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Health

Tragic baby Callum’s death was due to ‘acute and severe loss of blood’

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AN INQUEST into the death of a newborn baby from Haverfordwest has determined the cause of death as shock due to an ‘acute and severe loss of blood’.

The inquest into Callum Ragan James’ death on May 5, 2016 was heard at County Hall over a two day period.

Senior Coroner for Pembrokeshire and Carmarthenshire Paul Bennett offered his condolences to Callum’s parents Mr and Mrs James from Haverfordwest.

He said: “I cannot imagine how distressed Mr and Mrs James felt when their son did not survive.

“This has been a very difficult inquest to hear. I would like to pay tribute to Mr and Mrs James in their fortitude of this case.”

The inquest heard how on May 5, Ellie James went from Withybush Hospital over to Glangwili Hospital after it was established she was in the early stages of labour, where she was met by midwife Ebba Lewis.

Mrs James was taken to a midwifery led unit at the hospital and was offered the use of a  birthing pool.

It was from there that complications became apparent after a large amount of blood was seen within the pool.

It was decided that Mrs James would be taken to a bed and transferred to the labour-led ward, where there are consultants available. 

Mrs James’ labour was progressing at a speed which thwarted attempts to transport her to the labour-led unit and she gave birth in the midwifery ward.

Mr Bennett confirmed that Callum was born at 11.08pm and at 11.34pm and steps were taken to get his lungs working and circulation started, but efforts to resuscitate him were abandoned at 11.34pm.

Mrs James questioned the judgement of whether she was giving birth in the appropriate ward, due to complications with her first pregnancy, and said she was assured she would give birth to Callum in a labour-led unit.

Mrs James also questioned her own judgement on whether abdominal pain she had experienced earlier in the labour played a part in the fate of Callum.

Family counsel Jodie Kembery, asked whether Mrs Lewis was aware of the pain that Mrs Lewis was experiencing and whether she should have in fact been transferred to the labour-led unit instead.

Giving evidence at the inquest, midwife Mrs Lewis said: “No, because she was not deemed as high risk [on arrival to Glangwili]. There were no signs of deviation from the normal, so she was classed as low risk.

“We asked how she is feeling. I do not recall specifically asking about the abdominal pain.

Mrs Leeves, the senior midwife on duty and who assisted Mrs Lewis with Callum’s delivery was also called upon to give evidence.

Speaking on the delivery, Ms Leeves told the inquest: “I entered, and Mrs James was on the bed with there being concern about blood loss in the pool. I looked at it and was concerned, but Mrs James remained stable so our main objective was to transfer her [to the labour-led ward] to listen to Callum’s heart.”

The speed in which the delivery progressed, halted all plans to transfer Mrs James upstairs to the labour-led unit.

She added: “We felt it was not appropriate to transfer Mrs James to the labour ward.

“There were strong urges to push, which is normal, and we felt there was no time.”

Mrs James told the inquest: “When Callum was born, I was ecstatic. To me he looked perfect. It was not until I saw the midwife’s face that I knew something was not right.”

Dr Patrick Forbes, Consultant Obstetrics and gynaecologist agreed that the decisions that the midwife made that day were right.

Dr Forbes also wrote two reports on the case.

He said: “It was absolutely correct to take Mrs James out the pool and I agree entirely that the appropriate action is to move the patient to the labour ward. However, one of the things I would dread in that situation is getting into the lift and the baby appearing.”

“Mrs James did not identify to be considered high risk in the second pregnancy,” said Dr Forbes, “which meant it was suitable, if she agreed, for delivery in the midwifery unit. It was appropriate for her to stay on the MLU at Glangwili when she arrived.

“The descriptions by Mrs Ebba and Ms Leaves are much in line with standard practice.”

Concluding the case, Coroner Paul Bennett said: “Callum died as a result of hypovolemic shock brought about by an acute and severe loss of blood which occurred during the course of his delivery at Glangwili Hospital on May 5, 2016.”

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Community

Fresh pleas to save much-needed Pembroke Dock day centre

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A PLEA to keep Pembroke Dock’s Anchorage Day Centre open is to be heard at a full meeting of Pembrokeshire County Council next week.

The Anchorage Day Care Centre in Pembroke Dock has been a “safe and happy place” for adults with learning difficulties and additional needs for decades.

In more recent years it has expanded to support elderly dementia sufferers.

But now the centre is expected to close, with services instead being offered elsewhere in the county, including Haverfordwest and Milford Haven.

A series of engagement events have taken place at The Anchorage recently, outlining the reasons and the options in continued service.

One parent, who wished to remain anonymous, said: “One young woman who attends ran out of the first meeting sobbing when she was told it was going to close. Another, at the second meeting, tried to address the meeting but was so choked up at the thought of not seeing her friends anymore she could hardly speak.”

In a submitted question to be heard at the May 9 meeting, member of the public Peter Welsh will ask: “Is the council aware of the huge impact the impending closure of the Anchorage Adult Day-care Centre in Pembroke Dock is already having to the health and mental wellbeing of my daughter and 20 other vulnerable adults with special needs and learning difficulties, who are unable to cope with changes to routine, or to process and understand what is happening to them?

“And would the council, therefore, please review its closure decision and retain the centre and the vital and invaluable service it provides not only to the individuals concerned but also to the parents?

“If not, what specific measures does the cabinet member have in place to support my daughter and these other individuals who need extra assistance to enable them to maintain their independence, value and allow their carers to have valuable respite from their caring responsibilities and what are the estimated costs for these substitute measures?”

A Pembrokeshire County Council spokesman has previously said: “Following the engagement sessions held with families and service users regarding the future of the centre on April 10 and 17 at the Anchorage, families said that they would like to maintain the Anchorage Day Centre and explained that they would write to the council in order to ask for the decision to be overturned.

“People who attend the service will be offered alternative care, all service users are currently having their individual care needs assessed by social work teams to fully understand which other services best meet those care needs.”

An online e-petition, on the council’s own website has been launched calling for it to stay open.

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Health

Chairman opens new NHS 111 Wales Service Centre in Haverfordwest

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IN a ceremonial occasion on Thursday (May 2), Thomas Baden Tudor, Chairman of Pembrokeshire County Council, inaugurated the new NHS 111 Wales service centre at Haverfordwest Ambulance Station. The event was marked by Mr. Tudor cutting the red ribbon, a task he was honoured to perform at the behest of Matthew Jones, Locality Manager of the Pembrokeshire Ambulance Service.

The NHS 111 service, which is accessible round the clock, offers urgent health advice and information about available services, including dental care and general medical guidance. This vital resource also provides support on managing illnesses and conditions and ensures continuity of care when GP offices are closed.

Speaking at the event, Mr. Tudor expressed his pride and privilege in participating in the launch, which underscores the community’s commitment to enhancing healthcare accessibility. The new service centre is expected to play a pivotal role in providing prompt medical advice and support to the residents of Pembrokeshire.

The service is free and can be reached by dialling 111 from any phone, ensuring essential healthcare advice is just a call away.

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Health

Junior doctors secure strike extension in pay negotiations with WG

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BMA Cymru Wales has confirmed a positive development in its pay negotiations announcing that Junior doctors have secured a three-month extension to their overwhelming strike mandate.

This means that junior doctors in Wales now have the right to enact industrial action over their pay until 17 September 2024 instead of 17 June when the mandate was due to run out.

Recognising the strength of feeling amongst junior doctors and the overwhelming 98% vote by members in favour of industrial action back in December 2023, employers have agreed to honour this extension to allow talks with the Welsh Government to continue.

Co-chairs of the Welsh Junior Doctor Committee Dr Oba Babs-Osibodu and Dr Peter Fahey said of this development:

“We are pleased to be able to secure an extension to our overwhelming strike mandate. Whilst we hope to put an end to our pay dispute through pay negotiations by reaching a credible deal and restoring our pay, it was important to secure more time for our mandate.

“The extension allows us to focus on talks but also provides us with the scope to get organised and enact our legal right to strike should we need to. This is about honouring the emphatic mandate of our members.

“Doctors have experienced real terms pay cut of almost a third since 2008. They voted overwhelmingly to put an end to the devaluing of their service, they know they are not worth a third less than their predecessors and they know the time is now to stick up for the profession and turn the tide of the continued erosion of their pay once and for all”.

The Welsh Government and NHS employers have agreed to the extension as part of ongoing pay negotiations where all parties hope to reach an end to the pay dispute with junior doctors, SAS doctors and Consultants in Wales.

Last month, BMA Cymru Wales announced it was suspending forthcoming industrial action for Consultants and SAS doctors and putting plans on hold to announce more strike dates for junior doctors to allow pay negotiations to take place*.

The decision to enter pay negotiations was based on a significant proposal from the Welsh Government to form the basis of talks to end the pay disputes with all secondary care doctors including Consultants, SAS, and Junior doctors, with the aim of reaching deals which can be taken separately to their respective members.

In August last year, the BMA’s committees representing secondary care doctors in Wales voted to enter separate trade disputes with the Welsh Government after being offered another below inflation pay uplift of just 5% for the 23/24 financial year. SAS doctors on some contracts were offered as little as 1.5%. This was the lowest pay offer any government in the UK offered and less than the DDRB, the pay review body for doctors and dentists, recommended last year.

As part of their disputes, SAS doctors, consultants and junior doctors carried out successful ballots for industrial action. Since then, junior doctors have taken part in 10 days of industrial action since January this year.

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