PFD report

Lewis Rhys Thomas Petryszyn · Prevention of Future Deaths report

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Issued 31 Jul 2025•South Wales Central

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
1

Raised in this report

Recipients
2

Named on the report

Responses found
1

Of 2 recipients

Stated actions
6

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 raised1

  1. Absence of specified prescribed timeframes for intervention, ongoing support and case load allocation for prisoners at risk of substance misuse
    Part of recurring concern: Unreliable case allocation and resolution of allocation disputesPart of recurring concern: Unreliable integration of substance misuse services into 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.4

  1. Action

    Embed agreed intervention, support and caseload timeframes in the revised service specification for future procurement.

    Stated by Cwm Taf Morgannwg University Health Board (CTMStated plannedThe respondent said that this action was planned when they made their response on 31 July 2025.
  2. Action

    Reduce the brief-intervention waiting period to the four-week target through recruitment and improved waiting-list management.

    Stated by Cwm Taf Morgannwg University Health Board (CTMStated completedThe respondent said that this action was complete when they made their response on 31 July 2025.
  3. Action

    Expand group provision with weekly rolling programmes for people waiting for one-to-one brief interventions.

    Stated by Cwm Taf Morgannwg University Health Board (CTMStated completedThe respondent said that this action was complete when they made their response on 31 July 2025.

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

Absence of specified prescribed timeframes for intervention, ongoing support and case load allocation for prisoners at risk of substance misuse

Wider context from the report

“(1) There was, and remains, an absence of specified prescribed timeframes in policies and procedures within which intervention, ongoing support, and/or case load allocation to/from Dyfodol must occur for prisoners likely to be at risk of substance misuse. (2) The absence of prescribed timeframes poses the real risk of delayed support and intervention to drug users ”

Is this part of a recurring concern?

Yes — Unreliable case allocation and resolution of allocation disputes; Unreliable integration of substance misuse services into patient care.

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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

Embed agreed intervention, support and caseload timeframes in the revised service specification for future procurement.

Verbatim wording from the response

“While the current service specification does not explicitly define timeframes for intervention, ongoing support, or case allocation, Dyfodol and CTM work to mutually agreed timeframes that are reviewed monthly. These timeframes will be formally embedded into the revised service specification as part of the future procurement process, once the existing contract expires.”

Source location

Cwn Taf Morgannwg University Health Board
Page 1 · response
Published 31 July 2025

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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

Reduce the brief-intervention waiting period to the four-week target through recruitment and improved waiting-list management.

Verbatim wording from the response

“Brief interventions consist of up to ten one-to-one sessions per individual, alongside targeted group programmes. The target timeframe for initiating one-to-one brief interventions is four weeks. Following recent recruitment efforts and improved waiting list management, Dyfodol has successfully reduced the previous six-week waiting period. As of August 2025, the waiting list is compliant with the four-week target.”

Source location

Cwn Taf Morgannwg University Health Board
Page 2 · response
Published 31 July 2025

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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 group provision with weekly rolling programmes for people waiting for one-to-one brief interventions.

Verbatim wording from the response

“To ensure continued support, Dyfodol has expanded its group provision, enabling those on the waiting list to access weekly rolling programmes such as the Drug Education Programme, SMART Recovery, and the Nudge Course (a four-week psychosocial programme focused on managing substance use and mental health).”

Source location

Cwn Taf Morgannwg University Health Board
Page 2 · response
Published 31 July 2025

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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

Submit a proposal to HMPPS to enhance the clinical substance misuse service at HMP & YOI Parc.

Verbatim wording from the response

“These proposals will be shared with relevant stakeholders prior to submission to HMPPS for consideration. Additionally, following consultation with G4S, Public Health Wales, Welsh Government, and other stakeholders, the Prison Healthcare Directorate has submitted a proposal to HMPPS to enhance the clinical substance misuse service at HMP & YOI Parc. This includes:”

Source location

Cwn Taf Morgannwg University Health Board
Page 3 · response
Published 31 July 2025

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Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.2

  1. 1

    Develop two proposals for future service provision following a joint review of current services.

    Stated by Cwm Taf Morgannwg University Health Board (CTMStated completedThe respondent said that this action was complete when they made their response on 31 July 2025.
  2. 2

    Share the jointly developed service proposals with relevant stakeholders before submitting them to HMPPS for consideration.

    Stated by Cwm Taf Morgannwg University Health Board (CTMStated plannedThe respondent said that this action was planned when they made their response on 31 July 2025.

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

Develop two proposals for future service provision following a joint review of current services.

Verbatim wording from the response

“Following these, CTM and Dyfodol have jointly reviewed current service provision and developed two proposals:”

Source location

Cwn Taf Morgannwg University Health Board
Page 3 · response
Published 31 July 2025

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

Share the jointly developed service proposals with relevant stakeholders before submitting them to HMPPS for consideration.

Verbatim wording from the response

“These proposals will be shared with relevant stakeholders prior to submission to HMPPS for consideration. Additionally, following consultation with G4S, Public Health Wales, Welsh Government, and other stakeholders, the Prison Healthcare Directorate has submitted a proposal to HMPPS to enhance the clinical substance misuse service at HMP & YOI Parc. This includes:”

Source location

Cwn Taf Morgannwg University Health Board
Page 3 · response
Published 31 July 2025

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