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Cardiff hit-and-runs report into Matthew Tvrdon's case due Cardiff hit-and-runs driver Matthew Tvrdon's 'psychotic'
(about 7 hours later)
A report into the case of a hit-and-run driver with paranoid schizophrenia who killed a mother and injured 17 more is to be published. A man who killed a mother and injured 20 others in a series of hit-and-runs in Cardiff was psychotic and hallucinating, a report has said.
Karina Menzies, 31, died when Matthew Tvrdon went on a "journey of mayhem" in Cardiff on 19 October 2012, injuring others at five locations. Matthew Tvrdon, 33, had stopped taking his medication when he went on a "journey of mayhem" on 19 October 2012, at five locations.
The 32-year-old was detained indefinitely by a judge last year under the Mental Health Act. Health Inspectorate Wales (HIW) identified shortcomings in his care and a lack of monitoring of his condition.
Healthcare Inspectorate Wales (HIW) is to publish its report on Thursday. But it said the incident could not have been predicted.
Ms Menzies, from the Ely area, was struck while walking with two of her children outside Ely fire station. She pushed them out of the way before the van hit her. Ms Menzies, 32, from the Ely area, was struck while walking with two of her children outside Ely fire station. She pushed them out of the way before the van hit her.
Tvrdon admitted manslaughter on the grounds of diminished responsibility. Tvrdon later admitted her manslaughter on the grounds of diminished responsibility.
Learning lessons He also pleaded guilty to seven counts of attempted murder and other charges including three counts of grievous bodily harm with intent during the incident which took place over eight miles of the city as parents were on the school run.
He also admitted seven counts of attempted murder and other charges including three counts of grievous bodily harm with intent during the incident which took place over eight miles of the city as parents were on the school run. On Thursday a report by HIW said that given the circumstances ,it was difficult to see how Ms Menzies' death could have been prevented.
Sentencing Tvrdon in June 2013, Mr Justice Wyn Williams said he was prepared to accept his mental illness "provides the explanation" for his actions which left seven children and police officers among the injured. "Whilst evidence reviewed indicates that a relapse of his psychosis could have been predicted following cessation of medication, and was indeed recognised to be a risk by the clinical staff, the subsequent homicide could not have been predicted," the report said.
The judge said Tvrdon was advised to reduce his medication in 2011 and he did not apportion blame to the defendant for that. It said mental health teams and GPs did not monitor Tvrdon's condition fully, particularly after he was sectioned under the Mental Health Act, and subsequently discharged, in 2007.
He also said he was prepared to accept expert advice that Tvrdon's culpability for his actions on that day was low because of his illness. The report recommended:
The Welsh government commissioned the HIW report to "ensure any lessons that might be learnt are identified and acted upon". The review said Tvrdon came from a stable and "very caring" family and only developed behavioural concerns while at university in 2002. He was forced to drop out and in 2003 he was sectioned at Whitchurch Hospital, Cardiff.
It will be published on Thursday. The report said Tvrdon, who was under the care of Cardiff and Vale health board from 2003 until 2012, was psychotic and misusing substances.
Mental health teams said he was difficult to engage with, lacked "insight" into his condition and was reluctant to take his medication especially when he was "acutely unwell".
Tvrdon had a "serious episode" in April 2007 and was sectioned three times in the same year. However, he was later "successfully" treated, the report said.
In total he was sectioned four times, and repeatedly had issues with taking his medication because he felt his condition stigmatised him.
He had not been taking his medication in the year before the hit-and-runs.
"It is clear that at the time (Tvrdon) had tragically killed (Ms Menzies), and injured 20 other individuals, his mental health had deteriorated significantly," the report said.
"The history of (Tvrdon's) contact with mental health services indicated that a relapse of his condition was likely should he stop taking his medication."
It was said Tvrdon would have benefited from having an assigned care coordinator to help build a better relationship between him and the mental health services available.
That person would also have been better placed to monitor whether he took his medication.
The agencies involved have accepted the report's recommendations.
Adam Cairns, chief executive of the health board, said: "While the review has acknowledged that it was difficult to see how this tragedy could have been prevented we do accept that, with hindsight, there were things that all agencies involved could have done better."