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Coroner’s reportPrevention of future deaths · 2016-0178

“~ (1) There is no acute facility in Powys for the treatment of acutely unwell patients…”

Dated 11 May 2016, from the coroner for South Wales Central. Sent to 2 organisations or people.

A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.

Read the full report on judiciary.uk

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The 56-day response deadline

Deadline passed

Replies were due by 6 Jul 2016. A reply may have been sent and not yet published.

Organisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk.

  1. Report dated11 May 2016
  2. Deadline6 Jul 2016
  3. Published on judiciary.uk11 May 2016
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
Powys Teaching Health BoardResponse publishedPublished on judiciary.uk in May 2016.
Department of Health and Social CareResponse published, not yet matchedA response is published with this report. We haven’t yet matched it to the organisation it’s from, so it may be this one’s.

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The coroner’s concerns

This report was published as a scan, so its text was read automatically. Check the wording against the original before you quote it.

~ (1) There is no acute facility in Powys for the treatment of acutely unwell patients, which, the evidence showed, often leads to patients being moved the length and breadth of the country to an establishment where a bed can be found. The evidence also showed that the local acute unit at the Redwood Centre in Shrewsbury had recently experienced a significant reduction in the number of acute beds available compounding and exacerbating the problem. (2) Asa consequence of 1 above there is often a lack of continuity of treatment which can be to the detriment of the patient concemed. (3) The evidence showed that, on balance, itis likely that the experience of being sectioned in these circumstances had an adverse effect upon Mrs Taylor which fuelled an unwillingness, on her part, to engage with Mental Health professionals thereby increasing her risk of self harm/suicide. (4) Itis believed that Powys Health Board is the only Health Board in the country that has no facility available to it for the treatment of acute admission patients in the position of Mrs Taylor. ‘ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and | believe you and your organisation have the power to take such action.

An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.

Source
judiciary.uk, Prevention of Future Deaths reports, 2016-0178
Added to Minute Book
8 Oct 2026
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0

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