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recurance

Isobel Stapleton

25 Jun 2024 · Coroner David Regan · South Wales Central

This report repeats 1 earlier warning. See the linked reports.

The coroner's concerns

  1. 1. inability to access all relevant clinical records

    “Mental health practitioners are not easily able to access all of a patient's relevant clinical records pending the introduction of a”
  2. 2. inability to access NHS England clinical records

    “Mental health practitioners in Wales currently have no way easily to access NHS England clinical records”
  3. 3. lack of clinical psychologist on inpatient team

    “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”
  4. 4. lack of clinical psychologist on home treatment team

    “The Home treatment team covering Merthyr Tydfil does not have access to a clinical psychologist to provide direct assessment and treatment of a patient”

Linked reports

Repeats an earlier warningManon Jones26 Jan 2022 · 2 years 5 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“The Clinical records in the Ty Llidiard Unit were not all entered contemporaneously in a single clinical record”
Original on judiciary.uk ↗

This report

“Mental health practitioners are not easily able to access all of a patient's relevant clinical records pending the introduction of a”
Full chain: Incomplete and inaccessible clinical records

Responses

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error