Recurance · prevention of future deaths reports
Pre-inquest brief
Inadequate nursing staffing affecting wound care and fall prevention
The earlier warning
Arthur Cook · 27 Jul 2015 · Sarah-Jane Richards, Powys, Bridgend and Glamorgan
“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 was promised
No published response from Aneurin Bevan University Health Board was found for the earlier reports.
What recurred
- 12 Mar 2021 · Elizabeth Robinson · Caroline Saunders · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · 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;”
Later · Elizabeth Robinson · 12 Mar 2021
“Mrs [name redacted] confirmed that staffing levels were not considered during the investigation and it was further confirmed that these apparently low staffing levels still exist.”
What happened next
No web check of the stated actions has been published for this chain.