#BCUHB Protecting Whistleblowers Or Their Managers ?

A recent #QSE report from the Betsi Cadwaladr University Health Board casts a little more light on the debacle surrounding the Robin Holden report, completed in 2013 but still not released by BCUHB, even after the recent Information Commissioner's Office ruling to publish under the FOIA. 

BCUHB have appealed this decision and a tribunal hearing is expected in early 2021.

The Quality, Safety & Experience report makes mention - 
It is vital the Health Board is able to give confidence to its community and stakeholders that the recommendations from the Holden Report (2013) have been implemented and sustained. The Executive Medical Director and Executive Director of Nursing and Midwifery/Deputy CEO have commissioned work to validate that the recommendations have been implemented and remain in place at this current time...

...This work, due to the need to robustly validate the evidence, is aiming to be completed by the end of September for executive scrutiny and reporting to the QSE Committee at its next meeting in October 2020.

The report, authored by Matthew Joyes, Acting Associate Director of Quality Assurance who is also the Assistant Director of Patient Safety and Experience at the health board is titled 'Holden Report - Update' and is for the attention of Responsible Directors, in this case - David Feanley, Executive Medical Director and Gill Harris, Executive Director of Nursing and Midwifery/Deputy Chief Executive.  

Bearing in mind, the Holden report was completed 7 years ago, it is concerning that only now 'responsible directors' are working towards ensuring that Holden's 19 recommendations have been implemented and sustained within the regions Mental Health Units.

Or is this ongoing work only now taking place to circumvent the ICO tribunal next year by presenting 'evidence' that all is now well in the mental health field and argue that the matter should be closed ? 

The update states that the Executive Director of Nursing and Patient Services made a personal visit to the Hergest Mental Health Unit in July, 2013, in order to speak to a number of staff who had raised concerns. A letter, dated 26th July, 2013, confirmed the exact nature of the allegations made by staff, also informing of a staff members petition of "No confidence in the Managment of the Mental Health Clinical Programme Group in their dealings with the Hergest Unit."  

The claimed institutional abuse within the BCUHB units, that included frail, elderly with dementia alongside other mental health patients, not only affected patients but staff, too.

Who were the managers responsible for the Mental Health Clinical Programme Group that failed so terribly ? Are the actions of BCUHB only to protect the managers and not the whistleblowers as claimed ?

Something is very wrong within the local government organisations of North Wales.

Rebuilding Communities - A Future For Gwynedd By Looking To The Past ?

A recent article, by Branwen Jones, a community reporter, has the headline - 
'Ban the sale of second homes or Welsh speaking communities face being wiped out, councillor claims' amid calls for a two tier market to be introduced in Gwynedd.

With nearly 40% of house sales bought as second homes last year, the paper returns us to 1973 and an article written by Ann Clwyd, the ex Labour MP, though makes no mention of Meibion Glyndŵr, a group of activists who, during the 1980's and early 90's set fire to over 200 English owned homes in the area and also letter bombed the estate agents they considered profitering from the house sales. 

Police reported finding a bomb in the garden of a local actor - (neighbours spoke of seeing a stranger in the garden the previous day) - and he was arrested and taken for questioning to Dolgellau. Rumours of MI5 involvement in the case were denied. Whilst the actor was finally released, one man was eventually jailed.

Many in the area were supportive of Meibion Glyndŵr, who saw the Welsh language being diluted and youngsters forced out of the area to seek housing and employment, ironically, in England. This was the time for local politicians and the council to act - they did not and the opportunity of buying cheap housing to improve and rent to locals was lost. It would be interesting to see the property portfolio's of those whose job it was to serve the local communities, back then and today.

Gwynedd Cabinet Member for Housing, Craig ab lago has said - "It doesn't matter how many homes we can build or how many empty ones we bring back into active use, until we sort out the root issue what we're doing is putting a sticking plaster over a gaping wound." 

The Councillor is right. 'Build more homes' has been the loud shout reverberating throughout Wales - mostly by those who can not think further than their own profitable links with property developers and the building industry. There is no need.

The idea of heavily taxing the property of wealthy incomers more, while attractive to many is also a non starter. Jersey is not a good example of how it could be done though not without some merit it will simply alienate and divide people even more.We must also remember that many locals have bought second homes as an investment and those who use such property as a business.

Cyngor Gwynedd recently revealed there are 1000 people on the housing list; coincidentally there are 1000 empty properties in the area. Let the council employ a small in-house team of builders, plumbers, electricians, and carpenters, let them take on local youth as apprentices, renovate the empty homes and rent them to the apprentices who have been working on them. Then move on to the next house, creating job security and affordable rental housing as it goes. 

I do believe, Councillor, Craig ab lago, has been working on such a program but progress will be too slow without the council and its senior officers fully supporting him.

The scheme would eventually pay for itself by the rental income and council tax raised on the properties that are currently rotting and worthless. When the apprentices become the masters, let them teach the new influx of apprentices. They will eventually move on, hopefully start their own businesses and create opportunities for other local peiople.

Insulate these properties properly - with the climate crisis in mind carbon neutral would be the goal or as near as damn it. Llyr Gruffydd, Plaid Cymru shadow rural affairs minister has been vocal with regard to Welsh wool being used as insulation in homes to support the regions sheep farmers who have been on their knees for years. Excellent. Use the wood from the regions sustained forests and Welsh slate for the roofs, too. This would not only support these businesses but massively reduce the carbon footprint importing these products from abroad.

These homes would not be available to buy and their tenancies would be linked to their employment with the council. Creating jobs and security for the local youth in the area. Once the program has started then renovate the houses for those in need on the housing list.

So where will the money come from initially ? 
UK governments have always provided money for apprentice schemes so use those grants now while still available. Other grants will also be available Across the North Wales council's is a £2 Billion pension pot - much of which is invested abroad. Why not invest that money in schemes supporting the region(s) ?

Ask for those in the community with expertise and knowledge to come forward to pass on their skills to the youth and the unemployed; stonemasons, engineers, metal workers, fishermen, computer coders et al. The area is awash with retirees and others who would be more than happy to volunteer their time and knowledge as the recent covid19 crisis has shown.

Reopen the youth clubs and community centres so these skills can be taught in the local communities by the local community.These schemes run locally will not cost much and if small amounts of monies are needed then dip into the council reserves. Schemes such as these will also deal with the issue of gangs of bored, youth roaming the town centres and estates. Dispersal notices are not the answer as the reported attacks on police in Bangor have shown. These centres could also be used as a focal point for all ages within the community - a meeting place for music, sport and drama - as they used to be.

The effects of the Covid19 pandemic, on health and the economy, will be with us for decades. Gwynedd, its people and the Welsh language could thrive with the right leadership. The last forty years has shown where mistakes were made - those lessons must be learnt otherwise they will only be repeated.

Tawel Fan And The Hascas Report - #BCUHB

As we await the latest, taxpayer funded, shenanigans employed by Betsi Cadwaladr University Health Board in their attempt to conceal the #Holden report into institutional abuse at the #Hergest mental health unit at Ysbyty Gwynedd, it may be useful to take a look at a more recent report into North Wales mental health units.

One such report is the - 'Independent Investigation into the Care and Treatment Provided on Tawel Fan Ward: a Lessons for Learning Report.'dated May,2018.

There appears to be a disconnect between part one of the report - excerpts in italics - and the report's final findings and conclusions reached. When the report was released, there were many vocal cries of a coverup and a whitewash.

The Investigation was commissioned initially to examine specific concerns raised by some 23 families about the care and treatment received by their loved ones between January 2007 and December 2013...... In order to identify any other patients whose care and treatment might have fallen below an acceptable standard the Investigation was also asked to examine the archives developed during the following prior processes:

The majority of witnesses who were called to give evidence cooperated freely with the Investigation; however a significant number (some 20 percent) did not.

At the inception of the Investigation it was thought that the archives of all prior inquiry and review processes were complete, available and ready for analysis; this was not the case. It took 14 months (from August 2015 to October 2016) for the complete North Wales Police archive to be made available to the Investigation. 

There were also ongoing issues in accessing a complete set of formal concerns, incident and safeguarding documentation from both BCUHB and the Local Authorities. Some of this information was only made available to the Investigation as late as July 2017.

The Investigation Panel expected to source documentation from ‘locked down’ archives when the work commenced. At the inception of any NHS investigation there is a requirement that all pertinent documents are identified, recalled and secured; this is commonly known as the ‘lock down process’

...Continued security and monitored access is essential to make certain confidential documents are stored safely so that no suggestion of tampering with evidence can be made against either the organisation or an individual, during the course of an investigation, or at any point in the future. 

The Investigation Panel was surprised to find that (initially) documents had not been formally ‘locked down’ in accordance with commonly accepted NHS good practice.

Ockenden External Investigation: a file of documents was provided to the Investigation by BCUHB. However on close examination the archive did not appear to be complete. This was resolved by establishing direct contact with Donna Ockenden and no further delays were incurred.

North Wales Police Investigation: the original archive given to the Investigation had been provided directly to BCUHB by the North Wales Police. The assumption was made by the Health Board that this archive contained copies of all statements provided by its staff together with those provided by the families of patients who had been admitted to Tawel Fan ward between January 2011 and December 2013; at this stage BCUHB thought the archive was complete. 
On close examination it became evident to the Investigation Panel that this was not the case.

...During November 2015 discussions were held between the Investigation Chair and the North Wales Police to establish how many statements were missing from the archive given to BCUHB. There ensued a long process which entailed multiple discussions, meetings and written communications.  

Eventually at the end of May 2016 the North Wales Police allowed members of the Investigation Panel (via a supervised read at the Police Head Quarters) access to a further 70 witness statements

As a result of this supervised read another 20 patients were identified where families had either clearly raised concerns about the care and treatment provided on Tawel Fan ward, or where material within the statements related to matters which the Investigators determined required further investigation despite no explicit or direct complaint about the matter having been made. 

Investigation Panel members were permitted to take brief notes at the Police Headquarters and to list the new patient names. It was agreed by the North Wales Police that the Investigation could share these names with BCUHB so that a search could commence for their clinical records. The Police held a full list of family contact details which it was prepared to share with BCUHB directly. 

At this stage, however, the Police wanted to gain the consent of each individual who had given a statement prior to any further information sharing taking place with the Health Board and prior to the additional 70 statements being added to the archive.  

The Investigation Panel worked initially with the following departments and organisations to establish a credible witness management process to ensure that all future investigation work adhered to United Kingdom best practice:

BCUHB Workforce and Organisational Development Directorate
The Nursing and Midwifery Council (NMC)
The Royal College of Nursing
The British Medical Association
UNISON

Part one of the report concludes with this worrying paragraph. My emphasis in bold. 

The Investigation conducted its work in private and communicated headline findings to BCUHB only towards the end of the investigation process. During the course of the Investigation corporate members of the Trust Board were called as witnesses. The Independent Oversight Panel ensured quality monitoring processes were deployed and held at arm’s length from the Health Board. This guaranteed that the work was completed in a satisfactory manner whilst maintaining the total integrity of the Investigation’s independence. The Betsi Cadwaladr University Health Board received the report after all due process was completed and was not permitted to exert any influence over the Investigation or the report findings and conclusions.
                                                  
                                                           ********************
I have read and reread this statement several times and whilst I understand its inclusion its length and tone concerns me. Is there a history of  BCUHB interference in investigations as other local government agencies in North Wales have done ? 

My own experiences of 'independent' investigations in North Wales, where investigators are bullied and overwhelmed to alter critical reports, interference by senior managers in the process and staff that lie to cover for poor behaviour with the support of their managers leaves me sceptical of many reports published by local government and their agencies. 

Would I trust the Hascas report ?

No - and it is my opinion that the reason BCUHB is fighting tooth and nail not to publish the Robin Holden report is because it will simply confirm the claims of some staff and witnesses to the alleged institutional abuse within the North Wales mental health units.

The link to the full report can be found here -  HASCAS report, May 2018 (eng).pdf
The file is a PDF document and will be downloaded to your computer and not open as a new web page.

'Virtual' Locations And 'Hotdesking' In Gwynedd And North Wales.

Another article written by Gwynedd and Anglesey Local Democracy Reporter, Gareth Wyn-Williams has certainly raised eyebrows in North Wales.

From the excellent article which can be found here - https://www.dailypost.co.uk/news/north-wales-news/eyebrows-raised-what-schools-agency-18716183
Copy and paste the web address into your browser.


Auditors say they can't rule out that a school improvement service allowed its staff to change which offices they worked from so they could boost their mileage expenses claims.

GwE changed its policies at the same time that rules were tightened up for council workers. The new rules meant staff would only be able to claim for distances beyond that which they would normally travel to get from home to work.

When the changes came in, GwE allowed staff to choose that the office nearest to their homes should be their official workplace.

That meant that the point at which they could begin claiming mileage expenses was lowered.

While the council's decision to change the rules was aimed at saving around £290,000 a year, GwE - which is funded by North Wales authorities - saw its expenditure increase between 2017 and 2019.

The audit report states: "A number of staff had wished to change their official work location to the nearest offices to their homes.

"The fact that this may have happened in response to the change in policy and the effect this has on officers' travel costs, rather than for practical reasons for GwE, cannot be ruled out.

"This is based on the fact that officers’ travel claims suggest that there has been no change to their day to day working arrangements, but the changes have obviously impacted on officers' travel costs by reducing the element they have to subtract from their claims, as well as enabling officers to claim for travel beyond their new, official location."

An audit also found that mileage claims were not being checked properly, leading to one instance where an 800 mile claim submitted for an 80 mile journey was processed before the mistake was found.

Noting that the nature of their work meant that GwE staff had to regularly visit schools or to the various offices across North Wales, it added: "Among the discussions to change official work locations, it was discovered that GwE had tried to move some staff to ‘virtual’ locations, as they did not have offices in the locations staff wanted to move to.

"Nearby hotdesking facilities were eventually used as an official place of work as a physical location is required for the system.

 "Again this has the effect of enabling the officer to claim travel expenses (and time, if relevant to the terms of the job) for any journey that exceeds the distance from home to this official place of work."

The report concluded: "Whilst reviewing officers' travel claims, it appears that those who have changed their official work location have benefited financially, whether by claiming for the journeys they make to their usual place of work, or by reducing the loss associated with the distance from home to their official work location - or a combination of both.

"GwE's Value for Money Policy states that 'although internal audit has a primary responsibility for assessing the internal control system, the internal auditors are frequently well placed to assess and comment on VFM in the areas reviewed'.

"To this end, Internal Audit cannot provide assurance that value for money has been taken into account when changing work locations."

Responding to the report during Thursday's committee meeting, Cllr Paul Rowlinson suggested: "To me the main failing is the revelation that staff are allowed to choose their official place of work and that some may do that, not to fairly reflect where they truly work but to boost the amount they are permitted to claim back.

"Are they paying income tax on that? And if this is happening on a wide basis then it raises concerns over the culture and reminds me of the issue surrounding Parliamentary expenses in 2009, which may have been within the law but didn't look right to people looking in from the outside."

A council officer also conceded that it could be seen as "odd" that GwE amended many staff's official workplaces on the same day that Gwynedd's stricter guidelines were introduced, adding that the authority's HR department had attempted to challenge GwE on the decision.

In response, a GwE spokesperson said: "In reviewing the policy change regarding travel costs GwE worked closely with the relevant officers at Gwynedd council and the Directors of Education of the six Authorities across North Wales to secure agreement that the regional service remained effective and efficient and embed the policy change in a regional context.

"Following the policy change GwE staff are not claiming travel costs from their homes."

A Cyngor Gwynedd spokesperson added that while concern had been raised that some managers at GwE were not, at the time of the audit, consistently checking the reasonableness and accuracy of mileage claims by GwE staff, management had since agreed to implement these steps.

 https://www.dailypost.co.uk/news/north-wales-news/eyebrows-raised-what-schools-agency-18716183

Article ends.

As Gwynedd Council is the leading council in respect of the finance and accountancy service for the Joint Committee, it is Gwynedd Council’s responsibility to complete the financial statements.

Gwynedd Council has been appointed as host authority in implementing and maintaining the service, and the Joint Committee of all the partners oversees the management of the service.

The accounts for the GwE Joint Committee from 2013/14 to the present date can be found here -
https://www.gwynedd.llyw.cymru/en/Council/Performance-and-spending/Budgets-and-finance/Statement-of-Accounts/GwE-Joint-Committee.aspx

Is this fraud ?

The Audit and Governance Committee webcast in relation to GwE and other matters can be found here along with the agenda packs that include the reports - 
https://gwynedd.public-i.tv/core/portal/webcast_interactive/502648

The sidenote alongside the webcast that informs 'An agenda has not been published for this meeting.' is not correct.

For those interested the agenda pack and relevant reports can be found here -
https://democracy.gwynedd.llyw.cymru/ieListDocuments.aspx?CId=136&MId=4129&Ver=4

 

                                   

Cyngor Gwynedd Councillors 'Shut Out" Of Decision Making Process During Lockdown - Updated.

An article by Gwynedd Local Democracy Reporter, Gareth Wyn Williams was posted to the North Dot Wales website on Friday, 31st July, 2020.

The article features the Llais Gwynedd party member, Alwyn Gruffydd, who makes comment on the recent Cyngor Gwynedd Annual Governance Statement and in particular the section referring to the low number of residents responses to various public consultations by Gwynedd Council.

The Council's statement states that there is "no great aspiration" amongst the public to hold the Council to account."

However, Councillor Gruffydd, representing Porthmadog - Tremadog, challenged this statement citing "a lack of trust" in the decision making of the Gwynedd Cabinet Members.

He continued - "I fear there may be a feeling out there that their local members simply aren't in a situation to represent them as they aren't part of any decision making process".

"The agenda today is full of items for considerations only, but we have to consider accountability or we'll be in an even worse situation, and a loss of that vital contact means that the principle of local government goes down the drain."

The Chair of Gwynedd Council Care Scrutiny Committee, Dewi Roberts, added - "I do agree there's been a lack of input in the decision making process."

Head of Finance, Dafydd L Edwards, is quoted - 

"The sharing out of business grants was an additional task above and beyond, with Gwynedd allocating £55 Million to local business, which is more than any Welsh authority apart from Cardiff."

Councillor, Paul Rowlinson, representing Gerlan, noted the pausing of committees, including the Employment Appeals Committee had left some members of staff in limbo.

This article by the Local Democracy Reporter for Gwynedd was first sighted on Twitter where someone pointed out the issue of FIVE Ombudsman for Wales investigations in just FOUR years shows that some people of Gwynedd are attempting to hold Gwynedd Council to account.

The Democracy reporter has since deleted the Twitter thread and the article below is no longer on the news website - why ?

Something is very wrong within Gwynedd Council.

Update - The local democracy reporter has since been in touch to inform that his tweet was deleted due to a an error in one of Councillor Gruffydd's quotes.
The corrected article can be found here - https://www.dailypost.co.uk/news/north-wales-news/gwynedd-councillors-say-were-shut-18705757