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recurance

Ruth Edwards

18 Dec 2018 · Coroner Rachel Knight · SouthWales Central

The coroner's concerns

  1. 1. discharge to home without psychiatric assessment

    “Mrs [name redacted]' discharge from hospital following overdose on 23" August to see GP was surprising. It was expected in these circumstances that Mrs [name redacted] would have been transferred to Llandough Hospital for a psychiatric liaison assessment. Instead, responsibility for any further assessment and treatment of Mrs [name redacted] was passed entirely to Mrs [name redacted] and her family”

Responses

2018-0395-Response-by-University-Health-Board.pdf ↗· Cardiff and Vale University Health Board

Stated action

“The UHB uses the Bristol Matrix, a decision making tool which is used to support the identification of patients who require psychiatric assessments. This decision making can also be conducted jointly with senior mental health staff.”
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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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