The review of adult mental health units in Rhondda Cynon Taf, Merthyr Tydfil and Bridgend, carried out in 2022 and 2023, was prompted by concerns raised by patients' relatives and carers, staff whistleblowers and findings of previous inspections.
It also raised broader concerns about "dysfunctional" communication and information-sharing about patient records, a lack of family and carer involvement in discharge planning, and demand for beds leading to some discharges being brought forward, exacerbating risk to patient safety. It found there was a "lack of exploration" of the concerns raised by Lowri's social worker and mother about her state of mind and "suicidal thoughts" and that there were "clear expressions of hopelessness and distress" from Lowri.
Alun Jones, chief executive of HIW, said: "It is disappointing to have identified such clear risks to patient safety during this review. "As a health board, we had identified internally many of the issues set out in the HIW report and are progressing our Mental Health Inpatients Improvement Programme, which includes measures to ensure the safe discharge of patients as well as better systems for managing and sharing clinical records.
Source: Healthcare Press (healthcarepress.net)
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