“The care and treatment provided by the Trust to Mr”
Dated 14 Nov 2016, from the coroner for Avon. 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.
The 56-day response deadline
Report put online after its 56 daysOrganisations 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; a reply may have been sent and not yet published.
judiciary.uk put this report online on 9 Feb 2017, after the 56 days for replies had ended (9 Jan 2017). These dates can’t tell us whether a reply was due before it went online. A reply may have been sent and not yet published.
- Report dated14 Nov 2016
- Deadline9 Jan 2017
- Published on judiciary.uk9 Feb 2017
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Care Quality Commission | Response publishedPublished on judiciary.uk in February 2017. |
| Avon and Wiltshire Mental Health Partnership NHS Trust | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 9 Feb 2017, after the 56 days for replies had ended (9 Jan 2017). These dates can’t tell us whether a reply was due before it went online. |
The coroner’s concerns
– (1) The care and treatment provided by the Trust to Mr. Watkins should be reviewed at the earliest opportunity in the light of the findings of the jury at the Inquest and the Trust’s own internal management report and root cause analysis report. (2) The CQC should satisfy themselves that any and all deficiencies in the care provided to Mr. Watkins and generally on Aspen Ward have been identified and addressed. (3) The CQC should satisfy themselves that an appropriate timetable and action plan are in place to ensure any outstanding issues on Aspen Ward relating to the safe care and treatment of service users are addressed at the earliest opportunity. (4) The CQC should satisfy themselves that the arrangements and facilities for the provision of care and treatment of service users on Aspen Ward, now and in the future, are such as to ensure those service users can be provided with safe care and treatment.
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, 2016-0409
- Added to Minute Book
- 8 Oct 2026
- Reuse
- We show short extracts and link to the original. We don’t host the full report.
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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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