Welsh Ambulance Services NHS Trust

33 Prevention of Future Deaths reports name this organisation, 2014–2025. Every report below links to the original on judiciary.uk.

Reports per year

20142
20151
20163
20174
20187
20194
20202
2021
20225
20234
2024
20251

Responses published

26 of 33 reports (79%) have at least one response published on judiciary.uk.

For reports written in the same years, 72% of all PFD reports in the corpus have a published response — so this page is in line with the corpus rate — the difference is within what chance alone would produce for this few reports.

This is not a reply rate. It counts responses published against the report by anyone — the organisation named here, a government department, a regulator or another body — because most response letters do not identify their author in a form that can be resolved reliably. A report with no response listed does not mean nobody replied: publication is at the discretion of the Chief Coroner's office, is often delayed, and was far less consistent in the corpus's early years. Treat a low figure as a prompt to read the reports, not as a finding about this organisation.

Coroner categories

Community health care and emergency services related deaths 10Hospital Death (Clinical Procedures and medical management) related deaths 5Emergency services related deaths (2019 onwards) | Wales prevention of future deaths reports (2019 onwards) 5Wales prevention of future deaths reports (2019 onwards) | Emergency services related deaths (2019 onwards) 3Community health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deaths 2Emergency services related deaths (2019 onwards); Wales prevention of future deaths reports (2019 onwards) 2Hospital Death (Clinical Procedures and medical management) related deaths | Emergency services related deaths (2019 onwards) | Wales prevention of future deaths reports (2019 onwards) 1Mental Health related deaths; State Custody related deaths; Wales prevention of future 1Emergency services related deaths; Wales Prevention of Future Death Reports 1Emergency services related deaths; Wales prevention of future deaths reports 1Emergency services related deaths (2019 onwards) | Mental Health related deaths | Alcohol, drug and medication related deaths | Wales prevention of future deaths reports (2019 onwards) 1Child Death (from 2015) | Emergency services related deaths (2019 onwards) | Hospital Death (Clinical Procedures and medical management) related deaths | Wales prevention of future deaths reports (2019 onwards) 1

Coroners who wrote them

All reports

DateDeceasedCategoryCoronerResponse
17 Jan 2025Jackson YeowChild Death (from 2015) | Emergency services related deaths (2019 onwards) | Hospital Death (Clinical Procedures and medical management) related deaths | Wales prevention of future deaths reports (2019 onwards)David ReganCwm Taf Morgannwg University Health Boardsource
15 Nov 2023Lynda BlackmoreEmergency services related deaths (2019 onwards) | Wales prevention of future deaths reports (2019 onwards)Graeme HughesAneurin Bevan University Health Board, Welsh Ambulance Services NHS Trust, Nation Institute for Health and Care Excellencesource
12 Sep 2023Rashdah BhattiWales prevention of future deaths reports (2019 onwards) | Emergency services related deaths (2019 onwards)John GittinsWelsh Ambulance Services NHS Trustsource
20 Feb 2023David StrachanWales prevention of future deaths reports (2019 onwards) | Emergency services related deaths (2019 onwards)Kate SutherlandWelsh Ambulance Services NHS Trust, Betsi Cadwaladr University Health Boardsource
20 Jan 2023Dorothy JonesEmergency services related deaths (2019 onwards) | Wales prevention of future deaths reports (2019 onwards)Caroline SaundersMinster for Health and Social Services, Welsh Ambulance Services NHS Trustsource
9 Nov 2022Maria WhaleWales prevention of future deaths reports (2019 onwards) | Emergency services related deaths (2019 onwards)Sarah-Jane RichardsCardiff and Vale University Health Board, Welsh Ambulance Services NHS Trustsource
17 Jun 2022Gwynne SamuelEmergency services related deaths (2019 onwards) | Wales prevention of future deaths reports (2019 onwards)Caroline SaundersWelsh Ambulance Servicessource
25 May 2022Raymond GillespieEmergency services related deaths (2019 onwards) | Wales prevention of future deaths reports (2019 onwards)Kate Sutherlandnone publishedsource
4 Feb 2022Sarah Gilbert-JonesEmergency services related deaths (2019 onwards) | Mental Health related deaths | Alcohol, drug and medication related deaths | Wales prevention of future deaths reports (2019 onwards)Graeme HughesWelsh Ambulance Services NHS Trustsource
28 Jan 2022Barbara YoungEmergency services related deaths (2019 onwards) | Wales prevention of future deaths reports (2019 onwards)Caroline SaundersWelsh Ambulance Service NHS Trustsource
23 Sep 2020Andres RobertsEmergency services related deaths; Wales Prevention of Future Death ReportsColin PhillipsWelsh Ambulance Services, Welsh Government Health and Social Servicessource
9 Sep 2020Alyn ReesEmergency services related deaths; Wales prevention of future deaths reportsCaroline Saundersnone publishedsource
20 Dec 2019Samantha BrousasEmergency services related deaths (2019 onwards); Wales prevention of future deaths reports (2019 onwards)Joanna Leesthe Welsh Ambulance Servicessource
22 Oct 2019Paul McleanEmergency services related deaths (2019 onwards); Wales prevention of future deaths reports (2019 onwards)Graeme HughesWelsh Ambulance Services NHS Trustsource
4 Mar 2019Meirion JamesMental Health related deaths; State Custody related deaths; Wales prevention of futurePaul Bennettnone publishedsource
11 Feb 2019Madeline StaplesHospital Death (Clinical Procedures and medical management) related deaths | Emergency services related deaths (2019 onwards) | Wales prevention of future deaths reports (2019 onwards)John Gittinsnone publishedsource
21 Dec 2018Diane GreensladeCommunity health care and emergency services related deathsWendy JamesUniversity Health Board, Welsh Ambulance Servicessource
22 Nov 2018Karen MoranHospital Death (Clinical Procedures and medical management) related deathsAlison MutchWelsh Ambulance Services NHS Trustsource
10 Sep 2018Gladys WilliamsHospital Death (Clinical Procedures and medical management) related deathsJohn Gittinsnone publishedsource
7 Aug 2018Steven WelchHospital Death (Clinical Procedures and medical management) related deathsSarah-Jane RichardNHS Wales, Welsh Ambulance Servicessource
30 Jul 2018Richard BarrettCommunity health care and emergency services related deathsRachel KnightWelsh Government, University Health Boardsource
26 Jun 2018Margaret EvansCommunity health care and emergency services related deathsJohn Gittinsnone publishedsource
6 Jun 2018Ester WoodCommunity health care and emergency services related deathsDavid Pojurnone publishedsource
25 May 2017Daphne WilliamsCommunity health care and emergency services related deathsJohn GittinsUniversity Health Boardsource
17 May 2017Lilly BaxandallCommunity health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deathsJohn GittinsUniversity Health Boardsource
14 Mar 2017Rebecca EvansCommunity health care and emergency services related deathsJohn GittinsUniversity Health Boardsource
1 Mar 2017Ceriann RichardsHospital Death (Clinical Procedures and medical management) related deathsAndrew BarkleyUniversity Health Board, Welsh Governmentsource
26 Aug 2016Pamela ConwayCommunity health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deathsJohn GittinsUniversity Health Board, Welsh Ambulance Servicesource
20 Apr 2016Ronald HamerCommunity health care and emergency services related deathsGraeme HughesWelsh Ambulance Services NHS Trustsource
15 Jan 2016Jasmine LapsleyCommunity health care and emergency services related deathsNicola JonesWelsh Government, Welsh Ambulance Services NHS Trustsource
12 Nov 2015Christopher ConnorCommunity health care and emergency services related deathsAndrew BarkleyWelsh Ambulance Servicesource
12 Sep 2014Clive TurnerHospital Death (Clinical Procedures and medical management) related deathsJohn GittinsWelsh Ambulance Servicesource
21 Jan 2014Frederick PringCommunity health care and emergency services related deathsJohn GittinsWelsh Ambulance Servicesource

These counts are a floor, not a total. A report is listed here only when it names the organisation in text our pipeline could read; scanned reports with poor OCR, and reports that name only a hospital site or an individual, are missed. Always check the source report.

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