“Mental health practitioners are not easily able to access all of a patient's relevant…”
Dated 25 Jun 2024, 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.
The 56-day response deadline
All responses publishedReplies were due by 20 Aug 2024.
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; a reply may have been sent and not yet published.
- Report dated25 Jun 2024
- Deadline20 Aug 2024
- Published on judiciary.uk27 Jun 2024
- Today22 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Cwm Taf Morgannwg University Health Board | Response publishedPublished on judiciary.uk in June 2024. |
| Welsh Government | Response publishedPublished on judiciary.uk in June 2024. |
The coroner’s concerns
(1) Mental health practitioners are not easily able to access all of a patient's relevant Coroner's Office, The Old Courthouse, Courthouse Street, Pontypridd, CF37 1JW clinical records pending the introduction of a "Once for Wales" solution, for which there is currently no timetable for implementation. (2) Mental health practitioners may not be aware of the existence of all such records, some of which may be in paper. (3) Mental health practitioners in Wales currently have no way easily to access NHS England clinical records. (4) The inpatient hospital team at the Royal Glamorgan Hospital did and does not have access to a clinical psychologist to provide direct assessment and treatment of a patient. (5) The Home treatment team covering Merthyr Tydfil does not have access to a clinical psychologist to provide direct assessment and treatment of a patient. The waiting list for any necessary psychotherapy is months in length.
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, 2024-0341
- Added to Minute Book
- 8 Oct 2026
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- 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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