Skip to content
recurance

Steven Welch

7 Aug 2018 · Coroner Sarah-Jane Richard · South Wales Central

The coroner's concerns

  1. 1. delayed medical assistance for head injury

    “errors in assessing the urgency of the need for medical assistance and the delay in providing that assistance were considered unlikely to have contributed to [the deceased]'s death”
  2. 2. absence of interventionist radiologists at RGH

    “Failure by the Cardiff and Vale University Local Health Board to have any interventionist radiologists in employment at the time thereby failing to provide tertiary support to the RGH and necessitating its patients to be sent out of area to England for treatment with inevitable delay;”
  3. 3. lack of electronic radiology transfer software

    “Failure by the Cwm Taf Health Board and Vale University Local Health Board to have computer software in place to enable electronic transfer of radiology to hospitals and specialist centres out of Wales for review and consultation”

Responses

2018-0267-Response-by-NHS-Wales.pdf ↗· NHS Wales Shared Services Partnership

2018-0267-Response-by-Welsh-Ambulance-Services.pdf ↗· Welsh Ambulance Service NHS Trust

  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error

Steven Welch · Recurance