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Health

Pembroke pensioner’s death after hospital delays subject of inquest

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RUTH COLE 74, of Pembroke, died at Withybush Hospital on May 17, 2022, after waiting several hours for a critical scan. An inquest held at County Hall in Haverfordwest on October 18, raised questions about the timeliness and adequacy of her care, with testimony from medical experts and hospital staff indicating potential failings in procedure.

The inquest heard that Mrs Cole was admitted to Withybush Hospital with a high National Early Warning Score (NEWS) of 9—a marker indicating severe illness. Despite receiving initial treatment, her score climbed to 11 within ninety minutes, showing her condition was deteriorating. According to guidelines, a critical score like this should prompt a call to the hospital’s medical emergency team within two hours. However, the inquest revealed that this protocol was not followed, with significant delays in escalating her care.

Senior emergency department nurse, Nurse Dyer, who investigated Mrs Cole’s death on behalf of the health board, told the inquest: “Mrs Cole’s condition was worsening, and she should have received more urgent attention.” She added, “The body can only endure so much when faced with persistently high NEWS scores.”

After several hours, Mrs Cole finally underwent a scan, which was subsequently sent to an external company for assessment. The scan showed she had an ascending aortic aneurysm—a life-threatening condition requiring immediate surgery. Plans were made to transfer her to Morriston Hospital for emergency treatment. Tragically, before she could be moved, Mrs Cole suffered a fatal cardiac arrest at 3:50am on May 17.

The inquest presented findings from independent experts who testified about the impact of delays in her care. Dr John Heyworth, an emergency medicine expert, explained that several of Mrs Cole’s symptoms were consistent with an ascending aortic aneurysm and that the time it took for her scan and diagnosis raised serious concerns. He stated that, had Mrs Cole reached theatre at Morriston by 3:00am, her survival rate for surgery would have been between 75-90%, with an estimated 50% chance of surviving for five years.

Another expert, Mr Lall, noted that the failure to diagnose her condition earlier and arrange a prompt transfer to a specialist facility deprived her of a potential recovery. “Had she been moved sooner, there was a realistic chance of a successful outcome,” he testified.

In his closing remarks, Pembrokeshire Coroner Paul Bennett concluded: “Ruth Susan Cole died from complications due to an untreated ascending aortic aneurysm. The delayed diagnosis and transfer likely affected her outcome. In light of expert evidence, it cannot be said that her death was an inevitable consequence of her condition.”

Since Mrs Cole’s death, Withybush Hospital has implemented procedural changes, including adjustments in staffing levels, to prevent similar incidents in future. Roy Pope, Mrs Cole’s husband, also spoke at the inquest, voicing his distress and disappointment: “She went into hospital. All the signs indicated her condition was worsening. There was no intervention. Something should have happened sooner. This day should never have happened.”

Health

Hywel Dda urges responsible use of ‘under pressure’ A&E service

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HYWEL DDA University Health Board is appealing to the public to carefully consider how they access healthcare services as local A&E units, including Withybush Hospital in Haverfordwest, face increasing pressure.

A spokesperson said: “Our services are under pressure. Please help us to help you by choosing how you access our services carefully, ensuring that emergency departments (A&E) are reserved for urgent or life-threatening care needs.”

Unwell and unsure what to do?

If you’re unwell and uncertain about the best course of action, the Health Board recommends visiting the online symptom checker or calling NHS 111 Wales for advice.

When to attend A&E

Emergency Departments should only be used for life-threatening illnesses or serious injuries, such as:

  • Severe breathing difficulties
  • Severe pain or bleeding
  • Chest pain or suspected stroke
  • Serious trauma injuries (e.g., from a car crash)

Minor Injuries Units (MIUs)

For less serious injuries, MIUs offer treatment for:

  • Minor wounds, burns, or scalds
  • Insect bites
  • Minor limb, head, or face injuries
  • Foreign bodies in the nose or ear

MIUs are available at Cardigan Integrated Care Centre, Tenby Hospital, and main acute hospitals. Visit the Minor Injuries Unit page for opening hours and directions.

Urgent care, not an emergency

For urgent health needs that cannot wait but are not emergencies, call NHS 111 Wales for advice or access to out-of-hours GP services. This free service is available 24/7.

Mental health support

If you need urgent mental health support, call NHS 111 Wales and select option 2 to speak with a mental health professional. The number is free to call, even from a mobile with no credit.

Community care options

Community pharmacies offer walk-in services for common ailments such as sore throats, hay fever, and conjunctivitis. A full list of ailments and participating pharmacies can be found on the Common Ailments Service pages.

Helping reduce hospital stays

The Health Board emphasizes the importance of reducing hospital stays to ensure acute care is available for those who need it most. If a loved one is ready to be discharged, families are urged to collect them promptly to free up beds for other patients.

For more information on the inpatient experience, visit the Inpatient Information pages.

A thank you from the NHS

The Health Board expressed gratitude for the public’s cooperation: “Your support not only helps you and your loved ones but also eases the strain on NHS and social care services.”

For further updates, contact:
Hywel Dda University Health Board Media Office
Email: [email protected]

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Health

More than 300 healthcare workers from Kerala take up NHS jobs in Wales

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AN EMPLOYMENT agreement has exceeded its target for recruiting healthcare workers from India.

The Welsh Government outlined a commitment to recruit 250 qualified healthcare workers from India as part of a Memorandum of Understanding with the Kerala Government earlier this year.

The recruitment drive has outperformed that goal, with just over 300 healthcare workers taking up positions across all of Wales’ health boards and the Velindre University NHS Trust. Further recruitment is due to take place next year.

Sharoon Kolickatharayil Nowshad

The commitment was made as part of Wales in India, a year-long series of events to improve economic, educational, artistic and sporting ties between the two nations.

Sharoon Kolickatharayil Nowshad, 24, had long held ambitions to move to Wales and work as a nurse, inspired by his uncle Siji Salimkutty who began working in the Welsh NHS in 2004.

Since arriving in Wales and beginning his job with Aneurin Bevan University Health Board, Sharoon said he has reunited with his family and appreciated the kindness shown by his new colleagues.

“I was really excited to work in the NHS” Sharoon said. “It’s always been my ambition to contribute to society, and now I get to do that here in Wales.

“Everything moved quickly once I saw the opportunity to apply, and I’m proud to work for the NHS. I tell my family and friends that it feels great to help people when they need it the most.

“When you work for the NHS, it’s not just a job or salary. It’s a great life. You feel proud knowing you’ve supported and helped others.

“The NHS has given us a great opportunity and we should always work sincerely because we love our jobs. There are lots of opportunities to advance your career, your colleagues always support you and there’s a great support network.”

Sharoon said he hopes to continue his career in the Welsh NHS by progressing to become an Advanced Nurse Practitioner.

He added: “People in Wales are so kind, they always make time for us, whether that’s at work or at home.

“I would encourage anyone thinking of coming to Wales not to hesitate and to apply, it’s the best decision I’ve made.”

Dr Devangana Bora has taken up a position as a Senior Clinical Fellow in Oncology at Velindre NHS Trust. Born in Guwahati, a large city in the Northeast Indian state of Assam, Dr Bora has worked as an Oncologist since 2019.

“I was really nervous for the interview. When I got there they told me it was in three stages and I became more nervous,” Dr Bora said.

“After the interview, I was offered the job and I was so happy. I thought they were joking. I was so excited to take this next step in my career and move to Wales.

“The weather is cold here but the people are so warm. I have received nothing but support from my colleagues and generally the people in Wales are so friendly and helpful.”

Dr Bora said her sister is currently studying Medicine at university and has been inspired to move to Wales once she completes her studies.

Jeremy Miles, Cabinet Secretary for Health and Social Care, said: “Alongside continued investment in training healthcare staff in Wales, international recruitment has always been one of the ways we can help address NHS workforce vacancies.

“India and Kerala in particular has a fantastic record in training doctors and nurses. We are grateful for the commitment to delivering high-quality care our new NHS recruits have shown.

“The contribution of these healthcare workers is already being felt across our NHS and it’s wonderful to see them settling into happy lives in Wales.”

Wales in India was launched on St David’s Day, March 1, by the then First Minister Mark Drakeford and Minister for Health and Social Services Eluned Morgan, beginning a year of events and cultural engagements to strengthen links between the two nations.

One of the biggest impacts on policymaking in India drew inspiration from Wales’ innovative Well-being of Future Generations Act. Through partnership working, the Maharashtra Legislative Assembly introduced its own draft law called the Maharashtra Future Generations Welfare Bill in July.

Welsh Government, the British Council and Wales Arts International also made commitments to further cultural collaborations between Wales and India by investing in arts projects through a dedicated culture fund. With the support of these organisations, as well as the Deputy High Commission in Kolkata, Wales was recently a partner country for Hornbill, one of India’s largest music festivals, which saw Mari Mathias and Gareth Bonello perform on the main stage with Indian musicians Seyievinuo Chuzho and Benedict Hynniewta.  

In February 2025, 10 young women, chosen from 140 applicants, will travel to Kolkata to complete humanitarian work as part of a joint project with Urdd Gobaith Cymru and Her Future Coalition. The volunteers will provide support to vulnerable girls including survivors of trafficking and other forms of gender-based violence. Sport and art workshops for children will also be run by the group.

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Health

Hoax calls reach three-year high, says Welsh Ambulance Service

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THE WELSH AMBULANCE SERVICE has seen a staggering 37% rise in hoax calls over the past three years, wasting valuable time and resources, a new investigation reveals.

Data from Medical Negligence Assist highlights that over 700 hours—equivalent to nearly 29 full days—of ambulance crew time has been lost responding to malicious calls since 2021.

During this period, WAS crews attended 463 face-to-face incidents later identified as deliberate hoaxes, severely straining emergency services already under pressure.

Rise in hoax calls over three years

  • 2021/22: 334 hoax calls; 84 face-to-face responses.
  • 2022/23: 373 hoax calls; 85 face-to-face responses.
  • 2023/24: 457 hoax calls; 163 face-to-face responses.

The upward trend continues, with provisional figures for 2024/25 (April 1 to October 31) already recording 345 hoax calls and 131 face-to-face responses.

Strain across Wales

The geographic impact is widespread, with hoax calls reported in all areas of Wales. WAS officials warn that such incidents divert resources from genuine emergencies, potentially putting lives at risk.

A call to action

The 701 hours spent on hoax calls between 2021 and 2024 represent a critical drain on ambulance availability. A WAS spokesperson said: “Every minute wasted on a hoax call is a minute lost to someone in real need. These actions have serious, life-threatening consequences.”

“The Welsh Ambulance Service is urging the public to recognize the harm caused by hoax calls and act responsibly.

“For information or to report suspicious activity, contact the Welsh Ambulance Service through their official channels.”

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