Recipient

NHS Wales Joint Commissioning Committee

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First report 15 Jan 2016•Latest report 15 Jan 2016

Recipient record

Reports, concerns and published responses

Health and care · Health-system partnership. This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

Reports
1

Naming this recipient

Published responses
200%

Found for named reports

Concerns addressed
5

Across all linked responses

Stated actions
3

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.

200%published responses found
3stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from NHS Wales Joint Commissioning Committee linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Addressed to Emergency Ambulance Services Committee, now represented here by NHS Wales Joint Commissioning Committee.

    North West Wales

    AI-generated summary

    Jasmine Ruby Lapsley · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    On 19 August 2016, six-year-old Jasmine Lapsley choked on a grape while on holiday in Morfa Nefyn and died at 23.58 hours despite resuscitation efforts. The report identified concerns about gaps in overnight air support, the lack of a reliable Community First Responder rota and communication system, the need for sufficient local responders, and resource planning during seasonal population increases in rural and remote areas.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to NHS Wales Joint Commissioning Committee; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of an effective rota system for consistent Community First Responder cover

    Wider context from the report

    “(2) There is no effective rota system for Community First Responders to ensure consistent cover these local volunteers who provide essential support for patients in remote and/or rural locations in North West Wales. The method of communicating Community First Responders to attend is mobile telephone although this is by mobile telephone although this is fraught with difficulties in remote and/or rural areas where network coverage can be patchy at best and frequently non existent. WAST should review the systems in place for rostering and contacting Community First Responders to ensure more consistent cover and more reliable communication. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to NHS Wales Joint Commissioning Committee; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to provide increased resources during the July and August population increase

    Wider context from the report

    “(4) The population of many rural and remote areas of North West Wales increases significantly during the months of July and August. WAST currently do not provide increased resources during these two months to cope with this increase in population. WAST should review their planning for effective allocation of resources to ensure the safety of this population during the months of July and August. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to NHS Wales Joint Commissioning Committee; that does not assign responsibility.

    PFD Monitor interpretation

    Unavailability of reliable air support in North West Wales during overnight hours

    Wider context from the report

    “(1) There is no reliable WAST Air Support in North West Wales during the hours of 20.00 hours and 07.00 hours, those being the hours not covered by Wales Air Ambulance or the recently introduced Emergency Medical Retrieval Teams. WAST should review this gap in air support which is an essential asset in accessing, treating and retrieving critically ill or injured patients, particularly in remote and/or rural areas. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to NHS Wales Joint Commissioning Committee; that does not assign responsibility.

    PFD Monitor interpretation

    Insufficient planning for recruitment and retention of local Community First Responders

    Wider context from the report

    “(3) Given the difficulties in ambulances arriving at many rural and/or remote areas in North West Wales it is essential that there are sufficient local Community First Responders to arrive promptly at the casualty and provide essential treatment preserving life until an ambulance arrives. WAST should review the planning for the recruitment and retention of Community First Responders. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to NHS Wales Joint Commissioning Committee; that does not assign responsibility.

    PFD Monitor interpretation

    Unreliable communication for contacting Community First Responders in remote and/or rural areas

    Wider context from the report

    “(2) There is no effective rota system for Community First Responders to ensure consistent cover these local volunteers who provide essential support for patients in remote and/or rural locations in North West Wales. The method of communicating Community First Responders to attend is mobile telephone although this is by mobile telephone although this is fraught with difficulties in remote and/or rural areas where network coverage can be patchy at best and frequently non existent. WAST should review the systems in place for rostering and contacting Community First Responders to ensure more consistent cover and more reliable communication. ”
    Open source report
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Published response patterns

Compared with other recipients in reports included in PFD Monitor

Describes published response evidence, not performance.

Published responses found

200%
200%All other recipients 58%
0%100%

How actions were described at the time

This respondent
67%33%
All other recipients
47%25%27%<1%<1%
  • Completed
  • In progress
  • Planned
  • Unclear
  • Partially completed

Statuses reflect what recipients said at the time. PFD Monitor does not verify whether actions happened.

Types of action described in responses

Percentages use all actions described by each group. An action may have more than one type, so percentages do not total 100%.

Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026