Anthony Williams
2 Dec 2014 · Coroner John Gittins · North Wales (East & Central)
The coroner's concerns
1. lack of training on exceptional cases
“no clear training or guidance has been given to staff as to what may constitute such”
2. incomplete patient records
“access to the medical records of existing patients at all times including evenings and weekends”
3. family not informed of care plan
“greater engagement with family and carers of patients (with patient consent) to ensure that they are aware of the contents of patient's Care and Treatment Plan”
Responses
2014-0523-Response-by-University-Health-Board.pdf ↗· Betsi Cadwaladr University Health Board
Stated action · next Operational Management meeting
“we now have a larger number of psychiatric nurses present on the Heddfan Adult Unit out of hours and in similar situations in the future, socially anxious patients such as Mr [name redacted] could be assessed at the Unit and would not need to await psychiatric assessment at the Emergency Department”