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recurance

Colin Colley

17 Mar 2025 · Coroner Rachel Knight · South Wales Central

The coroner's concerns

  1. 1. lack of confidence in use of risk assessments around falls and enhanced supervision

    “Evidence was taken from nurses at St David's that there remains a lack of confidence in both qualified nursing staff, healthcare assistants and healthcare support workers in the use of and implication of risk assessments around falls, and the use of and importance of enhanced supervision and the Enhanced Supervision Document. I am concerned that unless more training is provided and refreshed frequently, there is a risk of future deaths occurring, particularly given the cohort being nursed at that”

Responses

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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.

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Colin Colley · Recurance