News
NHS increasing its focus on quality and safety
THE NHS is taking significant steps towards ensuring better quality of care and improved measures of safety – that was the main message from NHS Wales Chief Executive David Sissling as he published his second annual report.
Achievements during 2012/13 include:
publication of new data on hospital mortality and hospital infection rates, helping to provide more transparent information to the public and drive up standards across the NHS;
all seven Welsh Local Health Boards and three Trusts now publishing Annual Quality Statements to report to the public on progress with the quality and standard of the services they provide;
a new dedicated website for patient safety providing information on how well each NHS Wales organisation is doing with implementing over 70 measures (safety solutions) designed to improve safety and quality of care; current data shows the NHS is doing well with 100 per cent compliance in many areas;
continuation of the 1000 Lives Plus quality programme, including introduction of a new system to alert staff if a patient’s health is deteriorating and prevent deaths from sepsis;
continued progress in reducing healthcare associated infections over the last year, including a 10 per cent reduction in C.difficile infections and19 per cent in MRSA infections;
continued improvements in reducing admissions related to coronary heart disease (-5.5 per cent), and diabetes (-3.5 per cent);
high satisfaction levels with NHS services – 84 per cent satisfaction with treatment in A&E departments and 92 per cent satisfaction with care by a GP
the fastest rate of improvement since 1993 across the UK for cancer survival rates; and
delivering financial balance.
In his second annual report, David Sissling described the year as being “defined by three issues”.
He said: “Firstly, our response here in Wales to the Francis report has meant an assessment of the safety and quality of our services and the introduction of measures in response.
“NHS Wales is the envy of much of the UK in terms of its focus on quality and safety. We are introducing more mechanisms to detect risks or problems before they occur, publishing more performance data to be more transparent to patients and drive improvement across the service, and also continuing to pioneer innovative programmes on raising quality of care.
“Secondly, throughout Wales our Health Boards have gone to public consultation regarding proposed changes in service delivery models. Some of the proposals represent a significant adjustment to much cherished local services, and that is why an effective and thorough process of engagement with our staff and the public has been so important. But one thing is clear and that is that changes have to be made to ensure our services are sustainable and able to respond to the many challenges faced by healthcare across Wales.
“Finally, the pressures experienced by the NHS in Wales during the winter period saw an unprecedented demand on our urgent and emergency care services and meant the re-direction of resources towards the increased demand. This in turn, of course, led to pressures on other parts of the service. We have been able to learn from these experiences and we are now planning for the rest of 2013 and the next three years.
“Reducing emergency and general hospital admissions is therefore a priority. The number of emergency and general admissions and readmissions has an effect on a hospital’s ability to deliver its non-urgent surgery, as resources are taken up in caring for the unplanned admissions. The trend during the previous years continued with fewer admissions related to coronary heart disease and diabetes, and fewer readmissions related to both coronary heart disease and chronic obstructive pulmonary disease.”
David Sissling added: “This has been a challenging year indeed, but I must pay tribute to all the hard work of NHS staff in the face of all that they have been required to do. Their dedication and commitment is exceptional and I am grateful to them and to the many volunteers whose invaluable contributions are often unseen.
“I want the NHS in Wales to be on an upward curve in terms of continual improvement in the services it delivers. There will be more challenges to come but if we continue to put our aim for first class patient care at the centre of our day-to-day plans, side by side with the committed and dedicated NHS workforce that we have in place, then we will get ever closer to the type of healthcare that we would all wish to see and experience here in Wales.”
Entertainment
What’s not to love about Prince Nathaniel of Neyland?
VAIN, enthusiastic, dramatic and utterly loveable, Prince Nathaniel of Neyland is set to steal hearts on the Torch Theatre stage this festive season in Rapunzel.
Played by the charismatic Harry Lynn, the flamboyant prince is the sort of pantomime hero audiences can’t help but cheer on, even when he is wildly out of his depth. From the moment he steps on stage, Prince Nathaniel is determined to help Rapunzel at every possible turn – even if bravery doesn’t always come naturally.
Describing the role as “wonderfully silly, enthusiastic, and a big-hearted comedic hero,” Harry says Prince Nathaniel is “the epitome of royal bravery,” striking his dramatic “Prince Pose” whenever the moment allows.
“But in reality, he’s often nervous, dramatic, and hilariously out of his depth,” Harry explained. “He’s pampered, easily flustered, and very vain about his hair – to the point where a haircut at Belinda’s salon becomes a full-on event. Beneath all the bravado, though, he’s loyal, caring, and absolutely determined to do the right thing, especially when Rapunzel needs him.”
Harry, who trained at the Royal Welsh College of Music and Drama, believes audiences will quickly fall for the prince’s perfectly imperfect charm.
“He’s confident but clueless, brave but squeamish, and always trying his best,” he said. “And when it really counts, he genuinely steps up. Whether he fully saves the day… well, this is a pantomime, so every hero needs a little help. Let’s just say he plays an integral part in Rapunzel’s fairytale ending.”
A familiar face to panto fans, Harry has just completed a run as Hunk/Scarecrow in The Wizard of Oz at Aberystwyth Arts Centre and says the festive season is his favourite time of year to perform.
“Panto season is pure joy – loud audiences, lots of laughter, plenty of improvisation, and that special festive atmosphere where anything can happen,” he said. “It’s a theatre experience like no other and the perfect way to celebrate Christmas.”
Prince Nathaniel, however, rarely has a quiet moment on stage. He is chased, sprayed, gunged, electrocuted, bashed in the face, tangled in a complicated ladder sequence – and faints, falls, panics, poses and hides behind Belinda whenever fear takes over.
“It’s a lot,” Harry laughed. “The challenge is keeping the comedy big and bold while still maintaining his charm. Having the Prince arrive in full regal mode, only to be sprayed in the face and gunged by Belinda, is peak panto chaos – huge fun to perform and, hopefully, even more fun to watch.”
Rapunzel – the hair-raising adventure runs at the Torch Theatre from Saturday, December 6 to Sunday, December 28. A Relaxed Environment performance takes place on Saturday, December 13 at 2:00pm, with a BSL-interpreted performance on Tuesday, December 16 at 6:00pm.
Tickets are priced at £24.50, £20.00 concessions, or £78.00 for a family ticket. For more information or to book, visit www.torchtheatre.co.uk or call the Box Office on (01646) 695267.
Crime
Cowboy builders jailed after years of bullying and fraud against homeowners
A FATHER and son who preyed on homeowners across south and west Wales — many of them elderly or in poor health — have been jailed after a court heard how they used intimidation and deception to extract huge sums of money for unnecessary and badly executed building work.
Jim Janes and his son, Thomas James, ran a long-running roofing scam that left dozens of victims facing financial hardship, unfinished homes and costly repair bills.
Swansea Crown Court heard the pair routinely targeted householders with minor repair needs before escalating jobs into major works, demanding ever-increasing payments once roofs had been stripped or damaged.
When questioned or challenged, the defendants became aggressive, leaving victims feeling frightened and pressured into paying. In one case, a homeowner was threatened unless money was handed over.
Passing sentence, Judge Catherine Richards said the defendants showed a “cruel disregard” for the impact of their actions and deliberately manipulated vulnerable people for financial gain.
She told the court the offending was driven by greed and a willingness to exploit those least able to protect themselves.
The court heard the fraud continued for more than five years, during which the defendants traded under multiple business names, changed contact details, and used different bank accounts in an effort to avoid detection.
Lee Reynolds, prosecuting, said the pair often dismantled roofs without consent and left properties exposed to the weather, effectively forcing customers to comply with their demands or face further damage to their homes.
Many victims were in their sixties, seventies and eighties, with some paying tens of thousands of pounds. One homeowner lost £100,000.
Independent experts later found that much of the additional work charged for was unnecessary and that the workmanship carried out was of poor quality. In some cases, jobs were left incomplete, requiring extensive remedial work.
Victims told the court how they had been left anxious, ashamed and financially stretched, with some forced to borrow money or remortgage their homes to cover the costs.
Jim Janes, 55, and Thomas Michael Jim James, 37, both of Llangadog, Carmarthenshire, had previously pleaded guilty to fraudulent trading.
In mitigation, the court heard Janes had worked in the building trade for much of his life, while James was said to have played a lesser role in the operation. However, the judge rejected claims that either man bore reduced responsibility.
Sentencing both men to eight years in prison, Judge Richards said they had acted ruthlessly and without any regard for the harm caused to their victims.
Both defendants will serve 40 per cent of their sentences in custody before being released on licence.
A further hearing will be held on Thursday (May 22) next year to consider confiscation proceedings and the imposition of serious crime prevention orders.
Crime
Cocaine dealers jailed after flooding Aberystwyth streets with drugs
TWO men who supplied cocaine in Aberystwyth have been jailed after police seized large amounts of cash, drugs and weapons during coordinated raids.
Luke Hutton, aged 25, and Lee Mark Walsh, 37, were sentenced at Swansea Crown Court after admitting possession of cocaine with intent to supply and possessing criminal property.
The court heard that police attended Walsh’s flat in Aberystwyth on Thursday (Nov 14) to execute a search warrant. Officers saw several people outside the address, including both defendants. When police approached, Walsh remained at the property while Hutton attempted to flee but was quickly detained.
Walsh, of Yr Hafan, Aberystwyth, was found with cannabis, £160 in cash and a mobile phone. Hutton, of Corporation Street, Aberystwyth, was carrying £8,795 in cash and a phone.
During a strip search in custody, officers recovered a wrap of white powder concealed on Hutton. Further searches uncovered £850 in cash laid out on Walsh’s bed, five mobile phones, a silver knuckleduster and a large kitchen knife hidden beneath the bed.
Police also recovered scales with white powder residue, a bank card contaminated with drug traces, and a further bag of white powder elsewhere in the flat. At Hutton’s address, officers found £1,060 in cash, bicarbonate of soda and empty snap-seal bags, consistent with drug preparation.
Prosecutor Dean Pulling told the court both men were clearly involved in drug supply for financial gain.
Walsh also admitted possession of an offensive weapon and possession of cannabis. He has previous convictions for cannabis offences and failing to comply with a drugs test.
Hutton has a longer record, including offences involving communications, driving matters, domestic abuse and breaching a restraining order.
Mitigating for Walsh, Ryan Bowen said the defendant had experienced a troubled childhood, moving schools frequently, and had struggled with cannabis use from a young age. He said Walsh had shown a strong work ethic and hoped to pursue barbering on release.
Jon Tarrant, representing Hutton, said his client had been heavily addicted to cocaine and that drug use had dominated his life, contributing to the breakdown of relationships, including contact with his two young children.
Sentencing, Judge Vanessa Francis said both men had been involved in dealing with the expectation of making “significant financial gain”.
Addressing Hutton, she said: “You told the author of the pre-sentence report that when your benefits stopped, you ‘did what you had to do’. This court will do what it has to do to take off the streets those who spread the misery of drug supply.”
After reductions for guilty pleas, Hutton was jailed for three years and Walsh for 32 months. Both will serve up to half of their sentences in custody before being released on licence.
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