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Coroner raises concerns after much loved dad dies three weeks after being discharged from crisis health team

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A CORONER has raised concerns after a local 21-year-old dad was found dead by his father only three weeks after being discharged from the crisis mental health team. 

In the early hours of March 27, 2019, Kieran Crimmins’ body was discovered close to his family’s house in Milford Haven.

Mr. Crimmins had been discharged from the Hywel Dda Crisis team three weeks prior, on March 5, despite displaying “maladaptive coping mechanisms” and repeatedly threatening to take his own life. 

Paul Bennett, a senior coroner for Pembrokeshire and Carmarthenshire, questioned whether it was wise to complete a multi-agency referral form (MARF) over the phone, whether there were “inconsistencies” in the manual diary system the Hywel Dda mental health team used to keep records, and whether there were “no effective means” of monitoring Kieran’s mental health after his release. 

Following a four-day inquest into the events leading to Kieran’s death, Mr. Bennett will now decide whether to make a Regulation 28 Prevention of Future Deaths Report (PFD), which would force Hywel Dda health board to rectify any potential weaknesses

Since he was a young child, Kieran had been under the supervision of the Hywel Dda Health Board’s mental health services and had frequently sought help at Withybush hospital.

Speaking after the inquest had concluded, his family said: “He was funny, entertaining, and an empathetic young man. He would brighten any room and would help anyone who asked, wanting nothing in return.”

However, beneath Kieran’s cheerful exterior was “a deeply troubled soul.” The inquiry learned that during his brief life, he experienced serious trauma, including the deaths of numerous dear friends and family members.

According to psychological testimony given at the inquest, his inadequate coping skills and pre-existing special educational needs made it difficult for him to handle the severe swings in his mental health. 

His family were his “protective” measures when things got tough.

Acting for Kieran’s family, Ben Blakemore said: “Kieran and his family did not feel listened to or recognised when begging for the intervention that it is clear, and hindsight shows, he desperately needed.” 

He was engaged with the Dyfed Drugs and Alcohol Service, and an inquiry into a drug-related driving offence was pending at the time of his death (DDAS).

Several witnesses, including those responsible for Kieran’s care and treatment for the Hywel Dda health board, testified in front of Mr. Bennett.

A crisis team practitioner with the Hywel Dda University Health Board pushed hard for Kieran to be admitted to the hospital on February 27, 2019, one month before he passed away, after he tried to end his life by overdosing on drugs.  

Dr David Sheppard interviewed Kieran at the time, who kept referring to suicidal thoughts and made several references to taking his own life.

Dr. Sheppard requested that a hospital bed be found for him that night in a conversation with Hywel Dda duty manager Donna Phillips, but Mrs. Phillips informed him that there were no beds available. 

Following that, Mr. Crimmins was offered the choice of staying at Withybush A&E or going back home with his parents. He made the decision to go home.

He returned to hospital the following day and was assured the Crisis team would visit him on a daily basis for the next two weeks. On March 1, a team member paid him a visit, and on March 2, he got a call from them, which is when the MARF referral happened. 

Kieran saw no one on March 3 or March 4. Despite going missing twice during that time and being located by police on one of those times, it was decided on March 5 that he should be released from their service.

Despite communication with DDAS and Hywel Dda’s integrated psychological therapies programme, Mr. Blakemore claimed that Kieran was “essentially left to his own devices.” Mr Bennett added: “I have some concerns around the decision making process.”

Three weeks later, on March 26, Kieran sent his former girlfriend and a friend of his each a message that raised concerns. When his parents learned that their son had left the house, they called the police and started looking for him.

Just after midnight, his father discovered his body. Despite paramedics’ best efforts to revive him with CPR and a defibrillator they had brought to the scene, Kieran was pronounced dead upon being taken to Withybush.

His sister, Katie Crimmins, who was only 18 when she learned that her older brother Kieran had passed away, claimed that hospital workers failed to provide any assistance to the family, leaving them to cope with the unbearable loss on their own.

Kieran, who had only recently become a father and was an avid fisherman and DJ, had long battled mental health problems including depression and PTSD.

His family claimed he struggled to receive the professional help he required. The transition of his care from child and adolescent mental health services (CAMHS) to adult mental health services allegedly ran into more issues.

As a result of the cell phone interaction, Mr. Bennett came to the conclusion that Kieran died by suicide as there was “sufficient evidence of Kieran’s intent to end his life and of him taking the steps to do so”. He added that he died of asphyxiation due to self-suspension. 

He added: “A decision was taken not to refer to the Community Mental Health Team for ongoing monitoring of his mental health and care co-ordination following his discharge from the Crisis and Home Treatment Team on March 5 due to the fact that he was receiving support from the Dyfed Drug and Alcohol Service and the Independent Psychological Therapy Service.”

After the inquest was over, Mr. Blakemore, who represented his family, released a statement saying: “Mental Health Service provision in Pembrokeshire and the wider Hywel Dda Health Board is long overdue a review so as to ensure that individuals do not believe that suicide is the only option they have. Kieran’s family has pursued change through this inquest forum, and hope it will follow.

“Kieran’s death must not be allowed to be just another statistic. Change is needed to avoid more people with vulnerabilities and thoughts such as those Kieran suffered from losing their life, and more families going through this hollow hell.”

Mr Blakemore urged Mr Bennett to consider making a Regulation 28 PFD report. Luke Garrett, representing Hywel Dda health board, made a submission that the matters raised by the coroner “will be considered” and that the use of the diary system would be “reviewed and strengthened” and the health board would “endeavour to provide information on MARFs on a face-to-face basis”.

Mr Bennett agreed to “give the matter due consideration” and will issue his decision within the next few days. 

He closed proceedings by expressing his condolences to Kieran’s family and commending them for the “way they conducted themselves” throughout. 

He added: “I’m sure there’s not much I can really add to the expressions of sympathy already shown.”

Kieran’s family also thanked the support they’d received from 2Wish and Get the Boys a Lift, and stated that without it, they would have been left “without any support at all at what has been the most horrific time of their lives”.

 

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MS urges residents to have their say on Withyhedge landfill consultation

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SENEDD Member Paul Davies is urging residents across Pembrokeshire to have their say as a public consultation continues on proposals relating to the Withyhedge landfill site near Haverfordwest.

Natural Resources Wales (NRW) has launched a consultation on a proposed permit variation submitted by Resources Management UK Ltd, the operator of the site. If approved, the changes could allow the landfill to accept additional waste.

The consultation gives residents and stakeholders the opportunity to submit their views before NRW makes a final decision. It will remain open until Thursday (Mar 26).

The proposed changes include revised final restoration levels, updates to the management and monitoring of groundwater, surface water and leachate, and the addition of 50,000 tonnes of waste soils per year for restoration work under a new waste recovery activity. The application also seeks to consolidate and modernise the existing permit, including a review of current improvement and pre-operational conditions.

The Preseli Pembrokeshire MS said it was vital that local people take the opportunity to share their concerns and experiences as part of the consultation process.

Mr Davies has previously raised concerns about the environmental performance of the site, noting that the operator was ranked the worst performing permitted installation in Wales in both 2023 and 2024.

He has also written to the Welsh Government expressing concern about the proposal, arguing that Pembrokeshire must not become a dumping ground for waste.

To ensure residents living closest to the landfill are aware of the consultation, Mr Davies is writing directly to households in surrounding communities, encouraging them to take part before the deadline.

Mr Davies said: “This consultation is an important opportunity for residents to make their views known about the future of the Withyhedge landfill site.

“There have been ongoing concerns about the site’s environmental performance and its impact on local communities, and it’s vital that Natural Resources Wales hears directly from the people who live in the area.

“I have made clear to the Welsh Government that I believe the site should be looking towards closure rather than expansion, and that Pembrokeshire must not become a dumping ground for waste.

“I would strongly encourage residents to take part in the consultation and submit their views before the deadline.”

Residents can submit their views directly to Natural Resources Wales before the consultation closes on Thursday (Mar 26). NRW will consider all responses before making a final decision on whether the permit variation should be approved.

 

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Community

Kurtz welcomes £4.3m National Lottery boost for local communities

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SAMUEL Kurtz MS has welcomed more than £4.3 million in National Lottery funding awarded to community projects across Carmarthen West and South Pembrokeshire since 2021.

Figures released by The National Lottery Community Fund show that £4,318,484 has been distributed through 122 grants in the constituency since the 2021/22 financial year, the same year Mr Kurtz was elected.

The funding has supported a wide range of grassroots charities, voluntary organisations and community groups through programmes including National Lottery Awards for All, offering grants of up to £20,000, and People and Places, which provides larger awards of up to £500,000.

Projects backed locally include mental health support for young people, environmental and sustainability initiatives, community workshops, outdoor wellbeing activities, support for vulnerable adults, and programmes aimed at building skills and confidence.

Among the organisations to benefit is Pembrokeshire Coast National Park Authority, which received £343,584 for its Routes to Discovery project, helping improve mental and physical wellbeing through accessible outdoor activities.

St Davids Diocesan Council for Social Responsibility was awarded £398,078 to deliver its Plant Dewi: Strengthening our Communities initiative, supporting families and local groups.

Other recipients include The VC Gallery, Redberth Croft CIC, The Tenby Project CIC and Neptune’s Army of Rubbish Cleaners, with funding supporting projects ranging from food initiatives and nature-based wellbeing to volunteering and environmental action.

Mr Kurtz said: “Community groups and charities across Carmarthen West and South Pembrokeshire do incredible work supporting people and strengthening local communities.

“It is fantastic to see more than £4.3 million of National Lottery funding invested in projects that are improving wellbeing, tackling isolation and creating opportunities for people of all ages during my time in office.

“The voluntary sector plays a vital role in our area, and this funding is helping organisations deliver projects that bring people together and make a real difference to people’s lives.”

The National Lottery Community Fund is the largest funder of community activity in Wales, supporting initiatives that bring communities together, promote environmental sustainability, help children and young people thrive, and improve health and wellbeing.

Organisations across Wales can apply for funding through the Awards for All and People and Places programmes to support projects that matter most to their communities.

Further information is available on The National Lottery Community Fund website.

 

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Cymraeg

National Eisteddfod unveils legacy framework to boost Welsh language and communities

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A NEW national framework aimed at securing a lasting legacy from the National Eisteddfod has been published jointly by the festival’s organisers and the Welsh Government.

The plan sets out how the Eisteddfod’s impact will be strengthened before, during and after each annual event, bringing together partners from across education, community development, culture, the economy and the Welsh language sector.

While each Eisteddfod reflects the identity of its host community, the framework aims to ensure long-term benefits are consistently delivered nationwide, rather than limited to the festival period.

The legacy programme will cover a wide range of areas including education, inclusion, digital innovation, volunteering and economic development, with new national and local structures designed to coordinate delivery more effectively.

A national project board will oversee the strategy, setting direction and sharing best practice year-on-year. At a local level, a steering group will drive community-based work, helping turn the Eisteddfod into a catalyst for lasting change.

Cabinet Secretary for Finance and the Welsh Language, Mark Drakeford said the festival’s impact goes far beyond a single week.

“The Eisteddfod is far more than a week-long festival. It is a multi-year project that leaves a lasting legacy for the Welsh language and culture in the area,” he said.

“By bringing together partners from across key sectors, this framework will help deliver real and lasting change for our communities and support our ambition of reaching a million Welsh speakers by 2050.”

Nic Parry, President of the Eisteddfod Court and Chair of its Management Board, said the framework strengthens collaboration at both local and national level.

“It allows us to deliver on a long-held ambition to drive language planning through the lens of the National Eisteddfod,” he said.

“It also positions the Eisteddfod as a powerful tool for boosting local economies and supporting sustainable communities for future generations.”

Further details are expected later this year, with membership of the national project board due to be confirmed by mid-June.

A dedicated session at this year’s Eisteddfod will also gather evidence from the 2026 host area to help shape future plans for 2027 and 2028.

More information is available via the Eisteddfod’s legacy framework online.

 

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