Wales On Sunday - - NEWS -

He was sus­pended again later that year when a sec­ond vic­tim came for­ward. He was fi­nally sacked last year af­ter be­ing found guilty of mis­con­duct.

The CPS said it could not con­firm a file had been re­ceived be­cause doc­u­ments are de­stroyed if cases are not pur­sued.

Last year Abertawe Bro Mor­gan­nwg Univer­sity Health Board con­firmed Wade was fired fol­low­ing al­le­ga­tions he had as­saulted three pa­tients.

Wade worked at Rowan House in Ely, Cardiff, which is run by ABMU.

The or­gan­i­sa­tion said it was “shocked” and “sick­ened” to hear the de­tails of Mrs James’ killing.

“We have of­fered our pro­found apolo­gies to the pa­tients in­volved, and the dis­tress his ac­tions un­doubt­edly caused,” a spokes­woman said.

Wade was em­ployed at the as­sess­ment and treat­ment unit for peo­ple with learn­ing dis­abil­i­ties from 2005, when a crim­i­nal record check showed noth­ing of con­cern. In Jan­uary 2012, he was given spe­cial leave while a sex­ual as­sault al­le­ga­tion was in­ves­ti­gated by the health board and South Wales Po­lice.

How­ever, both found there was in­suf­fi­cient ev­i­dence to pro­ceed.

Wade re­turned to work at an­other lo­ca­tion. The other com­plaints of sex­ual as­sault were made in Oc­to­ber 2012 and 2013 and he was sus­pended again. Again the po­lice de­cided to take no fur­ther ac­tion.

The case of the for­mer hos­pi­tal worker sparked an in­ter­nal re­view by ABMU to look at Wade’s em­ploy­ment his­tory. This in­cluded the re­la­tion­ship be­tween Wade and his fa­ther – then the health board’s men­tal health and learn­ing dis­abil­i­ties clin­i­cal ser­vice di­rec­tor – re­gard­ing pos­si­ble con­flicts of in­ter­est.

It also ex­am­ined how the al­le­ga­tions were han­dled. It showed the records of 59 pa­tients came under re­view. A cat­a­logue of is­sues emerged, in­clud­ing that Wade ob­tained em­ploy­ment with the board with an ap­pli­ca­tion that only “con­tained three lines of sup­port­ing in­for­ma­tion”.

It also said there was no ev­i­dence of a Crim­i­nal Records Bureau check.

The re­view found that when the sec­ond al­le­ga­tion was made there was a de­lay in re­mov­ing Wade from the work place. He was al­lowed to work a fur­ther four shifts. Af­ter an ini­tial as­sess­ment on Fe­bru­ary 20, 2013, the health board de­cided “whilst there was some ev­i­dence to sup­port the al­le­ga­tion, there was more ev­i­dence against”.

While he re­mained on spe­cial leave, a third al­le­ga­tion of his­toric abuse was made by a fe­male for­mer pa­tient.

“The fact a third and sep­a­rate al­le­ga­tion had been made by the time the ini­tial as­sess­ment into the sec­ond had been con­cluded, should have trig­gered a fur­ther full in­ves­ti­ga­tion,” the re­port said.

It con­cluded the health board’s in­ter­nal re­port­ing pro­ce­dures had not been fol­lowed ro­bustly enough. It found the clin­i­cal ser­vice di­rec­tor took no part in any of the in­ves­ti­ga­tions into al­le­ga­tions about his son.

It found no writ­ten ev­i­dence the health board’s in­ves­ti­ga­tions were overtly in­flu­enced by the clin­i­cal ser­vice di­rec­tor but it wasn’t pos­si­ble to say whether the fact the re­la­tion­ship ex­isted had a bear­ing on de­ci­sion­mak­ing.

This week crit­ics la­belled the re­port “wholly in­suf­fi­cient”.

BMA Cymru cited the Fran­cis Re­port, which un­cov­ered ma­jor fail­ings in pa­tient care at Mid-Stafford­shire NHS Foun­da­tion Trust.

“De­spite the find­ings of the re­port and sub­se­quent ac­tion plan, BMA Cymru Wales is call­ing for an in­de­pen­dent in­quiry into ABMU Health Board’s han­dling of this case,” said the BMA’s Dr David Bai­ley. “Post-Fran­cis, we be­lieve it is un­ac­cept­able for a health board to in­ves­ti­gate se­ri­ous con­cerns about it­self.”

Pressure has been mount­ing on Welsh Gov­ern­ment Health Sec­re­tary Vaughan Gething to launch an in­de­pen­dent in­quiry.

So far he has ruled this out. Last week he walked out on an ITV in­ter­view, telling their re­porter: “I don’t think there is a need for a pub­lic in­quiry.”

Chris­tine James’ body was found at her flat in Cen­tury Wharf, Cardiff Bay

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