the boat. We dropped the casualty off at Llanina Point and brought the two coastguard officers back to the lifeboat station. The inshore lifeboat was then rehoused and ready for service by 12.25pm. 

“Remember if you see if you see anyone in difficulty or you find yourself in trouble on the coast call 999 and ask for the Coastguard.” 

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Ben Lake shows support for farmers on Back British Farming Day

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Ben Lake MP, said: “I’m proud to wear a pin badge today to show my support for Ceredigion’s fantastic farmers and growers.

BEN Lake MP has today shown support for British food and farming on Back British Farming Day, recognising the crucial role farmers in Ceredigion play in producing food for the nation.

The National Farmers’ Union (NFU) provided MPs with the emblem of the day – a wool and wheatsheaf pin badge – to enable them to join the celebration of agriculture. Food and farming is a key business sector, worth more than £120 billion to the UK economy and providing jobs for almost four million people.

The NFU chose the day to launch a new report which asks for Government to complete a comprehensive report on UK food security later this year, covering the country’s production of key foods and its contribution to global food security. This would be the first meaningful assessment of UK food security in over a decade.

Commenting, Ben Lake MP, said: “I’m proud to wear a pin badge today to show my support for Ceredigion’s fantastic farmers and growers. The day presents an opportunity to thank the farmers who feed us, as well as take care of our countryside and maintain our iconic Welsh landscapes.

“I fully support the campaign which is asking us all to value locally produced food. I will be calling on Government to adopt agricultural policies that ensure farming in Ceredigion can thrive and ensure our self-sufficiency does not fall below its current level of 60%, alongside a greater ambition in promoting Welsh food to aid UK food security.”

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