Aneurin Bevan University Health Board
NHS / Health Body
Action Planned
Aneurin Bevan University Health Board is expanding a service called 'Adferiad' to include people with other medical and long-term conditions, which will be delivered by a multi-disciplinary team including medical, nursing, and Allied Health Professionals to improve interdisciplinary working between physical and mental health specialties. (AI summary)
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Dear Ms Saunders Re: Regulation 28 Report received by Aneurin Bevan University Health Board further to the inquest touching on the death of Gareth Williams concluded on 17.08.2022 I am writing to provide you with the Health Board’s response to the Regulation 28 Report to Prevent Future Deaths, following the inquest into the death of Mr Gareth Williams. As requested, the information presented below is intended to describe the action taken / being taken to mitigate the risk of future deaths. You require the Health Board to provide you with the following information:
1. Whether the Health Board intends to undertake a review into the circumstances surrounding the death of Mr Williams, and
2. Confirm the steps which will be taken to ensure that there is better interdisciplinary working between physical and mental health specialities in the future A ‘concise review’ was undertaken by the Mental Health and Learning Disabilities Division of the Health Board when we became aware of Mr Williams’ death. Since that time, we have had the opportunity to review the wider input of other specialties and understand what services might have supplemented the offers of treatment and intervention available to Mr Williams, in addition to the liaison with the ENT department undertaken by a community mental health nurse with and for Mr Williams. Bwrdd Iechyd Prifysgol Aneurin Bevan Aneurin Bevan University Health Board Pencadlys, Headquarters Ysbyty Sant Cadog St Cadoc’s Hospital Ffordd Y Lodj Lodge Road Caerllion Caerleon Casnewydd Newport De Cymru NP18 3XQ South Wales NP18 3XQ Ffôn: 01633 436700 Tel No: 01633 436700 E-bost: abhb.enquiries@wales.nhs.uk Email: abhb.enquiries@wales.nhs.uk Bwrdd Iechyd Prifysgol Aneurin Bevan yw enw gweithredol Bwrdd Iechyd Lleol Prifysgol Aneurin Bevan Aneurin Bevan University Health Board is the operational name of Aneurin Bevan University Local Health Board
The Health Board acknowledges that its organisational structure has historically, not naturally lent itself well to easy and timely communication between its multiple specialties and disciplines across the Divisions. I am pleased to share that Welsh Government has confirmed that a Health Board service - ‘Adferiad’ - originally developed for people experiencing the effects of ‘Long Covid’ will be receiving substantive, recurrent funding from April 2023 which will also allow it to broaden its inclusion criteria to people with other medical and long-term conditions for whom there are no existing care pathways. This service will be delivered by a team of medical, nursing and Allied Health Professionals – including Health and Clinical Psychologists, thus offering a multi-disciplinary perspective from the point of referral and for consultation to other disciplines & specialties. Part of the expansion of the service will be to map existing services to ensure the person is on the ‘right’ pathway, with a ‘bespoke’ approach to each person’s needs. It is anticipated that people with co-morbidities and needs such as Mr Williams could be referred to Adferiad. The new team will provide expertise upfront in terms of assessment and planning care. The team would develop an individualised recovery and rehabilitation plan with individuals. I trust that this information assures you of the Health Board’s plans to improve interdisciplinary working between physical and mental health specialties in the future. If any further information or assurance is required, please do not hesitate to contact me.
1. Whether the Health Board intends to undertake a review into the circumstances surrounding the death of Mr Williams, and
2. Confirm the steps which will be taken to ensure that there is better interdisciplinary working between physical and mental health specialities in the future A ‘concise review’ was undertaken by the Mental Health and Learning Disabilities Division of the Health Board when we became aware of Mr Williams’ death. Since that time, we have had the opportunity to review the wider input of other specialties and understand what services might have supplemented the offers of treatment and intervention available to Mr Williams, in addition to the liaison with the ENT department undertaken by a community mental health nurse with and for Mr Williams. Bwrdd Iechyd Prifysgol Aneurin Bevan Aneurin Bevan University Health Board Pencadlys, Headquarters Ysbyty Sant Cadog St Cadoc’s Hospital Ffordd Y Lodj Lodge Road Caerllion Caerleon Casnewydd Newport De Cymru NP18 3XQ South Wales NP18 3XQ Ffôn: 01633 436700 Tel No: 01633 436700 E-bost: abhb.enquiries@wales.nhs.uk Email: abhb.enquiries@wales.nhs.uk Bwrdd Iechyd Prifysgol Aneurin Bevan yw enw gweithredol Bwrdd Iechyd Lleol Prifysgol Aneurin Bevan Aneurin Bevan University Health Board is the operational name of Aneurin Bevan University Local Health Board
The Health Board acknowledges that its organisational structure has historically, not naturally lent itself well to easy and timely communication between its multiple specialties and disciplines across the Divisions. I am pleased to share that Welsh Government has confirmed that a Health Board service - ‘Adferiad’ - originally developed for people experiencing the effects of ‘Long Covid’ will be receiving substantive, recurrent funding from April 2023 which will also allow it to broaden its inclusion criteria to people with other medical and long-term conditions for whom there are no existing care pathways. This service will be delivered by a team of medical, nursing and Allied Health Professionals – including Health and Clinical Psychologists, thus offering a multi-disciplinary perspective from the point of referral and for consultation to other disciplines & specialties. Part of the expansion of the service will be to map existing services to ensure the person is on the ‘right’ pathway, with a ‘bespoke’ approach to each person’s needs. It is anticipated that people with co-morbidities and needs such as Mr Williams could be referred to Adferiad. The new team will provide expertise upfront in terms of assessment and planning care. The team would develop an individualised recovery and rehabilitation plan with individuals. I trust that this information assures you of the Health Board’s plans to improve interdisciplinary working between physical and mental health specialties in the future. If any further information or assurance is required, please do not hesitate to contact me.