PFD report

Gareth WILLIAMS · Prevention of Future Deaths report

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Issued 31 Aug 2022•Gwent

Report record

Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

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Concerns
2

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
2

Described in responses

Recipients and published responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

Select any concern, action or position to view the source wording.

Concerns raised2

  1. Failure to establish clear ownership of care between mental health and ENT teams
    Part of recurring concern: Failure to integrate mental health services across care settingsPart of recurring concern: Failure to provide continuity of patient carePart of recurring concern: Insufficient multi-disciplinary coordination in mental health care
  2. Failure of direct communication between mental health and ENT teams
    Part of recurring concern: Unreliable inter-specialty communication for complex patient care
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 a recipient says it has done, is doing, or plans to do in response to a concern raised.2

  1. Action

    Map existing services to support appropriate pathway allocation for people referred to the expanded Adferiad service.

    Stated by Aneurin Bevan University LHBStated plannedThe respondent said that this action was planned when they made their response on 4 October 2022.
  2. Action

    Expand Adferiad through recurrent funding, broader eligibility and a multidisciplinary team providing assessment, care planning and rehabilitation expertise.

    Stated by Aneurin Bevan University LHBStated plannedThe respondent said that this action was planned when they made their response on 4 October 2022.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to establish clear ownership of care between mental health and ENT teams

Wider context from the report

“Gareth Williams found himself in a no-win situation. His mental health could not be improved without a resolution to his hearing problems and his tinnitus was untreatable. During the course of his treatment, Gareth was regularly transferred back to the “other” team, being told that either mental health or ENT was the most appropriate speciality. I found that Gareth was left without sufficient support, falling between 2 teams, who did not directly communicate with each other. ”

Is this part of a recurring concern?

Yes — Failure to integrate mental health services across care settings; Failure to provide continuity of patient care; Insufficient multi-disciplinary coordination in mental health care.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure of direct communication between mental health and ENT teams

Wider context from the report

“Gareth Williams found himself in a no-win situation. His mental health could not be improved without a resolution to his hearing problems and his tinnitus was untreatable. During the course of his treatment, Gareth was regularly transferred back to the “other” team, being told that either mental health or ENT was the most appropriate speciality. I found that Gareth was left without sufficient support, falling between 2 teams, who did not directly communicate with each other. ”

Is this part of a recurring concern?

Yes — Unreliable inter-specialty communication for complex patient care.

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

Map existing services to support appropriate pathway allocation for people referred to the expanded Adferiad service.

Verbatim wording from the response

“I am pleased to share that Welsh Government has confirmed that a Health Board service - ‘Adferiad’ - originally developed for people experiencing the effects of ‘Long Covid’ will be receiving substantive, recurrent funding from April 2023 which will also allow it to broaden its inclusion criteria to people with other medical and long-term conditions for whom there are no existing care pathways. This service will be delivered by a team of medical, nursing and Allied Health Professionals – including Health and Clinical Psychologists, thus offering a multi-disciplinary perspective from the point of referral and for consultation to other disciplines & specialties. Part of the expansion of the service will be to map existing services to ensure the person is on the ‘right’ pathway, with a ‘bespoke’ approach to each person’s needs.”

Source location

Response from Aneurin Bevan University Health Board
Page 2 · response
Published 4 October 2022

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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

Expand Adferiad through recurrent funding, broader eligibility and a multidisciplinary team providing assessment, care planning and rehabilitation expertise.

Verbatim wording from the response

“I am pleased to share that Welsh Government has confirmed that a Health Board service - ‘Adferiad’ - originally developed for people experiencing the effects of ‘Long Covid’ will be receiving substantive, recurrent funding from April 2023 which will also allow it to broaden its inclusion criteria to people with other medical and long-term conditions for whom there are no existing care pathways. This service will be delivered by a team of medical, nursing and Allied Health Professionals – including Health and Clinical Psychologists, thus offering a multi-disciplinary perspective from the point of referral and for consultation to other disciplines & specialties. Part of the expansion of the service will be to map existing services to ensure the person is on the ‘right’ pathway, with a ‘bespoke’ approach to each person’s needs.”

Source location

Response from Aneurin Bevan University Health Board
Page 2 · response
Published 4 October 2022

Open published response
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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026