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recurance

Trevor Evans

11 May 2026 · Coroner Gareth Lewis · Carmarthenshire and Pembrokshire

The coroner's concerns

  1. 1. over reliance on patient statements and failure to review medical records

    “there was an over reliance on what [the deceased] told the nurse, a failure to review medical records and a lack of investigation or scrutiny into an abundance of background information that was available”

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.

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