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Edwina Moses

22 Dec 2016 · Coroner Andrew Barkley · South Wales Central
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The coroner's concerns

  1. 1. lack of one to one nursing support

    “there was a poor system in additional nursing cover to provide one to one support”

  2. 2. unavailable additional nursing cover

    “additional nursing cover not to attend and staff were then left to provide one to one cover alongside their main stream duties”

  3. 3. inadequate staffing levels

    “appropriate staffing levels on wards and the ability of staff to safely look after patients must be a concern”

Responses

2016-0462-Response-by-University-Health-Board.pdf ↗· ABMU Health Board

Stated action · February 2017

“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.”
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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

Edwina Moses · Recurance