News
“Significant failures” at Withybush Hospital led to 92 year old being discharged with fractured ribs and punctured lung
AN INQUEST last Thursday (Jul 28) has concluded that there were “significant failures in the diagnosis and treatment” of 92 year old Dorothy Violet Mancey, of Kings Terrace, Newport, who was sent home from Withybush Hospital with fractured ribs, a punctured lung and a cannula in her arm.
On March 24, 2013, Mrs Mancey fell in her home and paramedics were told that she had pain on the right side of her chest, which lead to them identifying bruising and reddening.
Upon arrival at the hospital, she was examined by a triage nurse who prescribed her a blood thinner, warfarin. The on-call doctor recorded this prescription and requested to see x-rays of Mrs Mancey’s injuries.
She was referred to a senior colleague as the staff had trouble interpreting the results of these x-rays and was later discharged at 5:45am. Her records were updated to say that nothing abnormal had been found and she was prescribed diclofenac, which is an anti-inflammatory.
Her daughter, Cynthia Fells, accompanied her during her visit to the hospital.
The x-rays actually showed that Mrs Mancey had several rib fractures and a puncture of the lung – pneumothorax.
Once she had returned home, Mrs Fells realised that a cannula was still in her mother’s arm and the district nurse was called so it could be removed safely. The district nurse then told Mrs Mancey that it would not safe for her to take diclofenac as it should not be mixed with warfarin.
This lead to concerns that the x-ray had not been properly explained to the family and the district nurse contacted Mrs Mancey’s GP, who suggested she return to the hospital. The GP also looked at the x-rays herself and contacted the hospital to inform them she believed the x-rays had been misread and that the diclofenac prescription was not safe.
According to Mrs Fells, her mother refused to return to the hospital following her GP’s advice because of the poor treatment she had already received.
On April 3 the GP visited Mrs Mancey in her home where it was agreed that she should be admitted to the Parc y Llyn nursing home.
As her health worsened, she was re-admitted to Withybush Hospital on April 12. She died on April 23.
The solicitor for Hywel Dda University Health Board, Claire Rawle, said at the inquest that a full investigation into the care given to Mrs Mancey was carried out and all of the issues identified from her case had been acted upon, which included additional training to identify fractures and ensure patients are discharged correctly.
Maggie Hughes, the solicitor for Mrs Mancey’s family, said: “When Mrs Mancey was admitted it was hoped these measures would have been in place and been acted upon that night. What will give them some comfort is that these inactions are not repeated in the future.
Mandy Davies, Interim Director of Nursing, Quality and Patient Experience for Hywel Dda University Health Board said: “We wish to offer our sincere condolences to Ms Mancey’s family for their loss. We have formally responded to the family to unreservedly apologise for the failings in the Health Board’s treatment provided to Ms Mancey in 2013 and for the distress caused to her and her family.
“We have undertaken a thorough investigation which revealed shortcomings in our management of Ms Mancey’s care, and in the discharge process.
“We wish to reassure Ms Mancey’s family that we have taken this matter extremely seriously and took immediate action to address the issues, which include improvements to our discharge processes and a programme of training on the interpretation of x-rays for medical staff.”
Mark Layton, Coroner, concluded the inquest saying there had been “significant failures in the diagnosis and treatment” that Mrs Mancey had received.
He commented on the changes implemented by the health board, saying: “If this situation emerged today, it would have been addressed in a different way”
Crime
Man spared jail after baseball bat incident in Milford Haven
Judge says offence was so serious only a prison sentence was justified
A 44-YEAR-OLD has been given a suspended prison sentence after admitting carrying a baseball bat in a public place during an incident in Milford Haven.
Ian Parker, of Cwrt Garreg, Cefn Glas, Bridgend, appeared for sentence at Haverfordwest Magistrates’ Court on Tuesday (Dec 9).
The court heard that on Tuesday (Oct 29), Parker travelled to Prioryville, Milford Haven, where he was found in possession of an offensive weapon — a baseball bat — without lawful authority or reasonable excuse.
Earlier hearings were told that Parker believed his son was at risk and had travelled from Bridgend to Milford Haven. During the incident, another man was struck with the bat before Parker left the scene. Parker later admitted the offence and entered a guilty plea on November 18, with sentencing adjourned for a pre-sentence report.
Passing sentence, District Judge M Layton said the offence was so serious that only a custodial sentence could be justified.
Parker was sentenced to 36 weeks’ imprisonment, but the sentence was suspended for 24 months after the court accepted there was a realistic prospect of rehabilitation.
He will be subject to 24 months of supervision and must complete 200 hours of unpaid work within 12 months. The court also imposed a rehabilitation activity requirement of up to 25 days, requiring Parker to attend appointments and take part in activities as directed by probation services.
The baseball bat was ordered to be forfeited and destroyed under the Prevention of Crime Act 1953.
Parker was also ordered to pay £85 in prosecution costs and a £187 surcharge, to be paid in full within 28 days.
The judge warned that any breach of the suspended sentence order could result in the prison term being activated.
Business
Independent brewers join call for business rates relief as pub closures feared
INDEPENDENT brewers have joined growing calls for urgent, pub-specific relief on Business Rates amid fears that community pubs across west Wales and beyond could be forced to close.
The Society of Independent Brewers and Associates (SIBA) has warned that changes announced in the Autumn Budget will see pub costs rise sharply over the next three years, with the average pub facing a 76% increase in Business Rates. By comparison, large warehouse-style premises operated by online and technology giants are expected to see increases of around 16%.
The issue will be discussed at a meeting taking place on Monday in Saundersfoot, where local publicans, small brewers and business representatives are due to come together to examine the impact of rising Business Rates and escalating operating costs. The meeting is expected to focus on the future sustainability of community pubs, particularly in coastal and rural areas where they often act as vital social hubs as well as key local employers.
Independent breweries are particularly exposed, SIBA says, as the vast majority of their beer is sold through local community pubs. Many small breweries also operate their own pubs or taprooms, meaning they are hit twice by rising rates. Some independent brewers have reported rateable value increases of up to 300%, creating new costs they say will be extremely difficult to absorb.
New industry research published on Thursday (Dec 12) suggests that introducing a pub-specific Business Rates relief of 30% from April 1, 2026 could protect around 15,000 jobs currently under threat in the pubs sector and help prevent widespread closures.
The call for action follows an open letter sent last week by SIBA’s board, expressing deep concern at the impact of the Budget’s Business Rates decisions on the hospitality sector.
Andy Slee, Chief Executive of SIBA, said: “The last orders bell is ringing very loudly in our community pubs after the shock changes to Business Rates in the Budget.
“Publicans and brewers feel badly let down by a system that still isn’t fairly addressing the imbalance between big global tech companies and small business owners.
“We were promised proper reform of Business Rates in the Labour manifesto last year and a rebalancing of the tax regime, but this has not been delivered. Pubs therefore need urgent help to address the planned increase in costs through a pub-specific relief, followed by full and meaningful reform.”
Those attending Monday’s meeting in Saundersfoot are expected to consider how local voices can feed into the national debate and press for urgent action to protect community pubs across Pembrokeshire.

Community
Annual charity carol service raises funds for good causes
MID and West Wales Fire and Rescue Service held its annual Charity Carol Service on Wednesday (Dec 10) at Ebeneser Baptist Chapel in Crymych.
The event brought together members of the local community alongside Fire Service staff for an evening of carols, readings and festive refreshments, marking the Christmas season in a warm and inclusive atmosphere.
This year’s service supported two important charities — the Fire Fighters Charity and Cancer Research Wales — with all proceeds going directly towards their ongoing work.
A total of £597 was raised on the night, which will be shared equally between the two charities.
The Service thanked the congregation at Ebeneser Baptist Chapel for hosting the event, as well as everyone who gave their time, support and generosity to make the evening such a success.

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Tomos
August 4, 2016 at 6:35 pm
“Lessons have been learnt, the chief exec will not fall on his sword as they did in the past when they had a modicum of decency