First report 23 Mar 2020•Latest report 12 Dec 2024
Recipient record
Reports, concerns and published responses
Private and voluntary organisations · Private limited company. This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.
Reports
3
Naming this recipient
Published responses
67%
Found for named reports
Concerns addressed
6
Across all linked responses
Stated actions
5
Described in responses
Reports over time
Reports over time
Reports naming this recipient by issue year.
Evidence profile
Report topics
Share of this recipient’s reports compared with all other recipients.
67%published responses found
5stated actions described
Topic comparisons are not available in the current evidence snapshot.
Concerns and recipient responses
Statements from Elysium Healthcare Limited linked to the concerns in each report. Select any concern, action or position to view the source wording.
Gwent
Concerns raised2
Failure to conduct and understand the requirements of post-leave assessments
Failure to suitably document post-leave assessment findings
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something this recipient says it has done, is doing, or plans to do in response to the concern raised.4
Action
Develop a revised leave policy addressing risk assessment, documentation, post-leave feedback, and distinct Ground Leave and Section 17 processes.
Stated in progressThe respondent said that this action was in progress when they made their response on 3 February 2025.
Action
Audit a weekly sample of patient records to verify that Ground Leave records are completed.
Stated in progressThe respondent said that this action was in progress when they made their response on 3 February 2025.
Action
Remind ward staff to document Ground Leave issues and feedback on specific leave conditions in patient records.
Stated completedThe respondent said that this action was complete when they made their response on 3 February 2025.
Action
Adopt and roll out the revised leave policy across all units.
Stated plannedThe respondent said that this action was planned when they made their response on 3 February 2025.
Respondent positions A position is what this recipient says about the concern when it does not describe a specific action.1
Position
The patient’s leave assessments had taken place, including assessment in multidisciplinary and other staff meetings and documented Ground Leave episodes.
Disputes the concernThe respondent disagreed with part of the concern or the basis for it.
North Wales (East and Central)
Concerns raised4
Lack of joint discharge planning between the Health Board and out-of-area psychiatric facilities
Failure to share relevant clinical information between the Health Board and out-of-area psychiatric facilities
Delays and failures in transferring and acting on discharge clinical documentation
Lack of agreed minimum information-sharing standards between the Health Board and private psychiatric facilities
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Respondent positions A position is what this recipient says about the concern when it does not describe a specific action.4
Position
The concern that Elysium failed to share discharge information is factually incorrect; Betsi was informed by telephone and emailed relevant records.
Disputes the concernThe respondent disagreed with part of the concern or the basis for it.
Position
The described processes did not create a future-death risk for Elysium because information was provided and Betsi had time to intervene.
Disputes the concernThe respondent disagreed with part of the concern or the basis for it.
Position
The framework agreement and internal policy adequately govern information sharing; concurrent discharge letters are not contractually required.
Existing arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
Lawful constraints prevented delaying discharge or requiring a joint discharge meeting for an informal patient who wished to leave.
Unable to actThe respondent said that a constraint prevented them from taking the relevant action.
Exeter and Greater Devon
Concerns raised2
Insufficient understanding of the special needs and vulnerabilities of prisoners within the autistic spectrum
Lack of a mechanism for ready transfer of people in police custody suspected of or charged with serious crime to a medium secure mental health facility for assessment or treatment
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No action or position from this recipient is clearly linked to the concerns in this report.
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Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations