Prevention of Future Deaths reports · 2024

Philips Evans

Regulation 28 report to prevent future deaths, reference 2024-0387, written 22 Jul 2024. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report22 Jul 2024
Reference2024-0387
DeceasedPhilips Evans
CoronerKate Roberston
Coroner areaNorth Wales (East & Central)
CategoryHospital Death (Clinical Procedures and medical management) related deaths · Alcohol, drug and medication related deaths · Wales prevention of future deaths reports (2019 onwards)
Sourcejudiciary.uk record · original PDF
Responses published1

The report

Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.

Kate Robertson
Assistant Coroner for North Wales (East and Central)

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO:
Betsi Cadwaladr University Health Board (BCUHB)

1

CORONER

I am Kate Robertson, Assistant Coroner for North Wales (East and Central)

2

CORONER’S LEGAL POWERS

I 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 1 August 2023 an investigation was commenced into the death of Philip Martin
Evans (DOB 9/12/1984) who died on 26 July 2023. The investigation concluded at the
end of the inquest on 18 July 2024.  The conclusion of the inquest was by way of a
narrative :-

Philip Martin Evans had consumed a large quantity of medication at home and at the
time of this consumption the state of his mind was impaired such that it cannot be said
that he intended to end his life by this consumption at this time. At hospital, there were
missed opportunities to provide treatment which would probably have afforded time
to consider and initiate additional treatment options to the extent that death would
probably then have not occurred when it did.

4

CIRCUMSTANCES OF THE DEATH

The circumstances of the death are as follows :-

Philip Martin Evans was aged 38 at the time of his death on 26 July 2023. He had taken
approximately 200 different tablets at his home address at around 9-9.30am on 26 July
2023. He was conveyed to Ysbyty Glan Clwyd by a police officer who had attended at
his home following a concern for his safety. He was observed and went into cardiac
arrest at 15:07. He was transferred to the intensive care unit and died a short time
later.

Coroner's Office, County Hall, Wynnstay Road, Ruthin, LL15 1YN
Tel 01824 708047    |

 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  –

The Health Board conducted an investigation into Philip’s death to include a review of
his previous mental health care and treatment as well as Emergency Department (ED)
care and treatment. This did not identify any concerns from an ED perspective
(conducted by a Head of Nursing). The report had been reviewed and approved by the
Director or Nursing for the Mental Health and Learning Division and the Integrated
Health Council Director.

A request for a Statement as part of my investigation from an ED perspective prompted
a second review of the ED care and treatment which was completed only on 10 July
2024. This was undertaken by an Emergency Department matron, approved by the
Divisional Director, reviewed at an Incident Learning Panel and had Executive Approval
which was completed on 10 July 2024, 8 days prior to the already listed Inquest. This
identified omissions in the care and treatment.

At the Inquest an ED Consultant gave evidence to the Investigation Report with this
evidence differing in parts to the second investigation report.

I am concerned that the quality, effectiveness and timeliness of the Health Board’s
investigations means that issues or concerns with care and treatment are not being
identified either at all or quickly enough in order to put in place additional measures or
learning to prevent deaths in similar circumstances.

I have issued several Reports pertaining to this very point over a long period and yet
the same concerns remain.

6

ACTION SHOULD BE TAKEN

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

7

YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this report,
namely 16 September 2024. I, Kate Robertson, the Coroner, may extend the period.

Coroner's Office, County Hall, Wynnstay Road, Ruthin, LL15 1YN
Tel 01824 708047    |

 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.

8

COPIES and PUBLICATION

I have sent a copy of my report to the Family of the Deceased and to the Chief Coroner.
A copy will also be sent to the Health Minister, 

.

I am 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.

9

Dated 22 July 2023

Signature
Assistant Coroner for North Wales (East and Central)

Coroner's Office, County Hall, Wynnstay Road, Ruthin, LL15 1YN
Tel 01824 708047    |

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 Bcuhb (PDF)
Bloc 5, Llys Carlton, Parc BusnesLlanelwy, 
Llanelwy, LL17 0JG 

---------------------------------- 

Block 5, Carlton Court, St Asaph Business 
Park, St Asaph, LL17 0JG 

Ein cyf / Our ref:  
Eichcyf / Your ref: 
: 
Gofynnwch am / Ask for: 
E-bost / Email: 
Dyddiad / Date: 09 September 2024 

Kate Robertson 
HM Assistant Coroner 
North Wales (East and Central) 
Coroner's Office 
County Hall 
Wynnstay Road 
Ruthin LL15 1YN  

Dear Ms Robertson,  

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS 
Philip Martin Evans 

I write in response to the Regulation 28 Report to Prevent Future Deaths dated  18 July 
2024,  issued  by  yourself  to  Betsi  Cadwaladr  University  Health  Board,  following  the 
inquest touching upon the death of Mr Philip Evans.   

I would like to begin by offering my deepest condolences to the family and friends of Mr 
Evans. 

In the notice, you highlighted your concerns over the quality, effectiveness and timeliness 
of  the  Health  Board’s  investigations,  leading  to  issues  or  concerns  with  care  and 
treatment  not  being  identified,  or  identified  quickly  enough,  in  order  to  put  in  place 
learning and improvements. You also highlighted you had raised these concerns over a 
long period of time.  

As  you  know,  the  Health  Board  had  started  actions  to  implement  a  new  incident 
procedure from April 2024. However, in response to the increasing number of concerns 
you  raised  and  our  own  internal  concerns,  the  new  Chief  Executive  commissioned  a 
significant programme of work to review previous investigations in order to gain a deep 
understanding of the issues. The Learning from Investigations Programme reviewed 262 
investigations  against  a  set  of  good  practice  standards  that  we  developed.  This  work 
commenced in January 2024 and concluded at the end of June 2024 with a dedicated 
review  team  established  and  an  oversight  panel  of  senior  leaders  reporting  to  an 
executive steering group. The findings from this programme led to a clear understanding 
of where the problems were occurring in our processes.  

The Chief Executive therefore commissioned a further programme of work to develop this 
new  Integrated  Policy  covering  Incidents,  Complaints  and  Mortality  Reviews.  This  is 
known as the Integrated Concerns Policy.  

As Executive Director of Nursing and Midwifery, I oversaw this work along with the Acting 
Executive Director of Therapies and Health Sciences. The new policy was approved at 

Cyfeiriad Gohebiaeth ar gyfer y Cadeirydd a'r Prif Weithredwr / Correspondence address for Chairman and Chief Executive: 
Swyddfa'r Gweithredwyr / Executives’ Office 
Ysbyty Gwynedd, Penrhosgarnedd 
Bangor, Gwynedd LL57 2PW 

Gwefan: www.pbc.cymru.nhs.uk / Web: www.bcu.wales.nhs.uk 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 the Board meeting in July 2024, and become operational from 01 September 2024. My 
Deputy  Directors  of  Nursing  are  leading  implementation  of  this  new  policy  through  a 
working  group  consisting  of  our  Patient  Safety  Team,  Patient  and  Carer  Experience 
Team,  Complaints  Team,  Clinical  Effectiveness  Team  and  Legal  Team.  As  with  any 
major new policy, we expect full implementation to occur over the next three months.  

There are a number of changes being made through this policy as follows: 

•  The  new  policy  has  five  guiding  principles  as  to  how  we  approach  incidents, 
complaints and mortality reviews, which are that our approach will be: 1) Person-
centred,  2)  Fair,  3)  Open  and  Honest  (candour),  4)  Timely,  effective  and 
proportionate, and 5) Outcome and improvement focused. 

•  An Integrated Concerns Hub will meet daily to  ensure incidents, complaints and 
medical examiner referrals are triaged and triangulated to ensure the right review 
or investigation commences (proportionate to the issue) – our approach will be to 
investigate once, investigate well. 

•  The  Duty  of  Candour has  been  embedded  into  the  process  so  it  is  seen  as  an 
integrated  part  of,  and  not  separate  to,  the  management  of  an  incident  or 
complaint.  

•  As part of the new policy, there is new guidance, training and templates to be used 
and a new portal has been created on our staff intranet to access this in one place. 
•  Clear  deadlines  are  being  set  for  each  review  and  investigation  –  a  new 
Investigations Tracker has been developed to monitor progress, which itself is part 
of our new Quality Dashboard providing ward to Board quality data.  

•  Clear  standards  on  what  is  expected  in  terms  of  investigation  quality  and 

engagement with those affected and those involved.  

•  A  weekly  executive  meeting  will  have  oversight  of  commissioned  investigations 

and rapid reviews.  

•  A clearer and consistent approvals process is now established.  
•  There are clear accountabilities now set on divisions to deliver the improvement 

and action plans. 

•  The Patient Safety Team, Complaints Team and Clinical Effectiveness Team will 
conduct rolling audits of the Datix system to ensure divisions are uploading their 
Learning and Improvement Plans to Datix, that actions are being managed within 
date, and that evidence is being uploaded to support closure. This information will 
be  used  as  part  of  governance  and  accountability  processes  and  meetings  to 
ensure the Health Board is delivering on its improvement commitments. 

Later this year, we will also be launching a new Digital Learning Portal which is being 
designed  to  capture  and  cascade  learning.  Once  this  is  launched,  divisions  will  be 
responsible for ensuring information is entered into this system to enable learning to be 
recorded and cascaded across the organisation. This development is the first of a kind in 
Wales and is currently being actively developed by our IT department.   

 
 
 
 
 
 
 
 
 
 
 
 
 I want to assure you that the Health Board has understood and shared your concerns 
regarding our approach to investigations – and this new Integrated Concerns Policy is in 
response to those concerns and  provides a clear framework for us to change how we 
work.  

I understand you have already been provided a copy of the new policy however I would 
be happy to meet with you and discuss the policy or our work to improve patient safety 
in more detail, or provide further information and assurance should that be helpful.  

I hope this letter sets out for you the actions that we are taking to address the concerns 
you raised.  

Once again, I offer my deepest condolences to the family and friends of  Mr Evans for 
their loss. 

Yours sincerely 

Cyfarwyddwr Gweithredol Nyrsio a Bydwreigiaeth 
Executive Director of Nursing and Midwifery 

cc  

, Deputy Director of Quality

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