South Wales Central

Coroner Area
Reports: 182 Earliest: Aug 2013 Latest: 27 Feb 2026

71% response rate (above 62% average).

Response Status
Responded 130 Historic 45 Pending 5
AI Classification
Action Taken 46%
Action Planned 25%
Noted 12%
Disputed 17%
Based on 48 classified responses
Top Categories
Wales prevention of future deaths … (90) Hospital Death (Clinical Procedure… (79) Road (Highways Safety) related dea… (23) Suicide (from 2015) (21) Mental Health related deaths (18)
Quarterly Trend
Category Breakdown
How does this area compare?
vs Wales average: +104 reports · +6pp response rate
vs national average: +99 reports · +9pp response rate
Clear 5 results
Summer Mant
Response Pending
2026-0118 27 Feb 2026
Swansea Bay University Health Board Powys Teaching Health Board Aneurin Bevan University Health Board +6 more
Child Death (from 2015) Wales prevention of future deaths reports (2019 onwards)
Concerns summary A delay in obtaining adrenaline during resuscitation occurred due to non-standardised paediatric crash trolleys across hospitals, hindering junior doctors in a time-critical situation.
Helen Patching, Rachael Patching and Corey Longdon
Response Pending
2026-0081 9 Feb 2026
Rhondda Cynon Taf County Bouorgh Council Bannau Brycheiniog National Park Natural Resources Wales +2 more
Other related deaths Wales prevention of future deaths reports (2019 onwards)
Concerns summary Inadequate signage fails to address significant falling risks in 'Waterfall Country', and poor mobile phone signal hinders emergency services' response times.
Ryan Harding Prevention of future deaths report
Response Pending
2026-0054 4 Feb 2026
Governor of HM Prison Parc
Alcohol, drug and medication related deaths Wales prevention of future deaths reports (2019 onwards)
Concerns summary Inadequate prison infrastructure allows illicit materials to enter. Scheduled welfare checks were also frequently delayed or missed due to staffing shortages.
Joan Read Prevention of future deaths report
Response Pending
2026-0055 4 Feb 2026
Chief Executive Cardiff & Vale Universi… [REDACTED}
Hospital Death (Clinical Procedures and medical management) related deaths Wales prevention of future deaths reports (2019 onwards)
Concerns summary A single consultant lacking cross-cover for geriatric perioperative care creates a risk of urgent test results being missed during periods of absence.
Lyn Maher
Response Pending
2026-0053 3 Feb 2026
London SE1 8UG NHS England [REDACTED] Chief Executive Officer (CEO) +1 more
Alcohol, drug and medication related deaths Wales prevention of future deaths reports (2019 onwards)
Concerns summary Community pharmacists in Wales faced confusion regarding clinical checks and patient confidentiality, and had limited access to crucial drug history via the Welsh Clinical Portal, hindering safe prescribing.