Recipient

University of South Wales

First report 10 Nov 2021•Latest report 10 Nov 2021

Recipient record

Reports, concerns and published responses

Other public bodies · University. This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

Reports: 1
Published responses: 100%
Concerns addressed: 1
Stated actions: 12

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.

100%published responses found

12stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from University of South Wales linked to the concerns in each report. Select any concern, action or position to view the source wording.

10 Nov2021
South Wales Central
Concerns raised1
1. Delays in student access to mental health support services
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response 7
1. Action
  Pilot direct referral pathways linking students in mental health crisis with local primary and secondary mental health services.
  Stated in progress
2. Action
  Introduce specialist Wellbeing practitioner roles and increase team staffing capacity.
  Stated completed
3. Action
  Reserve daily internal specialist support capacity for urgent referrals following Wellbeing Advice Appointments.
  Stated completed
1. Action
  Commission an independent external review of wellbeing, health and safeguarding policies, procedures and interventions.
  Stated planned
2. Action
  Complete a review of wellbeing and safeguarding policies, practices and interventions to improve service connectivity and consider systematic wellbeing monitoring.
  Stated in progress
3. Action
  Review communication links and expectations with the on-campus GP practice, including consent-based information sharing about interventions.
  Stated planned
4. Action
  Enhance processes for rapid specialist Wellbeing responses, including immediate risk assessment, action planning and referral where needed.
  Stated completed
Respondent positions 2
1. Position
  GPs, NHS mental-health services, and other public services are responsible for emergency, clinical, and domiciliary support.
  Redirects responsibility
1. Position
  The University does not provide prescriptions or act as a first-response, primary-care, emergency clinical, or domiciliary service.
  Outside remit
AI-generated summary

Daniel HALL · 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

Daniel Hall was a 20-year-old student at the University of South Wales who expressed suicidal thoughts on two occasions while awaiting mental health support. He died at his student accommodation on 9 December 2019, and the coroner’s short-form conclusion was suicide. The principal concern was lengthy delays in accessing mental health support despite expressed suicidal ideation and known autism spectrum disorder, together with a lack of safeguarding.

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 University of South Wales; that does not assign responsibility.
PFD Monitor interpretation
Delays in student access to mental health support services
Wider context from the report
“Lengthy delays for students at the University of South Wales to access mental health support services even when suicidal ideation has been expressed on more than one occasion and when risk factors (ASD) are known. ”
Open source report
Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation
Pilot direct referral pathways linking students in mental health crisis with local primary and secondary mental health services.

Verbatim wording from the response
“We are piloting a service for students in mental health crisis for direct referral to local Primary and Secondary mental health services. In Autumn 2021, the South East Wales Mental Health Partnership¹, established this pilot for enhanced collaboration between university support services and local mental health services in cases where students are presenting as particularly high risk or significantly unwell. The pilot will introduce a new ‘University Liaison Service’ (‘ULS’) hosted by Primary Care in the NHS, but based within the participating universities, to support the student needs between the universities, GPs and NHS Mental Health Services. The University is applying lessons learnt through this pilot to its operating principles with other Local Health Board partners.”

Source location
2021-0381-Response-from-University-of-South-Wales_Published
Page 2 · response
Published 18 November 2021
Open published response
Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation
Introduce specialist Wellbeing practitioner roles and increase team staffing capacity.

Verbatim wording from the response
“Since the 2019 Autumn term, the University has introduced new specialist Wellbeing practitioner roles to our existing Wellbeing services and increased the overall number of staff in the team by 37%, which has significantly reduced waiting time for students. Wellbeing Advice and Specialist Provision appointments are monitored weekly by the Service Manager, who may increase or alter provision to meet student need.”

Source location
2021-0381-Response-from-University-of-South-Wales_Published
Page 2 · response
Published 18 November 2021
Open published response
Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation
Reserve daily internal specialist support capacity for urgent referrals following Wellbeing Advice Appointments.

Verbatim wording from the response
“The existing availability of internal specialist support including Counsellors, Mental Health Advisers and Nurse Advisers has been adapted to ensure we have daily availability reserved for urgent referrals following Wellbeing Advice Appointments.”

Source location
2021-0381-Response-from-University-of-South-Wales_Published
Page 2 · response
Published 18 November 2021
Open published response
Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation
Commission an independent external review of wellbeing, health and safeguarding policies, procedures and interventions.

Verbatim wording from the response
“Further, as part of our ongoing commitment to continuous enhancement of our provision, we will be commissioning a specialist independent external review of policies, procedures and interventions around wellbeing, health and safeguarding to ensure that our service continues to provide the very best support for our stakeholders. The Terms of Reference for the review will include benchmarking how we operate against best practice across the Higher Education sector and will inform future enhancements to the established service the University provides.”

Source location
2021-0381-Response-from-University-of-South-Wales_Published
Page 1 · response
Published 18 November 2021
Open published response
Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation
Complete a review of wellbeing and safeguarding policies, practices and interventions to improve service connectivity and consider systematic wellbeing monitoring.

Verbatim wording from the response
“To manage the enhancement of our Wellbeing services, the University has created a Wellbeing, Health and Safeguarding project under the governance of our Equality and Diversity Steering Group with Executive level sponsorship and oversight. The Wellbeing, Health and Safeguarding project strands incorporate:”

Source location
2021-0381-Response-from-University-of-South-Wales_Published
Page 4 · response
Published 18 November 2021
Open published response
Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation
Review communication links and expectations with the on-campus GP practice, including consent-based information sharing about interventions.

Verbatim wording from the response
“Other examples of collaboration with external services includes the University’s long-running partnership with a GP practice to deliver services to students on campus at Trefforest. In 2022, we will be reviewing the communication links and expectations of this relationship, drawing on the learning and standardised measures of mental health severity from the Health Board collaboration. The aim will be to include a requirement for primary care services to inform (with individual consent) University support services of interventions in order that University supplementary support can be synchronized.”

Source location
2021-0381-Response-from-University-of-South-Wales_Published
Page 4 · response
Published 18 November 2021
Open published response
Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation
Enhance processes for rapid specialist Wellbeing responses, including immediate risk assessment, action planning and referral where needed.

Verbatim wording from the response
“USW processes, which enable rapid response specialist Wellbeing services, have been enhanced since March 2020. Direct and early conversation with a Wellbeing practitioner is facilitated by Student Wellbeing appointments which are booked online. During the Wellbeing Advice Appointment, the trained Wellbeing practitioners, together with the student, assess need and risk there and then, agreeing and initiating a plan of action. Any expression of suicide will be referred rapidly, if the assessment of individual need and risk by the Wellbeing practitioner identifies a need for access to specialist support. Referrals may be made internally and/or to a GP or other Secondary Care mental health services.”

Source location
2021-0381-Response-from-University-of-South-Wales_Published
Page 2 · response
Published 18 November 2021
Open published response
Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation
GPs, NHS mental-health services, and other public services are responsible for emergency, clinical, and domiciliary support.

Verbatim wording from the response
“The University recognises it is not a first response organisation nor is it a primary care agency and should not be expected to provide emergency or clinical services nor domiciliary visits. Those services are provided by GP, NHS and other public services. Our services, as outlined above, have been devised to ensure the University can take action when we are made aware of suicidal and other high-risk intentions. This includes referring the matter to external clinical and specialist services best qualified to support the student.”

Source location
2021-0381-Response-from-University-of-South-Wales_Published
Page 5 · response
Published 18 November 2021
Open published response
Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation
The University does not provide prescriptions or act as a first-response, primary-care, emergency clinical, or domiciliary service.

Verbatim wording from the response
“Prescriptions and pharmaceutical remedies are not provided within University services. However, we recognise the benefits of tailoring our services to complement external”

Source location
2021-0381-Response-from-University-of-South-Wales_Published
Page 3 · response
Published 18 November 2021
Open published response

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

Reports, concerns and published responses

Reports over time

Concerns raised1

Delays in student access to mental health support services

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.7

Respondent positions A position is what this recipient says about the concern when it does not describe a specific action.2

Actions described in response 7

Respondent positions 2