North West Wales

Coroner Area
Reports: 23 Earliest: Jul 2014 Latest: 21 May 2025

91% response rate (above 62% average).

Response Status
Responded 21 Historic 2
AI Classification
Action Taken 25%
Action Planned 25%
Noted 25%
Disputed 25%
Based on 4 classified responses
Top Categories
Wales prevention of future deaths … (12) Other related deaths (7) Hospital Death (Clinical Procedure… (6) Suicide (from 2015) (3) Alcohol, drug and medication relat… (2)
Quarterly Trend
Category Breakdown
How does this area compare?
vs Wales average: -55 reports · +26pp response rate
vs national average: -60 reports · +29pp response rate
Clear 2 results
James Jones
Historic (No Identified Response)
2023-0320 6 Sep 2023
Betsi Cadwaladr University Health Board
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary Persistent pressures and insufficient staffing in the A&E department lead to review delays, risking missed opportunities and potential future deaths in life-threatening situations.
Simon Willans
Historic (No Identified Response)
2017-0280 5 Oct 2017
Betsi Cadwaladr University Health Board
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary The ambulatory care unit lacked effective scrutiny and the consultant failed to document patient care. Discharge by an uninvolved nurse practitioner, insufficient safety netting, and failure to commence heparin despite a DVT/PE differential posed significant risks.