Source · Prevention of Future Deaths

Alun Sheppard

Ref: 2014-0268 Date: 13 Jun 2014 Coroner: John Gittins Area: North Wales (East & Central) Responses identified: 1 / 1 View PDF

The Health Board struggles to balance patient confidentiality with the crucial need for familial support to optimize recovery, potentially hindering patient well-being.

Date 13 Jun 2014
56-day deadline 8 Aug 2014 est.
Responses identified 1 of 1
Hospital Death (Clinical Procedures and medical management) related deaths

Coroner's concerns

AI summary
The Health Board struggles to balance patient confidentiality with the crucial need for familial support to optimize recovery, potentially hindering patient well-being.
View full coroner's concerns
Ysbyty and

Effectively the concern in this case revolves around whether the Health Board are able to balance the patient's right to confidentiality whilst also seeking to optimize prospect of recovery by facilitating familial support.

Responses

1 respondent
NHS Wales NHS / Health Body
2 Sep 2014 PDF
Noted

The Health Board agrees that familial support improves patient recovery and routinely encourages service users to engage with their families. The policy of the Health Board is to use a confidentiality form. (AI summary)

View full response
Dear Mr Gittins Re: Report for the Prevention of Future Deaths Alun Sheppard Thank YOu for your letter dated 13 June 2014 enclosing the Report for the Prevention of Future Deaths in accordance with Regulation 28 of the Coroners' (Investigations) Regulations 2013. Firstly, on behalf of the Health Board, would like to forward our sincere condolences to Mr Sheppard's family for their loss_ note the matter of concern to be 'Effectively the concern in this case revolves around whether the Health Board is able to balance the patients right to confidentiality whilst also seeking to optimise the prospect of recovery by facilitating familial support"_ totally agree that the prospect of any patients recovery is improved with familial support. Mental health practitioners routinely encourage service users to engage with their family members and increase their support networks, The policy of the Health Board is to use confidentiality form, a copy of which is enclosed, If a patient has capacity to make decisions about whether or not families Or carers are involved in patient's care planning and care, services are obliged to respect that decision unless there is an overriding public interest that merits disclosure of information. If a patient makes capacious decision not to involve their family or carers in their care, mental health practitioners still have responsibility to listen to any concerns and act upon them accordingly. If a patient is deemed to lack capacity, a disclosure of information needs to be based on Interest Decision. If you feel it would be helpful to discuss this response in more detail, please contacl_ Chief of Staff for Mental Health and Learning Disabilities Clinical Programme Group. Cyfeiriad Gohebiaeth ar gyfer y Cadeirydd ar Prif Weithredwr Correspondence address for Chairman and Chief Executive: Swyddfa'r Gweithredwyr Executives' Office, Ysbyty Gwynedd, Penrhosgarnedd, Bangor, Gwynedd LLS7 2PW Gwefan: www pbc cymru nhs.uk Web: www.bcu.wales nhsuk Best

GIG Bwrdd lechyd Prifysgol CyM Betsi Cadwaladr NHS University Health Board W A ! E 5 hope that this response has provided you with the reassurance you sought when issuing the Regulation 28 Report:

Report sections

Investigation and inquest
On the 10th of January 2014 commenced an investigation into the death of Alun Sheppard (DOB 10.01 965 DOD 10.01.2014). The investigation concluded at the end of the inquest on the 3r of June 2014 recorded an narrative conclusion in respect of the death in the following terms On the 21s of December 2013 at The Fields, Holt; Wrexham the Deceased took a kitchen knife and inflicted upon himself a number of stab wounds Although he initially survived these injuries and was treated for them; his condition deteriorated resulting in his death at the Maelor Hospital Wrexham on the 10"h of January 2014
Circumstances of the death
The Circumstances of the death are as set out in the narrative conclusion appearing in paragraph 3 hereof.
Action should be taken
In my opinion action should be taken to prevent future deaths and believe your organisations have the power to take such action,

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Report details

Reference
2014-0268
Date of report
13 June 2014
Coroner
John Gittins
Coroner area
North Wales (East & Central)

Responses identified

Responses identified 1 of 1
All listed responses identified

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 8 Aug 2014 (estimated).

Sent to

Betsi Cadwaladr University Health Board

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