Recurance · prevention of future deaths reports
Pre-inquest brief
Insufficient tissue viability nursing staffing leading to delayed wound care
The earlier warning
Thomas Jenkins · 19 Dec 2014 · Sarah-Jane Richards, Powys, Bridgend & Glamorgan Valleys
“specialist nurses not being based in the hospital and of insufficient TVNs to serve the several hospitals in the region.”
judiciary.uk/prevention-of-future-death-reports/thomas-jenkins-2
What was promised
No published response from Cwm Taf University Health Board was found for the earlier reports.
What recurred
- 27 Jul 2015 · Arthur Cook · Sarah-Jane Richards · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Thomas Jenkins · 19 Dec 2014
“specialist nurses not being based in the hospital and of insufficient TVNs to serve the several hospitals in the region.”
Later · Arthur Cook · 27 Jul 2015
“Staffing levels of Tissue Viability Nurses within the Aneurin Bevan Health Board are low and to the extent that at times this service cannot be provided according to need”
What happened next
No web check of the stated actions has been published for this chain.