Recurance · prevention of future deaths reports
Pre-inquest brief
Incomplete and inaccessible clinical records
The earlier warning
Manon Jones · 26 Jan 2022 · David Regan, South Wales Central
“The Clinical records in the Ty Llidiard Unit were not all entered contemporaneously in a single clinical record”
judiciary.uk/…/manon-jones-prevention-of-future-deaths-report
What was promised
No published response from Cwm Taf Morgannwg University Health Board was found for the earlier reports.
What recurred
- 25 Jun 2024 · Isobel Stapleton · David Regan · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Manon Jones · 26 Jan 2022
“The Clinical records in the Ty Llidiard Unit were not all entered contemporaneously in a single clinical record”
Later · Isobel Stapleton · 25 Jun 2024
“Mental health practitioners are not easily able to access all of a patient's relevant clinical records pending the introduction of a”
What happened next
No web check of the stated actions has been published for this chain.