Insufficient tissue viability nursing staffing leading to delayed wound care
Cwm Taf University Health Board received 2 coroners' reports about this hazard between 19 Dec 2014 and 27 Jul 2015.
They came from 1 coroner in 2 coroner areas. A similar concern was raised again 1 time after the first warning.
No published response from Cwm Taf University Health Board was found for the earlier reports.
The story, report by report
Spacing grows with the time between reports.
“specialist nurses not being based in the hospital and of insufficient TVNs to serve the several hospitals in the region.”
Original on judiciary.uk ↗ No published response from Cwm Taf University Health Board was found for this report.
- 7 months later
Raised again · 1st time
Arthur Cook↗
27 Jul 2015 · Sarah-Jane Richards · Powys, Bridgend and Glamorgan
Closely relatedConfidence 0.85 · high“Staffing levels of Tissue Viability Nurses within the Aneurin Bevan Health Board are low and to the extent that at times this service cannot be provided according to need”
Original on judiciary.uk ↗ The most recent report. A response may not be due or published yet.
- All reports to Cwm Taf University Health Board
Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals.
2014 → 2015Arthur Cook7 months after Thomas Jenkins · same coronerClosely relatedConfidence 0.85 · high
Closely relatedConfidence 0.85 · highBoth reports highlight insufficient Tissue Viability Nurse staffing leading to delayed or inadequate wound care. The earlier report focuses on delayed assessments due to nurses not being hospital‑based, while the later report notes low staffing levels preventing service provision according to need.
Thomas Jenkins · 19 Dec 2014
“specialist nurses not being based in the hospital and of insufficient TVNs to serve the several hospitals in the region.”
Original on judiciary.uk ↗ Arthur Cook · 27 Jul 2015
“Staffing levels of Tissue Viability Nurses within the Aneurin Bevan Health Board are low and to the extent that at times this service cannot be provided according to need”
Original on judiciary.uk ↗
No published response from Cwm Taf University Health Board was found for this report.
No published response from Cwm Taf University Health Board was found for this report. It is the most recent report, so a response may not be due or published yet.
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to Cwm Taf University Health Board at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2014 → 2015 | 0.84 | 0.16 | Closely related · 0.85 | same |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.