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Cardiff hit-and-runs driver Matthew Tvrdon's 'psychotic' Cardiff hit-and-runs 'could not have been prevented'
(34 minutes later)
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. A series of hit-and-runs in Cardiff which killed a mother and injured 20 others could not have been prevented, a report finds.
Matthew Tvrdon, 33, had stopped taking his medication when he went on a "journey of mayhem" on 19 October 2012, at five locations. Matthew Tvrdon, 33, was psychotic and hallucinating when he went on a "journey of mayhem" on 19 October 2012, at five locations.
Health Inspectorate Wales (HIW) identified shortcomings in his care and a lack of monitoring of his condition. He had stopped taking his medication, Health Inspectorate Wales (HIW) said.
But it said the incident could not have been predicted. It identified shortcomings in his care and a lack of monitoring of his condition.
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.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 later admitted her manslaughter on the grounds of diminished responsibility.Tvrdon later admitted her manslaughter on the grounds of diminished responsibility.
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 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.
On Thursday a report by HIW said that given the circumstances ,it was difficult to see how Ms Menzies' death could have been prevented.On Thursday a report by HIW said that given the circumstances ,it was difficult to see how Ms Menzies' death could have been prevented.
"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."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.
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.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.
Despite the report's conclusion, Ms Menzies' sister Samantha believes more could have been done to prevent the incident.
She said the family and Tvrdon were let down by mental health services who should have done more to manage his condition.
The report recommended:The report recommended:
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.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.
The report said Tvrdon, who was under the care of Cardiff and Vale health board from 2003 until 2012, was psychotic and misusing substances.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".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.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.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.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."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.""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.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.That person would also have been better placed to monitor whether he took his medication.
The agencies involved have accepted the report's recommendations.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."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."