A single unified safeguarding review was carried out to assess the role of agencies involved in the case, including the health board, Rhondda Cynon Taf council, South Wales Police and the University of South Wales.
It found:
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Poor communication between all agencies including education, health, local authority and police and between these agencies and the Deeley family
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“Missed opportunities” in Deeley’s care involving the Community Mental Health Team
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No mechanism for sharing information when a patient moves between health board localities on a temporary basis, as Deeley did as a student
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South Wales Police should have categorised the killing as a “critical incident” and the rationale for not doing so was not clear.
The report comes in the wake of a string of cases where the role of authorities in caring for people with serious mental illness who have gone on to kill has been criticised.
Cwm Taf Morgannwg health board was also criticised after the killing of 88-year-old John Rees in a Co-op store by Zara Radcliffe in May 2020.
An inquest in May 2024 found serious failures contributed to the death of Dr Kim Harrison, who was killed by his schizophrenic son.
Ms Fox-Roberts, a former IT consultant who loved baking and ran a cafe for a time, was described by her family as “a force of nature, passionate, vibrant, determined”.
Her daughter Abi Sheppard said: “She was just an absolute beacon in my life, my absolute rock.”
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