Showing posts with label north wales vascular services. Show all posts
Showing posts with label north wales vascular services. Show all posts

Tuesday, 26 May 2020

Failings Within North Wales Vascular Services - #BCUHB

The Extraordinary Meeting of Betsi Cadwaladr University Health Board held on the 21st May, 2020, to discuss the Review of its Vascular Services was a complete shambles.

From the 'technical' difficulties experienced through to the final decision by the Board to review the Review. Were part of the technical difficulties caused by some Board Members complaining they were not comfortable being on screen for the meeting ?

The Report - described as a whitewash by members of the public and some employees - is highly critical of the Health Board and its decision to close the vascular services at Ysbyty Gwynedd and centralise the service at Ysbyty Glan Clwyd.



The Review raises many questions for diabetics and renal patients and some of the data for limb loss and antibiotic use should be of high concern for everyone.

Ultimately, it is yet another report into Local Government Organisations in North Wales that raises issues of bullying and staff fearing for their jobs if they speak out.

Sitting on the Board from Gwynedd are R. Medwyn Hughes, County Councillor for the Hendre ward, Bangor and Morwena Edwards, who is an Associate Director of Betsi Cadwaladr University Health Board.

Morwena is also the Director of Cyngor Gwynedd Social Services - both Adult and Children's Departments.
 
There have been 5 Ombudsman for Wales Investigations highly critical of the departments that Mrs Edwards has overall responsibility for - in the last four years

There may be more as these Departments have a history of sitting on critical Reports, whilst trumpeting mediocrity.

One Ombudsman's Report highlights an Independent Investigating Officer feeling 'overwhelmed' and 'bullied' after a meeting with Head of Department, Marian Parry Hughes and the senior Operational Manager. Aled Gibbard amongst others to change the findings of her Report.

More on that here -  https://gwyneddsfailingcouncil.blogspot.com/2019/06/bullying-cyngor-gwynedd-council.html

Four to five pages regarding a Social Worker undertaking an inadequate assessment of an autistic child's needs and the withholding and censoring of personal information by a senior manager deleted along with Recommendations for improvement.

To someone with no knowledge everything looks rosy in the garden - the data is false.

Recommendations for improvement and to create a pathway for autistic individuals to receive support and SS assessment have been agreed to - so where is it ?

Concerns that the legal documents and data are being manipulated to cover for bad behaviour and poor management have been raised with a Cabinet Member but as yet no response has been forthcoming.

Now the Ombudsman for Wales had arranged a phone call conversation with the Director, Morwena Edwards, to discuss matters of non compliance of Ombudsman's recommendations.

This call was arranged three weeks in advance but the Council cancelled the meeting one hour before the arranged time and the Council told the Ombudsman that they would be sending a letter instead.

This letter did obviously not impress the Ombudsman as the CEO was then summoned to discuss non compliance - alongside other agenda items, in Cardiff.

Concerns have been raised that the story as explained by the CEO and the Senior Safeguarding Officer to a Gwynedd Care Scrutiny Committee is misleading. Questions have been asked concerning the truthfulness of the Officer's statements but no answer has been forthcoming.

Officer's promoted above their abilities ? A social worker being moved to a third sector organisation to protect reputations ? - and their pension ? Social workers lying and senior managers colluding in cover up ?

All that is missing is a sex scandal..... 

Something is very wrong within both Gwynedd Council and BCUHB.

















































Thursday, 21 May 2020

#BCUHB Abandons Mental Health Patients During Lockdown ?

#MentalHealthAwarenessWeek

Betsi Cadwaladr University Health Board have been lambasted for their failure to report daily death rates due to #Corona in North Wales leading to a large spike in figures for Wales. A 'glitch' using the Goverment system was given as the reason for the failure but the full report is yet to be released by either BCUHB or the Welsh Government.

A BBC article dated May 1st, informs that all is not well within Ysbyty Glan Clwyd, either.

Especially it's Vascular Services - 

'Vascular staff are in fear for their career if they complain -
Patients are "fearful" of using the service....
In its final and as yet unpublished report - based on 14 public consultations and one consultation with staff - the CHC says there remain grave concerns surrounding the provision.

It says some staff felt "unable to use whistleblowing procedures" and notes those raising concerns were said to be "often subsequently subjected to disciplinary action".

The report says staff "have a perception that it is dangerous to their careers to raise concerns about patient safety with senior managers"

More - https://www.bbc.co.uk/news/uk-wales-52499099#

The Health Board is also between £45 and £60 Million pounds over budget. It is hard to get an accurate figure in this regard, too. The Board have been paying an 'adviser' £1,990 a DAY to work from his home in Marbella but that contract has now ended due to the Corona virus.

More on 'Marbella Man' here - https://www.bbc.co.uk/news/uk-wales-52510497

On the 20th May, the BBC reported that Mental Health patients are being discharged and ordered to seek re-referral through their GP's.

The North Wales Community Health Council's chief officer, Geoff Ryall-Harvey, is quoted saying there was "no reason why patients with pre-existing mental health issues should be discharged".

"At this time patients need professional support more than ever," he said.

"We are informed by local GPs that the number of patients presenting to them with mental health problems is increasing and, post Covid-19, could be problematic."

Now the Plaid Cymru MS for Ynys Mon, Rhun ap Iorwerth, states -

"Government needs to be looking at ways to step up support for those with mental health problems. Instead, here we have doctors being told to discharge them."

But the Welsh Government say the advice was "not in line with our guidance." - newspeak for nothing to do with us ?

More on the BBC article - https://www.bbc.co.uk/news/uk-wales-52729237

Now it is usual when organisations fail that the CEO falls on his/her sword and resigns.
But any chief is only as good as those who are appointed to support him/her.

A quick glance at the members of the Health Board show the problem may be more systemic -

https://bcuhb.nhs.wales/about-us/health-board-meetings-and-members/health-board-members/

The BCUHB website lists Simon Dean as the Interim Chief Executive. Mr Dean left this position in 2016.

Copy and paste the links into your browser.