‘Kind‑hearted’ Barry Rhys James could only watch as his feet turned black while waiting days for a hospital bed
A much-loved grandfather died after his health deteriorated while spending well over two days in a chaotic hospital corridor. Barry Rhys James, 64, was in agony as his feet turned black at Caerphilly county’s Ysbyty Ystrad Fawr but his needs were neglected for days, his family have claimed in a formal complaint.
Barry, a taxi driver who lived in Bedwas, was described by his daughter Holly James-Dryland as a “kind‑hearted and gentle” family man who “consistently put others before himself”. He was admitted to the community hospital in Ystrad Mynach on the morning of January 6 with severely discoloured feet but was not given a bed until the night of January 8.
With blood no longer circulating to his feet, Barry suffered a cardiac arrest and died on January 10. The initial cause of his illness has not yet been confirmed.
Holly and her partner Shaun are speaking out to raise awareness of various alleged failings in Barry’s treatment. They told WalesOnline there were missed opportunities where the hospital did not follow the instructions of its own doctors while Barry sat helplessly in a corridor watching his feet blacken.
Barry was in “absolute agony” and rolling around in his chair in the corridor of the medical assessment ward, said Holly, who was told by staff that the ward had a capacity of 29 patients – and that at the time of her dad’s treatment some 63 patients were crammed into the ward.
“The first medical professional we encountered, a triage nurse, said this was the worst period she had experienced in 23 years and that she wanted to quit,” Holly added. “Staff frequently complained about conditions and a nurse encouraged us to formally complain.”
Barry, who was a winger for Newport rugby club in his youth, had three children and two grandchildren. Holly said: “Our dad wasn’t just our father. He played the role of our mother as well, stepping up and taking on the role of both parents. He did an outstanding job.
“He went out of his way to make sure his family were cared for and happy. Often it would be through small but meaningful gestures that showed how much he cared.”
Following a 20-hour wait for an ambulance, Barry’s family had taken him to the hospital themselves. He had been concerned that his feet were cold and painful, with a bluish tinge.
Barry arrived at Ysbyty Ystrad Fawr at around 11.30am on Tuesday, January 6. His family questioned why he was taken to a minor injury unit rather than the Grange A&E – which they suspect was explained by a Facebook post issued that week by Aneurin Bevan university health board, stating the A&E was under “severe pressure” amid high levels of illness.
Medics suspected the loss of blood supply to Barry’s feet may have been linked to his type-two diabetes. Shortly after his admission he was assessed by a consultant who “clearly stated that his feet needed to be warmed urgently”, said Holly.
“This instruction was not acted upon. My father remained in a chair in a corridor. There was no meaningful or sustained attempt to warm his feet throughout the week.”
Staff told the family that Barry could not use a Bair Hugger blanket – a device for maintaining a patient’s core body temperature – as there were not enough plug sockets in the corridor and it would be a “trip hazard”.
Holly said: “Staff refused to use plug sockets due to trip hazard concerns, yet the following day an extension cable was used across the corridor for another patient sitting in the exact same location.
“My dad could see his feet turning blacker by the minute. He was frequently vomiting with no privacy or dignity, in full view of other patients and visitors.
“The nurses themselves said they wanted change. One of them gave us a QR code and encouraged us to make a complaint, but that was for future change, not to help my dad there and then.
“On one occasion, a doctor said he would return in five minutes but left the ward for over an hour.”
Barry was eventually placed in one of the ward’s beds at around 9.25pm on Thursday (January 8). He was then finally able to use a Bair Hugger blanket but by this point his condition had deteriorated severely and his feet would not warm.
Holly said: “On Thursday evening I noticed his feet were being kept covered by medical staff. This was a change from the early and middle part of the week when his feet were frequently uncovered and clearly visible.
“On Thursday and Friday, I was explicitly told by doctors that my father still had a pulse in both feet. However, on Saturday at around 3pm I received a phone call from a doctor who informed me my father had not had any pulse in his feet for the previous 48 hours.
“During this call, the doctor apologised that I had previously been told otherwise and stated that his feet now required amputation.”
Holly was told her dad would be moved to the Grange. Soon afterwards she received another call saying Barry was in cardiac arrest. She had nearly reached the Grange by the time the final call came, telling her that Barry was still at Ysbyty Ystrad Fawr and had died.
“We later learned the hospital didn’t contact a kidney specialist until three hours before my dad died,” said Holly. “They had known his kidney was failing since the blood test on Tuesday.”
The family has been waiting nearly three months for the health board’s response to their formal complaint, which calls for the release of Barry’s medical records.
“My dad was 64 and had a lot of life left to live,” said Holly. “I want the hospital to learn and I want answers for why certain things happened that week.”
Paying tribute to Barry, she said he “took great pride” in his 37-year career as a taxi driver. “He was reliable, active, and routinely up early each day to work.
“When I was younger, he took me horse-riding twice a week in all weathers, even after waking up at 2am to go to work and working a 12-hour shift. He never complained or let me down. He did everything in his power to make sure I was happy, always encouraging and cheering me on.
“He adored his two grandchildren, Toby and Arielle, and put a great deal of effort into being an active part of their lives. With my son Toby, he would sit for hours debating football statistics, both stubborn and passionate but enjoying every minute of the discussion.
“With my daughter Arielle, he always looked forward to seeing her come down the stairs on a Sunday morning, ready with a joke as soon as she entered the living room.”
Barry gave daily care to Holly’s 27-year-old sister, who has learning difficulties. He would attend appointments with her, help her communicate with healthcare professionals, and manage her weekly medication.
“Sunday mornings were reserved for his visits,” Holly added. “Every week, without fail, he arrived at my door at 9am, often waking me up just so he could spend a few hours with us. He never missed a single Sunday. His absence has left a profound void in our family, and our home is no longer the same without him.”
Second only to his family, Barry’s other great love was for rugby, as a loyal follower of Wales and the Dragons. Following his death his ashes were placed in a Welsh Rugby Union ball and one of his rugby jerseys was made into a cuddly elephant toy bearing a message for his family: “These are the clothes that I used to wear. Whenever you hold me know that I am there.”
A spokesperson for the health board said: “Our thoughts are with Mr James’ family at this very difficult time and we’re sorry that they are unhappy with the care he received. Whilst we aim to conclude investigations within 30 working days, there are some instances where more complex cases may take longer than this.
“Investigations can take anywhere up to six months to conclude, which is outlined within the ‘putting things right’ regulations. We recognise that awaiting a response can be frustrating and we are working to conclude our investigation and respond to the family as quickly as possible.”
Last month we revealed Aneurin Bevan health board had put 21 Royal Gwent hospital patients at risk of serious infections by treating them with unsterilised medical instruments and had then failed to tell them until around three weeks later – which only happened after a whistleblower had come forward to WalesOnline.
Shortly after we reported on the sterilisation error, an anonymous petition was launched on Change.org calling for “an independent review of leadership and governance” at the health board. It pointed to various failings from recent years, including the mixing-up of bodies in a mortuary and the death of nine-year-old Dylan Cope after he was sent home from hospital despite having a perforated appendix. The petition is backed by Barry’s family.
They are also concerned by the wait for an ambulance before Barry’s admission to hospital. One finally arrived after repeated calls across a 20-hour period, though the family ended up taking him to hospital themselves. Shaun explained: “Because Barry was already sat in our car during the examination, the paramedic asked if we could take him to the hospital. [The ambulance service] was also definitely under pressure.”
Sonia Thompson, the Welsh ambulance service’s assistant director for emergency operations, said: “We would like to extend our sincere condolences to the family of Mr James at what must be a very difficult and upsetting time. We were facing sustained pressure on our service on January 5, with a high number of patients waiting for a face-to-face response within the community.
“At 5am on January 6 we were contending with 11-hour handover delays outside the Grange Hospital in Cwmbran. Pressures on the ambulance service are well recognised, with delays reflecting wider, system-wide challenges. When ambulances are held at hospital, they are unable to respond to other 999 calls in the community.”
Ms Thompson added: “If it is safe to do so, some patients may be asked to use alternative transport to get to hospital, helping us keep ambulances available for those who need them most.”
Holly’s partner Shaun said he was “angry and deeply disappointed” by Barry’s care at the hospital, adding: “I am very sad at seeing what Holly is going through. Losing her dad has been unbearable for us all.”
If you have information about a story we should be investigating, you can contact us at conor.gogarty@walesonline.co.uk
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