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Bevan Commission launches ‘silly rules’ initiative to improve care across Wales

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THE BEVAN COMMISSION, in collaboration with Llais and the Institute for Healthcare Improvement (IHI) in the United States, has launched the ‘Silly Rules’ initiative to tackle barriers hindering health and social care services in Wales.

The initiative, introduced on November 18, aims to identify outdated or unnecessary processes that obstruct safe and effective care, offering solutions to improve services for all.

SHARE YOUR EXPERIENCES
People, communities, and health and social care staff are encouraged to contribute to the initiative by completing a survey. This will help identify processes that no longer add value and may be creating unnecessary challenges in delivering or receiving care.

Building on the success of the 2016 ‘Breaking the Rules for Better Care’ campaign by Professor Don Berwick, a Bevan Commissioner and healthcare improvement pioneer, this initiative seeks to adapt global lessons to the Welsh context. The original campaign transformed healthcare systems worldwide by addressing inefficiencies, reducing waste, and improving outcomes for both patients and professionals.

WORKING TOGETHER FOR BETTER CARE
Dr. Helen Howson, Director of the Bevan Commission, highlighted the importance of collaboration: “Often the best solutions come from the people who experience health and care services and those working in the system—both those providing and receiving care. We know there are processes and rules that may have made sense at one time but are now outdated, creating unnecessary barriers and frustration.

“By launching the Silly Rules initiative in Wales, we’re giving everyone an opportunity to help identify these. This isn’t just about finding problems—it’s about working together to create practical solutions that make health and care work better for everyone. Building on the success we’ve seen globally, we believe this initiative can transform care delivery in Wales, making it more efficient, responsive, and patient-centered.”

Alyson Thomas, Chief Executive of Llais, echoed this sentiment: “This is a great opportunity for us to join forces with the Bevan Commission to hear your ‘Silly Rules.’ Our unique role in Llais allows us to hear from people across both health and social care, giving us access to a broader range of ideas and experiences. This initiative ensures that people accessing care, along with staff, have a voice in shaping better services.”

SHAPING THE FUTURE OF CARE
Findings from the Silly Rules survey will be shared in the first quarter of 2025 with health boards, trusts, social care organisations, and communities across Wales. This collective insight will guide policymakers and leaders in removing unnecessary barriers, improving care outcomes, enhancing staff satisfaction, and ensuring a better experience for everyone.

Health and social care staff, alongside Welsh communities, are encouraged to participate and contribute to these meaningful improvements. Together, we can break down the barriers to better care.

 

Health

Doctor struck off after sexual misconduct findings at Withybush Hospital

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Tribunal rules behaviour towards junior staff was sexually motivated and predatory

A DOCTOR who worked at Withybush Hospital has been struck off the medical register after a tribunal found he sexually harassed junior colleagues and abused his position of trust.

Dr Velmurugan Kuppuswamy was erased from the register by a panel of the General Medical Council (GMC) following findings of inappropriate comments, unwanted physical contact and what was described as a pattern of sexually motivated behaviour.

The Medical Practitioners Tribunal Service heard the misconduct took place over several weeks between August and September 2021 while he was working at the Haverfordwest hospital.

The panel concluded that Dr Kuppuswamy made inappropriate remarks to female colleagues at a social event and touched staff without their consent. The behaviour was described as repeated and targeted towards more junior members of staff.

Catherine Moxon, chairing the tribunal, said his conduct demonstrated an abuse of his professional position and a failure to maintain appropriate boundaries.

The panel found that his actions undermined colleagues’ dignity and confidence and risked damaging trust in the medical profession.

Dr Kuppuswamy qualified in India in 1996. The tribunal was told he had previously been removed from the medical register in 2012 for dishonesty before being reinstated in 2020.

Despite denying the allegations and pointing to his clinical competence, the panel ruled that the nature of the misconduct was serious and not easily remediable.

In its determination, the tribunal said erasure was necessary to protect the public and maintain confidence in the profession. His name has now been removed from the medical register with immediate effect.

Withybush Hospital is part of Hywel Dda University Health Board, which has not commented publicly on the outcome of the hearing.

 

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Herald journalists to feature in true-crime documentary on local lockdown murder

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Episode of the BBC’s The Truth About My Murder spotlights the Herald’s in-depth reporting, community devastation, and the chilling sequence of events in Judith Rhead’s killing

THE EDITOR and deputy editor of The Pembrokeshire Herald—Tom Sinclair and Jon Coles—are key contributors to a major BBC documentary revisiting one of Pembrokeshire’s most shocking crimes: the murder of 68-year-old Judith Rhead by her son Dale Morgan during the 2021 Covid lockdown.

Died in 2021: Judith Rhead

Titled A Killing in Lockdown, the episode from the forensic pathology series The Truth About My Murder (featuring experts like Dr. Richard Shepherd) becomes available on BBC iPlayer from Tuesday, February 3, 2026, with a BBC One airing scheduled for Tuesday 24 February 2026 at 10:40pm.

The programme reconstructs the brutal attack on Judith in her Market Street flat, Pembroke Dock. Her body was discovered on February 20, 2021, after a neighbor’s concern prompted police to force entry amid an open window in winter. Post-mortem findings revealed around 14 hammer blows to the head and asphyxiation via a plastic bag tied over her head, with defensive injuries indicating a desperate struggle.

The Herald’s coverage and contributors’ insights

The episode examines how The Pembrokeshire Herald reported the unfolding story under lockdown restrictions, from early suspicious-death coverage to the murder probe, Morgan’s disappearance and eventual arrest, his guilty plea in August 2021, and life sentence (minimum 21 years, 6 months) in October 2021 at Swansea Crown Court.

Herald editor: Tom Sinclair

Tom Sinclair and Jon Coles provide insider perspectives on the newspaper’s role. Sinclair details the chronological build-up—what led to the attack, the prolonged concealment, and discovery.

“It was one of those stories that stopped people in their tracks,” Sinclair says. “Everyone knew Judith—she was warm, loved music and singing, and was deeply involved in the community. Lockdown meant no casual visits or check-ins; that isolation let this go unnoticed far too long.”

Jon Coles complements this by highlighting the day-to-day challenges and community pulse—gathering neighbour accounts, navigating restricted access, and capturing the profound local shock when the son’s involvement emerged. Their combined input underscores how local journalism bridged gaps during the pandemic, helping residents process the betrayal while feeding into the national forensic narrative.

Community shock and broader lessons

Hundreds defied restrictions to line streets for Judith’s funeral, reflecting her esteem and collective grief over a matricide enabled by isolation. The episode also explores rarer forensic/psychological aspects of such killings and pandemic vulnerabilities for the elderly.

For local viewers, seeing both Herald leaders on screen highlights the value of regional media in truth-seeking during crises. Stream from February 3 on iPlayer to witness how their reporting contributed to this sobering revisit.

 

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Policing powers stay with Westminster as devolution debate reignites in Wales

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THE UK GOVERNMENT has ruled out handing control of policing and criminal justice to Wales, triggering fresh political debate over whether the Senedd should ever take responsibility for law and order.

South Wales Central Conservative MS Andrew RT Davies said ministers were “right” to block further devolution, warning that separating Welsh forces from England would weaken efforts to tackle organised and cross-border crime.

His comments follow an exchange in the House of Commons, where Liz Saville-Roberts pressed the Home Secretary on transferring powers to Cardiff Bay. The Government confirmed it does not believe policing and criminal justice should be devolved.

“Must reflect the reality on the ground”

Mr Davies said proposals from Plaid Cymru and other devolution campaigners ignore how crime and communities operate in practice.

“The Senedd must not be put in charge of policing,” he said.

“Senedd ministers have an appalling track record on law and order. As senior police officers say, reforms must reflect the reality that many Welsh communities look east towards England far more than they do to other parts of Wales.”

Senior officers have echoed that concern.

Amanda Blackman, Chief Constable of North Wales Police, recently said her force area is “very much connected from a criminality perspective” to Merseyside and Cheshire.

“Our population move, if you like, is more east to west, west to east than it is north to south,” she said, pointing to the daily flow of commuters, shoppers and offenders across the border.

Long-running constitutional argument

Wales currently has four territorial forces – Dyfed-Powys, South Wales, Gwent and North Wales – but funding, legislation, prisons and the courts all remain under Westminster control.

Supporters of devolution argue this creates a “jagged” system, where services like health, housing and education are run by the Senedd but justice is not.

Plaid Cymru has repeatedly called for Wales to follow Scotland and Northern Ireland, both of which run their own justice systems.

They say decisions made in Cardiff could better reflect Welsh priorities, invest more in prevention, and link policing with mental health, youth services and social care.

A Plaid source said: “Communities in Wales should not have to rely on London to decide how their streets are policed. Justice should sit alongside the other services that deal with the causes of crime.”

Cost and complexity concerns

But critics warn that splitting away from England could come at a high price.

Establishing a separate legal and prison system would mean new administrative structures, courts oversight, inspection bodies and funding arrangements.

There are also practical questions around serious organised crime, counter-terrorism and specialist units that currently operate across England and Wales.

Former policing leaders have previously cautioned that criminals do not respect borders, and intelligence-sharing could become more complicated if systems diverge.

For rural areas such as Mid and West Wales, including Pembrokeshire, officers often work closely with English counterparts on drugs, county lines and cross-border burglary gangs.

Little appetite for change – for now

With the current Government making clear it has no plans to devolve the powers, the issue appears unlikely to change in the short term.

However, with constitutional reform regularly debated ahead of future elections, policing remains a live political question.

For now, responsibility for law and order stays firmly with Westminster – but the argument over who should control Wales’ justice system looks set to continue.

 

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