Prevention of Future Deaths reports · 2015

Barrie Lewis

Regulation 28 report to prevent future deaths, reference 2015-0065, written 19 Feb 2015. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report19 Feb 2015
Reference2015-0065
DeceasedBarrie Lewis
CoronerAndrew Barkley
Coroner areaPowys, Bridgend & Glamorgan Valleys
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Sourcejudiciary.uk record · original PDF
Responses published1

The report

Text recovered by OCR from a scanned PDF. OCR is imperfect: check anything you rely on against the source PDF. Reproduced verbatim, including the scan's own layout.

ANNEX A

REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1)

NOTE: This form is to be used after an inquest.

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS
THIS REPORT IS BEING SENT TO:

1. Chief Executive of Cwm Taf Health Board
2. Chief Coroner

3. EE (Partner)

1 | CORONER

! am Andrew Barkley, Senior Coroner, for the coroner area of Powys, Bridgend and
Glamorgan Valleys

2 | CORONER'S LEGAL POWERS

| make this report under paragraph 7, Schedule 5, of the Coroners and Justice Act 2009
and regulations 28 and 29 of the Coroners (Investigations) Regulations 2013.

3 | INVESTIGATION and INQUEST

On the 9" September 2014 | commenced an investigation into the death of Barrie Lewis.
The investigation concluded at the end of the inquest on the 18” February 2015. The
conclusion of the inquest was “suicide”.

4 | CIRCUMSTANCES OF THE DEATH

The deceased was found by his family hanging in a garage at the rear of his property on
the morning of the 31° August 2014. He was hanging from a rope attached to a rafter

within the garage.
5 | CORONER’S CONCERNS

During the course of the inquest the evidence revealed matters giving rise to concern. In
my opinion there is a risk that future deaths will occur unless action is taken. In the
circumstances it is my statutory duty to report to you.

The MATTERS OF CONCERN are as follows. —

[BRIEF SUMMARY OF MATTERS OF CONCERN]

(1) A clinical review was undertaken of the contact the deceased had with the
mental health services in the days prior to his death and it was apparent from
that review, and from the evidence heard that:

a) That no risk assessment was undertaken to detail risks specifically
associated with the deceased’s suicidal ideation which, on the evidence,
would have assisted the crisis team in assessing his risk of suicide or self
harm.

b) There was little formal mechanism for communication between the mental
health out patients department and the acute services which he accessed in
the days prior to his death.

c) There was no reliable system to ensure that a member of the crisis team
took responsibility for providing assistance to the deceased — simply leaving

the deceased to make his own telephone call to the appropriate department.

d) Noclinical recordings were made of the contact the deceased had with the
crisis team (Crisis Resolution Home Treatment team) following his contact
with them.

ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and | believe you and your
organisation have the power to take such action.

YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this report,
namely by 16" April 2015. |, the coroner, may extend the period.

Your response must contain details of action taken or proposed to be taken, setting out
the timetable for action. Otherwise you must explain why no action is proposed.

COPIES and PUBLICATION

| have sent a copy of my report to the Chief Coroner, Cwm Taf Health Board and the
family.

lam also under a duty to send the Chief Coroner a copy of your response.

The Chief Coroner may publish either or both in a complete or redacted or summary
form. He may send a copy of this report to any person who he believes may find it useful
or of interest. You may make representations to me, the coroner, at the time of your
response, about the release or the publication of your response by the Chief Coroner.

19° February 2015 SIG

Mr Andrew Barkley .
HM Senior Coroner

Responses

1 response published against this report on judiciary.uk. A response is a body's written reply to the coroner's concerns; publication is at the discretion of the Chief Coroner's office, so an absent response does not mean nobody replied.

Response from University Health Board (PDF)
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Bwrdd lechyd Prifysgol
Cwm Taf
University Health Board

Your refì'eich cyf:
Our refì'eincyf:
Date/Dyddiad:
TeLlffôn:
Fax/ffacs:
Email/ebost:
Dept/adran:

16th April 2015
01443744800
01443 744889

Patient Care & Safety

Private &. Confidential
Mr Andrew Barkley
HM Coroner for Cardiff and the Vale of Glamorgan
Aberdare Police Station
Cross Street
Aberdare
CF447EG

Dear Mr Barkley,

Re: Regulation 28 Coroner's Rules: Mr Barrie Lewis

I refer to your correspondence received on 19th February 2015, enclosing the
Regulation 28 report, which details the areas of concern following your
conclusion of
the inquest on 18th February 2015 relating to the death of Mr
Barrie Lewis on 31st August 2014.

Please be assured that
seriously and has learnt
at the inquest
minimise the risk of any recurrence.

the Health Board has taken this matter extremely
lessons following investigation and the matters raised
into the circumstances. A robust action has been developed to

1. Action taken to plan and monitor

improvements

A corrective Action Plan for
Health Boards comprehensive response;

this is attached.

Improvement was developed to capture the

2. Actions implemented

the actions have been taken forward by the Health Board to
the Care

I can confirm that
improve communication
Treatment
department,
development of a new procedure on the role of the duty officer and improved
monitoring of recording systems and processes.

Plan Policy and Procedures within

including a review of

and documentation

outpatients

The progress made with implementing the action plan as at 16th April 2015 is
reflected in the action plan as attached.

reassure
I sincerely hope that
you that
lessons from the investigation
into the care provided to Mr Lewis and that effective action has now been taken
to mitigate reoccurrence of similar tragic incidents.

this information and enclosed Action Plan will

the Health Board has learnt

important

Return Address:

Ynysmeurig House, Navigation Park, Abercynon, CF45 4SN

Chair/Cadeirydd: Dr C D V Jones, CBE

Chief Executive/PrifWeithredydd: Mrs Allison Williams

Cwm Taf University Health Board is the operational name of Cwm Taf University Local Health Board/Bwrdd Iechyd Prifysgol Cwm Taf yw enw gweithredol Bwrdd lechyd Lleol
Cwm Taf

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