Manon Jones
26 Jan 2022 · Coroner David Regan · South Wales Central
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. lack of community care records
“The clinicians assessing [the deceased] on admission to Ty Llidiard did not have available to them the records of her care made in the community by the Crisis team, the Community Intensive Treatment team or the University Hospital of Wales”
2. incomplete contemporaneous clinical records
“The Clinical records in the Ty Llidiard Unit were not all entered contemporaneously in a single clinical record”
3. absence of integrated clinical record
“The absence of a single in and outpatient clinical record impaired the ability of the clinicans at the unit on admission to be able to assess [the deceased], fix a safe levels of observations, and safeguard her”
Linked reports
Closely relatedConfidence 0.90 · high
This report
“The Clinical records in the Ty Llidiard Unit were not all entered contemporaneously in a single clinical record”
Later report
“Mental health practitioners are not easily able to access all of a patient's relevant clinical records pending the introduction of a”
Responses
No published response was found on judiciary.uk.