News
Nurse struck off after death of disabled man
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.”
PARAMEDICS across the UK are warning that patients are dying because ambulances are unable to offload them into overcrowded A&E departments — a situation tragically echoed in the death of a Pembrokeshire mother whose ambulance never arrived.
Charlotte Burston, 40, from Llanteg, began experiencing severe chest pains on Christmas Day 2023. Her teenage daughter called 999 twice, but was told it would be an hour and a half before help could arrive.
No ambulance was dispatched in time, not because of a lack of willingness, but because so many vehicles were already stuck in hospital bays, unable to hand over patients due to chronic delays and lack of space inside emergency departments.
With no other option, Charlotte’s stepfather drove her towards Withybush Hospital. She suffered a heart attack on the way and later died at Morriston Hospital on New Year’s Eve.
An expert report presented at a recent pre-inquest hearing concluded that had ambulance staff been present at her home, she would “on the balance of probabilities” have survived.
The case comes as a new report by Unison highlights the scale of the crisis facing ambulance services. A survey of almost 600 ambulance workers found that two-thirds had witnessed patients deteriorate during prolonged waits outside hospitals, and one in 20 had seen patients die in their care due to delays in handover.
More than half of respondents reported delays of over six hours, and one in seven had waited 12 hours or more outside emergency departments.
Unison General Secretary Christina McAnea said: “Ambulance workers want the best for their patients. But this is no longer the reality. Ambulances and hospital corridors have become makeshift treatment rooms. The pressure on the NHS is unsustainable.”
Unison is calling for urgent action to increase staffing levels across ambulance, hospital and community services, improve GP access, and expand social care capacity to free up hospital beds.
Pembrokeshire Coroner Mark Layton, who is overseeing the Burston inquest, said that had the 999 call been prioritised properly, paramedics would have been sent and the tragic outcome may have been avoided.
Carmarthenshire politician among those elevated to House of Lords
FORMER Carmarthen West and South Pembrokeshire MP Simon Hart has been appointed to the House of Lords in Rishi Sunak’s resignation honours list.
Mr Hart, who previously served as Secretary of State for Wales under Boris Johnson and later as Chief Whip for Mr Sunak, lost his seat at the general election in July 2024. The Conservatives were wiped out in Wales during that election.
Several other former ministers were also recognised. Michael Gove, who served as education secretary and housing secretary under different administrations, was granted a peerage. He is currently editor of The Spectator magazine.
Knighthoods were awarded to Chancellor Jeremy Hunt, former foreign secretary James Cleverly, former defence secretary Grant Shapps, and former work and pensions secretary Mel Stride.
Outside politics, former England cricketer James Anderson was knighted after retiring from Test cricket in July. He holds the record for most wickets by a fast bowler in Test history.
Filmmaker Matthew Vaughn also received a knighthood for services to the creative industries. His credits include Layer Cake, Kick-Ass, X-Men: First Class, and the Kingsman films.
CARDIGAN will be the place to be on Saturday, June 15, as entries continue to flood in for this year’s Welsh National Tractor Road Run (WNTRR).
The popular event is being organised by the North Pembrokeshire Tractor Enthusiasts – a group of like-minded friends led by Dai Rees of Cilgerran.
The Run will begin at Awenfryn, Glanrhyd – the farm of Keith and Kevin Evans – and take in stunning views across Cardigan Bay before heading inland towards Cwm Gwaun and the Preseli Mountains. The route will then return to Awenfryn.
This year’s event will raise money for three charities: the Wales Air Ambulance, Crymych First Responders, and Cardigan First Responders.
Entry is £20 until the closing date of Monday, May 20. Early entries will be listed in the official programme and guaranteed a commemorative souvenir. Entries will also be accepted on the day for £25, but late entrants will not be guaranteed a souvenir – a decision made by organisers to reduce disruption caused by last-minute arrivals.
Entry forms can be obtained from members of the local organising team – Dai Rees, Alun Owens, Keith Evans, Kevin Evans, Sion Morgan, and Peter Lewis – at various tractor events. Alternatively, forms can be requested by email from the WNTRR secretary at anne.trials@btinternet.com, or downloaded from the WNTRR Facebook page.
Online entry is also available:
Anyone interested in sponsoring the event or advertising in the souvenir programme should contact the WNTRR secretary or Sion Morgan via sion@pantygarn.co.uk.
Spectators are welcome at the starting point and along the route. More details will be released closer to the date.
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