Gwent

Coroner Area
Reports: 53 Earliest: Jan 2014 Latest: 6 Mar 2026

83% response rate (above 63% average).

Response Status
Responded 44 No Response 1 Historic 8
AI Classification
Action Taken 46%
Action Planned 40%
Noted 13%
Disputed 0%
Based on 52 classified responses
Top Categories
Wales prevention of future deaths … (29) Hospital Death (Clinical Procedure… (20) Suicide (from 2015) (8) Emergency services related deaths … (8) Road (Highways Safety) related dea… (7)
Quarterly Trend
Category Breakdown
How does this area compare?
vs Wales average: -25 reports · +20pp response rate
vs national average: -31 reports · +20pp response rate
53 results
Janette Sutherland
All Responded
2014-0114 13 Mar 2014
Caerphilly County Borough Council
Road (Highways Safety) related deaths
Concerns summary (AI summary) A drainage channel and concrete headwall present a significant hazard to road users. A safety barrier is needed to prevent vehicles from impacting the headwall.
Action Planned (AI summary) The council will investigate the site of the incident to provide recommendations for measures to alleviate future incidents. A Road Restraint Risk Assessment Process (RRRAP) survey was carried out on March 27th, and the council will complete the RRRAP in a timely manner and provide details of any findings/outcomes. Following a Road Restraint Risk Assessment Process (RRRAP), the council will demolish a headwall and re-profile the surrounding ditch, with works programmed for commencement in July.
Benjamin James Carroll
All Responded
2014-0068 20 Feb 2014
Welsh Cycling
Road (Highways Safety) related deaths
Concerns summary (AI summary) The road remained open to traffic during a cycling race sprint towards the finish line, despite accredited marshals with powers to stop traffic being present.
Action Planned (AI summary) Welsh Cycling, working with British Cycling, is launching a "racesmart" awareness campaign targeting participants, event organisers, and officials to ensure the safe running of all events. The campaign will focus on safety and responsibility with direct communication, educational digital content, and a managed social media campaign.
Desrae Tucker
Historic (No Identified Response)
2014-0032 23 Jan 2014
Aneurin Bevan Health Board
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) Inadequate recording of anti-embolic stocking use, no consideration for discharging the patient with them, and failure to prescribe anti-coagulant medication upon discharge were issues.