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65 ‘never events’ in Welsh hospitals over three years

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A TOTAL of 65 ‘never events’ have occurred in Welsh hospitals over the last three years, including surgery on the wrong eye, foreign objects left in patients after surgery, and a hip replacement on the incorrect hip.

So-called ‘never events’ are incidents which should never happen in a clinical environment, and a worrying 21 were recorded in 2017/18.

It follows 21 in 2016/17 and 23 in 2015/16.

Almost a third of all ‘never events’ over the last three years (20 of 65) were recorded as a result of foreign objects being left in patients after surgical procedures, and there have been a shocking 16 incidences of surgery having been carried out on the wrong site – including an incorrect hip replacement, and surgery in the wrong part of a patient’s spine. There was also an incident in 2015/16 where a patient fell out of a ‘poorly constructed’ window.

The annual reports show that over the last three years Abertawe Bro Morgannwg and Cardiff and Vale health boards recorded the most never events – 18 and 16, respectively.

They were followed by Betsi Cadwaladr (11), Cwm Taf (8), Aneurin Bevan (7), and Hywel Dda (4) health boards. Last year, Public Health Wales also had once never event. Powys have had none.

Shadow Health Secretary, Angela Burns, said: “There’s always the potential for human error, but when NHS staff are under immense pressure – dealing with more patients than ever whilst being under-resourced – that margin for error widens.

“Fortunately, the vast majority of patients receive extremely high levels of compassionate care when encountering the NHS. But these figures remain stubbornly high, and patient safety has been seriously jeopardised on occasions.

“These are ‘never events’ – incidents that should never have occurred. But they are continuing to happen, leaving lasting, potentially life changing consequences on individuals. This is unacceptable and we need to greater instil a culture of learning, responsibility and accountability in to our NHS as we transform our services for the future.”

Crime

Motorist jailed over death of popular Tenby taxi driver ‘Mukka’

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MOTORIST Mateusz Sikorski, 30, was sentenced to two years and four months in prison at Swansea Crown Court on Friday (Nov 8) for causing death by dangerous driving.

Addressing the court, the judge HH Geraint Walters KC, said: “These cases are amongst the most difficult that courts have to deal with. This wasn’t a momentary crossing onto the other carriageway; you were travelling along there for at least half a mile.”

Sikorski had been staying with friends in Manorbier, Tenby, since June 2024, when the fatal incident occurred.

On September 2, CCTV captured Sikorski driving on the wrong side of the A4139 between Tenby and Penally. Christopher Boyle, 57, was travelling northbound on the same road in his taxi when the two collided head-on.

Mukka was a well known and well loved member of the local community (Image: Supplied)

Prosecutor Dean Pulling recounted Sikorski’s comments at the scene: “I think it may have been my fault, I think I was on the wrong side of the road.” Boyle was pronounced dead at 11:32 pm on September 2, having sustained multiple traumatic injuries.

A heartfelt family statement from Boyle’s sister was read in court, describing the devastating impact of his death: “The loss of Chris has been absolutely devastating. His death has left a profound void that can never be filled.

“He was a son, brother, father, and beloved member of our community. My father has had to endure the unimaginable by burying his own son. For Christopher’s children, they have lost a dad.

Tribute in the sand: Mukka is missed by many

“Chris was a much-loved character within the community. His loss has left a hole in the hearts of so many. All of this was caused by a moment of selfish and careless actions, and caused a lifetime of grief.”

In mitigation, James Hartson argued that Sikorski had accepted full responsibility for Boyle’s death and expressed genuine remorse.

Christopher Boyle, affectionately known as “Mukka” was a devoted father, son, brother, partner, and community figure, whose absence is deeply felt by all who knew him.

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News

Paul Davies congratulates Pure West Radio on the launch of its DAB service

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SENEDD Member Paul Davies has visited Pure West Radio and congratulated them on their expansion to Digital Audio Broadcasting (DAB). Listeners of the station can now tune into Pure West Radio on the North Pembrokeshire and South Pembrokeshire DAB multiplexes.

Mr Davies said, “Pure West Radio plays such an important role in broadcasting news, events and programming across west Wales, and I’m delighted that they have expanded to DAB broadcasting on both the North Pembrokeshire and South Pembrokeshire multiplexes.”

“This will enable the station to reach more and more listeners and continue to be a trusted voice of news and entertainment across the county.”

He added, “It was a pleasure to visit the station and join their presenter, Toby Ellis live on-the-air. Pure West Radio is a fantastic community-focused station and I look forward to it going from strength to strength in the future.”

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Education

More Pembrokeshire schools championing going mobile phone free

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SCHOOLS in Pembrokeshire are leading the way in reducing issues with mobile phones with the Council among the first in Wales to develop a policy to support it.

The rationale behind the policy is the ubiquitous presence of mobile phones and devices that presents significant challenges to how pupils behave and learn in school settings.

Increasingly, there is mounting evidence suggesting that the unchecked use of mobile phones in schools is having a detrimental impact on pupils’ mental health and academic progress, while also draining the energy of school staff who must manage resulting problems.

As well as distraction by normal messaging there are the risks of bullying, sexting or sharing inappropriate chats and images.

Education officers set up a Local Authority and Schools working group to develop guidance on removing mobile phones during the school day following the success Ysgol Penrhyn Dewi had when it was introduced last year.

Ysgol Penrhyn Dewi, Milford Haven School, Haverfordwest High, Pembroke Dock Community School and Gelliswick VC Primary School were involved in the group which has developed mobile phones guidance for schools to introduce this academic year.

Pembroke Dock Community School Headteacher Michele Thomas said: “Establishing good habits in primary school to be mobile free supports the transition into secondary schools with the same policy. 

“Nearly all Pembrokeshire schools prohibit the use of mobile phones during the school day, which has helped learners have a clearer focus on their work and reduces distractions.  In addition the policy reduces the risk of any inappropriate use.  The policy has been working well and will have long term benefits all round.” 

Rachel Thomas, Headteacher of Ysgol Penrhyn Dewi added: “The prohibited use of mobile phones and storage of them during lesson time has changed our entire school community’s safeguarding, wellbeing and learning environment completely.

“My latest mantra is that we live in a society where children are banned from playing conkers but are allowed mobile phones and online devices which put their safeguarding, wellbeing and childhood at risk.”

Funds have also been allocated to support schools with the logistics of removing phones, such as storage facilities, and all secondary schools are now implementing or are planning to introduce the policy guidance this year.

Sean Thomas, Assistant Headteacher for Behaviour, Culture and Ethos at Milford Haven School said: “As a school, we anticipated this policy being challenging to implement, at least for the first few weeks. However, the pupils, staff and parents have bought into it fantastically, it has been a huge success. 

“Pupils and staff have all commented on an increased focus during lessons, less distractions and a calmer environment.”

The Prefect Team, Communications Team and Headteacher collaborated to create a fun and informative video for social media, addressing concerns about the new mobile phone policy after the pupil voice session to ensure pupils felt heard and informed about the changes ahead. 

https://www.facebook.com/watch/?v=8392736097461562
https://www.facebook.com/watch/?v=2163212714061878

Headteacher Ceri-Ann Morris added: “I am extremely proud of how our pupils have embraced this positive change. Listening to our pupil voice prior to implementing the new policy has been instrumental in its success as their input and cooperation have helped shape a smoother, more positive transition for everyone.

“The Prefect Team did a wonderful job addressing concerns from our pupil voice in a fantastic video that was released to parents and pupils prior to the new policy being in place. We have seen tremendous positive impact in classrooms as pupils are more focused and an increase in social interactions at break. The feedback from staff, parents, and pupils has been overwhelmingly positive.” 

Cabinet Member for Education and the Welsh Language, Cllr Guy Woodham, said: “Our schools are leading the way in improving safety and learning for their learners, this mobile phone policy supports them in this work to protect young people.

“‘I’d like to thank all those involved in developing and implementing this new and effective policy.”

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