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Nurse struck off after death of disabled man

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Lorraine Stevens, 61: Struck off (pic. WNS) 

A NURSE has been struck off after a patient died from downing a bottle of washing up liquid at a care home.

Lorraine Stevens, 61, didn’t raise the alarm when the man drank from the bottle – but instead made him drink several glasses of water to dilute it.

The patient was vomiting and frothing at the mouth, but Stevens waited nearly three hours to tell anyone else that he was unwell.

And when she did finally speak to her manager Stevens failed to mention how long he had been ill for, the misconduct hearing was told.

The disabled man – referred to only as Patient A – died the next morning.

Case presenter Gregory Wedge said: “Patient A reached through an open kitchen window and grabbed a bottle of washing up liquid, from which he drank an unknown quantity.

“The washing up liquid was promptly taken away from him and it is alleged that he was given glasses of water to drink.

“About 15 minutes after the incident, Patient A allegedly began coughing, vomiting and there was some foam at his mouth. He was given more water and continued to cough and vomit for 30 to 40 minutes.”

Mr Wedge said Stevens was the only qualified nurse at Begelly Bungalow in Begelly, Pembrokeshire, which housed four people with learning disabilities.

Patient A, who had been at the managed bungalow for just four months before his death, suffered brain damage at birth and had a history of trying to drink dangerous liquids.

But Stevens didn’t raise the alarm for two-and-a-half hours after he drank from the washing up bottle, and when she eventually did still failed to tell her manager the incident had happened hours beforehand.

The man collapsed at the bungalow around 8pm, some ten hours after consuming the liquid, and died in hospital early the following morning on July 13, 2013.

The Nurses and Midwifery Council also was told Stevens later mocked up risk assessment form for Patient A on the day his family came to collect his belongings.

The form said kitchen cupboards should be locked at the bungalow – but she didn’t point out it was written after his death.

Mr Wedge said Stevens had acted “dishonestly”.

He said: “She should have admitted that there was no risk assessment in place, rather than falsifying clinical documents in an attempt to create the impression that there had been one.”

Dyfed Powys Police investigated Stevens in connection with the man’s death, but no charges were ever brought to her or employers Hywel Dda University Health Board.

Panel chair Monica French told the hearing in Cardiff that Stevens’ actions “increased the risk of harm” to her patient.

She also said Stevens’ decision to leave her shift early on the day, leaving the “deteriorating” man to be cared for by staff without medical training, placed him at “an unwarranted risk of harm.”

Miss French said: “Stevens failed to ensure that Patient A was safe and to provide him with the high standard of care expected of her as a registered nurse.

“In addition, her dishonest actions in respect of the risk assessment were inconsistent with her obligations as a registered nurse.

“There was no evidence before the panel that Stevens had any insight or remorse into the potential gravity of her actions and omissions or their impact.”

Stevens, from Pembroke Dock, was given a struck off the nurses register, and will not be able to reapply for five years.

Speaking at her home, she said: “I don’t want to talk about it.”

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Ambitious Pembrokeshire wildlife centre plans approved

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PLANS to modernise the Welsh Wildlife Centre near Cardigan with a new public entrance and a raft of other works which will make it more accessible to all have been approved Pembrokeshire County Council.

The Wildlife Trust of South & West Wales sought permission for a long list of changes at the Welsh Wildlife Centre, Cilgerran, including an extension to the visitor centre building and associated works, with a new public entrance, a new pathway connection, reconfiguration of the vehicle turning area and disabled parking bays, a replacement footbridge, and the introduction of ‘Brise Soleil’ to the south and west.

A supporting statement, by Childs Sulzmann Architects, said: “The visitor centre was built in the 1990s with an award-winning concept design. However, the usability of the building and some elements of its condition have deteriorated over the years, requiring modernisation.

“In particular, access to the visitor centre for people on the approach to the building is confusing and unclear, with external entrance doors provided at each side of the building. For instance, visitors can often be found in the offices on the lower ground floor level by mistake, whilst looking for the shop or café which are provided on the upper floors.”

The Welsh Wildlife Centre welcomes an average of 70,000 visitors per year, the statement saying: “This important local facility and visitor attraction will be enhanced and improved, by providing a clear and legible single entrance to the building, together with re-configured accessible parking bays and a platform lift for wheelchair users and ambulant disabled people to directly access the new public entrance.

“Further improvements to accessibility, which include the new external stairway to the open terrace and public entrance, the widened replacement footbridge and the connecting path to link the accessible parking area with the main footpath to the visitor centre, will contribute to the principles of promoting and providing access for all.”

Plans for a new play area at the Welsh Wildlife Centre near Cardigan were recently approved by Pembrokeshire County Council.

The latest proposals were conditionally approved by county planners.

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Haverfordwest paedophile who was on Jeremy Kyle show, jailed

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ADRIAN JOHN THOMAS, 31, was sentenced to three years in prison last month for breaching a Sexual Harm Prevention Order (SHPO) four times and failing to comply with notification requirements.

Thomas, who now has no fixed address, was originally issued the SHPO and a notification order in 2017 following his conviction for a serious child sexual offence. The court heard that he had breached the SHPO on 15 separate occasions, including his latest offences.

Upon his release from prison in October 2023, Thomas, who is well known in Haverfordwest for his ‘love rat’ appearance on the Jeremy Kyle show, initially moved to an approved address in Swansea. However, by January 2024, he relocated to Pembrokeshire, moving in with his mother, who lives in sheltered housing. Despite this, Thomas falsely registered with the police as having no fixed address, thereby violating his notification requirements.

Thomas further breached the SHPO by taking control of his mother’s iPhone against her wishes, locking it with a PIN and facial recognition. He then used the device to create two Instagram accounts, a Gmail account, and a Facebook account—all actions prohibited under the terms of the order. The court was told his actions caused significant distress to his mother, leaving her feeling trapped and powerless.

During sentencing at Swansea Crown Court on December 19, Thomas admitted to the breaches and the notification offence. His defence argued that he had moved in with his mother due to a lack of alternative accommodation and expressed remorse for his actions, adding that he had sought support for his mental health.

Judge Paul Thomas KC strongly condemned Thomas’s behaviour, stating:
“You seem completely determined to breach the sexual harm prevention order imposed after your conviction for a serious child sexual offence.
“You lied to police about where you were living. You used your mother’s phone against her wishes despite her begging you not to do so. You were on licence from an earlier offence.
“You have amassed a very bad record for offences of this type. You appear undeterrable in your refusal to abide by the sexual harm prevention order.”

Thomas was sentenced to a total of three years in prison for his latest offences.

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Health

Sir Frank calls time as Chief Medical Officer for Wales after eight years

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WALES’ leading doctor Sir Dr Frank Atherton has announced he will stand down after eight and half years as the Welsh Government’s Chief Medical Officer.

Sir Frank has provided independent advice to the Welsh Government on all major issues affecting the health sector in Wales.

During his tenure in Wales, after a previous post in Canada, Sir Frank played a leading role in Wales’ response to the Covid pandemic and has supported the NHS through flu outbreaks and annual winter pressures.

Speaking about Sir Frank’s decision to stand down, Health Secretary Jeremy Miles said: “Sir Frank has provided invaluable advice and guidance, which I am hugely grateful for.

“He played a leading role in our response to the pandemic, ensuring people throughout Wales received valuable information about the virus and about how to keep themselves and their loved ones safe. I wish him all the best for the future.”

Judith Paget, chief executive of NHS Wales, said: “Frank has shown how passionate he is about improving health outcomes for the Welsh population and has led the way on improving the quality of healthcare.

“It has been a privilege to work with him and to have the benefit of his experience and commitment to new approaches.

“He has played a crucial role in being the Welsh voice around the table with other UK Chief Medical Officers, government departments and organisations”

Sir Frank has been responsible for leading the medical profession in Wales and the development of health and care research.

Speaking ahead of leaving his post, Sir Frank said: “It has been a privilege to act as CMO and a highlight of my professional career to have served the people of Wales during this incredibly challenging time.

“I would like to thank all those other civil servants, who have worked tirelessly behind the scenes, who have assisted me for almost a decade in this role.”

Frank Atherton’s successor will be announced in due course.

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