Skip to content
recurance

Guided path, Step 1 of 4

See a chainStart

Paige Allen

26 May 2023 · Coroner Graeme Hughes · South Wales Central
Check this reportOriginal

The coroner's concerns

  1. 1. incomplete or insufficient assessment

    “those patients who contact mental health services in Cwm Taf Morgannwg University Health Board (CTMUHB), especially at the time of crisis may be assessed without the assessing practitioner having immediate & comprehensive access to relevant and proximate medical records, notes & plans (such as WARRN assessments, & Care & Treatment Plans)”

Responses

2026-0249-Response-from-Cwm-Taf-Morgannwg-University-Health-Board.pdf ↗

  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

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