“See box 6 above Coroner’s Office, The Old Courthouse, Courthouse Street, Pontypridd, CF37…”
Dated 6 May 2026, from the coroner for South Wales Central. Sent to 4 organisations or people.
A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.
The 56-day response deadline
Report put online after its 56 daysOrganisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk; a reply may have been sent and not yet published.
judiciary.uk put this report online on 10 Jul 2026, after the 56 days for replies had ended (1 Jul 2026). These dates can’t tell us whether a reply was due before it went online. A reply may have been sent and not yet published.
- Report dated6 May 2026
- Deadline1 Jul 2026
- Published on judiciary.uk10 Jul 2026
- Today21 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Cwm Taf Morgannwg University Health BoardNamed in the report as “Cwm Taf Morganwg University Health Board” | Response publishedPublished on judiciary.uk in July 2026. |
| Cardiff and Vale University Health Board | Response publishedPublished on judiciary.uk in July 2026. |
| Cabinet Secretary for Health and Social Care in Wales | Response publishedPublished on judiciary.uk in July 2026. |
| Welsh Government. | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 10 Jul 2026, after the 56 days for replies had ended (1 Jul 2026). These dates can’t tell us whether a reply was due before it went online. |
The coroner’s concerns
See box 6 above Coroner’s Office, The Old Courthouse, Courthouse Street, Pontypridd, CF37 1JW COPIES AND PUBLICATION OF THIS REPORT I have a duty to send a copy of my report to every Interested Person who in my opinion should receive it. I also may send a copy of the report to any other person who I believe may find it useful or of interest. I can confirm I have sent the report to: [please do not use individual’s names, but instead roles/titles] 11 1. Cwm Taf Morganwg University Health Board 2. Cardiff and Vale University Health Board 3. Cabinet Secretary for Health and Social Care in Wales, Welsh Government. I also have a duty to send a copy of the report to the Chief Coroner. You may make representations to me, the coroner, about the publication of the contents of this report in line with Chief Coroner’s PFD Publication Policy (2026). Any representations will be sent to the Chief Coroner alongside the report. Please refer to box 4 above for additional information relating to the publication of reports and responses. Coroner’s Office, The Old Courthouse, Courthouse Street, Pontypridd, CF37 1JW 6 May 2026 SIGNED: Patricia Morgan Area Coroner for South Wales Central Coroner Area Coroner’s Office, The Old Courthouse, Courthouse Street, Pontypridd, CF37 1JW
An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.
- Source
- judiciary.uk, Prevention of Future Deaths reports, 2026-0263
- Added to Minute Book
- 8 Oct 2026
- Reuse
- We show short extracts and link to the original. We don’t host the full report.
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0
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