Neville Welton
17 May 2018 · Coroner John Gittins · North Wales (East & Central)
The coroner's concerns
1. delay in concluding Confidential Investigation and formulating Action Plan
“the length of time taken by the Health Board to conclude its Confidential Investigation and to formulate an Action Plan as this was not completed until the 27' of April 2018, some four and a half months after Mr [name redacted] death”
Responses
2018-0150-Response-by-University-Health-Board.pdf ↗· Betsi Cadwaladr University Health Board
Stated action · 18t September 2018
“The Health Board is revising the model for the investigation of serious incidents to support the divisions to investigate all incidents including catastrophic incidents. This will create capacity within the Corporate Concerns Teams in order for them to support and train staff in incident management. Each investigating officer for a catastrophic incident would have a member of the Corporate Concerns Team working alongside them to ensure a timely and robust investigation, that addresses qualifying”