Controls against list inflation appear effective, but some duplicates and deceased records remained

GP practice patient lists in Wales are in “good health overall”, with no immediate evidence of fraud found in a new data-matching exercise carried out with NHS Wales Shared Services Partnership (NWSSP), according to Audit Wales.

The pilot focused on two areas that can affect the accuracy of practice lists and, by extension, the way practices are funded: duplicate patient registrations and deceased individuals not being removed in a timely manner.

Audit Wales said the payment system for GP practices is complex, but patient numbers sit at the heart of it — creating an inherent risk that inflated lists could lead to incorrect payments. Accurate lists also support wider primary care management, including ensuring patients receive timely invitations for services such as screening and preventing people who should not be registered from blocking appointment invitations.

While auditors found no immediate evidence of fraud in the areas examined, a small number of errors were identified.

The exercise found 140 duplicate registrations to date, with a further 395 potential matches still under investigation. It also identified 15 cases where deceased individuals remained on GP patient lists, with some left on the lists for a significant period.

Audit Wales said these issues meant some GP funding had been allocated inaccurately, but the amount involved was low.

The findings suggest patient list inflation controls are generally sound in the areas covered by the pilot, though NWSSP is working to strengthen its central controls. Audit Wales also noted recent wider IT system changes affecting England, Wales and the Isle of Man.

Auditor General for Wales Adrian Crompton said data matching and other analytic techniques are becoming increasingly important as public bodies tackle risks around fraud and error.

He said: “The results from this exercise have not identified significant concerns about the accuracy of GP patient lists and that is a good thing. But there is no room for complacency. I therefore welcome the way in which NWSSP has taken forward learning from this exercise as part of wider improvements it has already made.”

The pilot compared certain personal details for permanently registered adult patients across GP lists in Wales and against UK Government death registration records. It identified just over 7,000 potential matches from around 2.7 million records processed, with most of the matches investigated by NWSSP found to be explainable false positives.

Audit Wales said the Auditor General is the independent statutory external auditor of the devolved Welsh public sector, responsible for the annual audit of the majority of public money spent in Wales.

Judge criticises “long and inexcusable delay” as Saundersfoot man is jailed for 27 months

A COCAINE dealer who tried to conceal drugs in his underwear was caught with a high-purity stash worth more than £11,000, a court heard.

Thomas Groves, 37, of Whitlow, Saundersfoot, was arrested after police stopped his car in Carmarthen on Friday, April 8, 2022.

Prosecutor Sian Cutter told Swansea Crown Court officers searched the vehicle and seized Groves’s phone. During a further search, police found a bag of white powder hidden in his underwear.

Testing showed it contained 19.5g of cocaine at 75% purity, with an estimated street value of £11,400.

Judge Paul Thomas KC criticised Dyfed-Powys Police for what he called a “long and inexcusable delay” in bringing the case to court.

The judge noted that part of the delay was caused by Groves refusing to provide the PIN for his phone, but said the police also bore responsibility because of their “tardiness”. Ms Cutter apologised to the court for the time the case had taken.

Groves pleaded guilty to possession with intent to supply cocaine. He has one previous conviction, for drink-driving in 2010.

Defence barrister Emily Bennett said Groves had recently become a father, after his partner gave birth two months ago. The court heard he was working as a supervisor at Hinkley Point nuclear power station in Somerset and was well regarded.

Ms Bennett said Groves was a cocaine user at the time of the offence and had been supplying friends. She added: “The defendant knows he faces a custodial sentence today… This will be his first experience of custody.”

Sentencing him, Judge Thomas said the delay would be reflected in the final term. Groves was jailed for 27 months and will serve half in custody before being released on licence.

He is due to face a proceeds of crime hearing in May.

GOVERNORS at Ysgol Meidrim in Carmarthenshire have published a counter-proposal to the council’s plan to close the village school, as the six-week public consultation gets underway today (Jan 16).

The start of the consultation had originally been scheduled for Tuesday (Jan 13) but was delayed after the council had not completed the Welsh-language translation of the consultation documents in time.

In a message to the Chair of Governors, Ann Jones, the council’s Chief Executive, Wendy Walters, confirmed the consultation period would begin today (Jan 16). It is expected that both the Welsh and English versions of the consultation document will appear on the council’s website.

In response, the school’s governors have released their own 73-page counter-proposal, developed since the cabinet decision in November to proceed to consultation.

The governors’ plan is to secure a viable long-term future for Ysgol Meidrim by developing the school, outside teaching hours, as a Community Hub. The document includes research and a cost-benefit analysis, along with a list of potential funding sources to support the project.

The proposal, however, depends on the school remaining open and based on the current premises, with governors arguing that the school is essential both as a focal point for young families and as a key part of the funding model.

Alongside the main document, the governors have also published a supplementary paper which sets out alternative savings the council could make — claiming it could reduce education spending by around a quarter of a million pounds without closing community schools.

Supporters say they now want the six-week consultation period to be used for detailed discussions between council officers and governors, with a view to reaching a positive outcome.

Speaking on behalf of the governors, Sian Straczek, of Meidrim, said: “As school governors at Ysgol Meidrim, we were very disappointed that we have not been given a proper chance to explore all future options for the school with council officers.

“The statutory code requires the council to have explored with us all options before proposing closure — otherwise the ‘presumption against closure’ of village schools becomes meaningless.

“We have worked hard on this carefully-costed counter-proposal to develop our school as a valuable community hub out of school hours, and hope that we will now be given the opportunity during the consultation period for practical discussions with officers in a spirit of co-operation.”

The governors have also launched a campaign logo — “Mlaen Meidrim” (“Forward Meidrim”) — as well as a campaign video highlighting the school’s importance to the local community.

On behalf of Cymdeithas yr Iaith in Sir Gâr, Ffred Ffransis said the council’s own figures suggested the financial case for closure was weak.

He said: “The council’s own figures show that there will be 39 pupils at Ysgol Meidrim in two years, and that the total saving from closing the school — after deducting additional school transport costs — is only claimed to be £13,000 a year.

“If such a school is closed, then 20 more rural Welsh-medium schools will be under threat, in a total annihilation of our rural communities.

“The governors at Meidrim, all volunteers, have produced an amazing document and deserve a proper hearing, not just the standard negative written responses. Their counter-proposal could be an exciting pilot project — both in community-based primary education and in the wider revival of Welsh-speaking rural communities.

“Over the last decade Carmarthenshire County Council has been far more open in its discussions than was previously the case, and our hope is that there will now be positive, two-way discussion rather than the usual sterile negative responses.”