Service Personnel related deaths

PFD Category
Reports: 32 Areas: 18 Earliest: Jan 2014 Latest: 31 Jan 2025

91% response rate (above 63% average). 47% of classified responses show concrete action taken.

Response Status
Responded 29 Historic 3
AI Classification
Action Taken 47%
Action Planned 26%
Noted 21%
Disputed 6%
Based on 34 classified responses
Reports by Quarter
Clear
PFD Reports
26 results
Lee Bonsall
All Responded
2014-0044 31 Jan 2014 Carmarthenshire & Pembrokeshire
Department of Health and Social Care
Concerns summary (AI summary) Citalopram was inappropriately given on repeat prescription, contravening guidelines. Moreover, long ten-month waiting times for psychotherapy make it an unviable treatment alternative.
Noted (AI summary) The Department of Health acknowledges the coroner's concerns regarding repeat prescriptions of citalopram, referencing NICE guidelines. It states that NICE guidelines are not rules and do not restrict prescribing, including repeat prescribing, and that prescribing remains the clinical responsibility of the doctor concerned. The response indicates it will copy the concerns to NICE for their next guideline review. The Department of Health acknowledges the coroner's concerns regarding citalopram prescriptions and psychotherapy waiting times but states these are the responsibility of the Welsh Government. It includes information about Citalopram's Summary of Product Characteristics and monitoring requirements for potential suicide risks.