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Review of the Care & Safety of Patients Cared for at Cefn Coed Hospital

Healthcare Inspectorate Wales (HIW) today publishes its report following a review of the care and safety of patients cared for at Cefn Coed Hospital in Abertawe Bro Morgannwg University Health Board (ABMU).


The review looked into concerns regarding patient safety at Cefn Coed Hospital arising from incidents that took place in 2010 and which were subject to investigation by South Wales Police. Our review took place following ABMU’s own internal review.

The review recognises that whilst the Health Board acted quickly to initiate its own investigation into the concerns and initiate improvements, there remain significant and substantial challenges ahead.

The Report makes 16 recommendations across three areas aimed at addressing the issues we identified and to support the continuing improvement in the services provided at Cefn Coed Hospital. The areas are:

  • Patient Experience
  • Quality of Care
  • Service Development

ABMU’s progress in improving services at Cefn Coed Hospital since 2010 is reflected in the Report, and its Action Plan to take forward further improvement includes its response to the recommendations we have made. We will continue to require the Health Board to provide us with regular updates so that we can ensure that the standards of patient care are improved and upheld at Cefn Coed Hospital.

Chief Executive of HIW, Dr Peter Higson, said today:

"While the Health Board acted quickly to initiate its own investigation into the concerns and initiate improvements at Cefn Coed Hospital, there remain significant and substantial challenges ahead. One of these is that the hospital site is no longer fit for purpose and it is evident that its design compromises standards of care. As it is clear, however, that Cefn Coed will continue to provide an acute adult admission service for the next few years, the Health Board needs to maintain a level of investment in the hospital that is sufficient to both improve the current institutionalised ward environment and the level of services provided, particularly staffing.

While the publication of this report was delayed to allow for the completion of the legal processes that were initiated following the incidents reported in 2010, its findings remain relevant and also need to be considered by all other providers of mental health services in Wales".

Care & Safety of Patients at Cefn Coed Hospital Report

Press Release

Source: Healthcare Inspectorate Wales (HIW)