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recurance

ABMU Health Board

11
reports received
5
with a published response found
1
recurrence chains
2
reports in those chains
  • Coroner Aled Gruffydd · SWANSEA NEATH & PORT TALBOT · in 1 recurrence link

    No published response from this organisation found.

  • Pamela Moran12 Nov 2019

    Coroner Aled Gruffydd · Swansea Neath & Port Talbot · in 1 recurrence link

    No published response from this organisation found.

  • Jane Livington4 Oct 2019

    Coroner Aled Gruffydd · Swansea Neath & Port Talbot

    No published response from this organisation found.

  • Keith Heatley26 Feb 2019

    Coroner Ian Boyes · South Wales Central

    No published response from this organisation found.

  • Coroner Aled Gruffydd · Swansea, Neath and Port Talbot

    No published response from this organisation found.

  • Dennis Redmore9 Aug 2017

    Coroner Andrew Barkley · South Wales Central

    No published response from this organisation found.

  • Anton Kusz27 Apr 2017

    Coroner Andrew Barkley · South Wales Central · in 1 recurrence link

    Response
  • Edwina Moses22 Dec 2016

    Coroner Andrew Barkley · South Wales Central

    Response · 1 stated action
    2016-0462-Response-by-University-Health-Board.pdf ↗
    “The Princess of Wales Hospital Managed Unit has reviewed its process around enhanced observation. The review included the standard of completion of Risk Assessments and introducing a process to monitor staffing levels across the site which will include the identification of all patients requiring enhanced observation.”
  • David Cooper21 Dec 2016

    Coroner Andrew Barkley · South Wales Central

    Response
  • Imad Hassan5 Sept 2016

    Coroner Graeme Hughes · South Wales Central

    Response · 1 stated action
    Hassan-Response.pdf ↗
    “The attached joint letter represents the agreed interim position between the respective organisations which will be further developed for the next meeting of the Joint Committee later this month.”
    Response · 1 stated action
    Imad-Hassan-Response-2.pdf ↗
    “We have confirmed with the United Hospitals University Bristol Trust that they will take patients in the event there is insufficient critical care capacity in South Wales.”
  • Coroner Louise Hunt · Bridgend, Glamorgan Valleys & Powys

    Response · 1 stated action
    2013-0218-Response-by-University-Health-Board.pdf ↗
    “The Health Board has implemented a clear and accurate message sheet, SBAR (Situation, Background, Assessment, Recommendation), for the switchboard staff at the Princess of Wales Hospital to record all out of hours requests for District Nurses in greater detail. The SBAR forms will ensure clear, audible records of referrals to the District Nursing Service in the Bridgend Locality, supporting safe, high quality patient care and the ability to review information and audit.”
    Response · 1 stated action
    2013-0218-Response-by-Gabbandco.pdf ↗
    “the Monkstone House policy has now been changed with regard to clinical assessment. The effect of this is that if a health professional (either district nurse or GP) will not attend Monkstone House within one hour of being called, the patient will be sent to the local A&E Department.”
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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error