Christian Howells represented the family of Annette Hewins in the recent inquest into her death.
Melissa Jones represented Cwm Taf Morgannwg Health Board.
The coroner will write a prevention of future deaths report to the Cwm Taf Bro Morgannwg University Health Board, highlighting concerns he has about record keeping, electocardiogram (ECG) provision and lack of a policy for managing withdrawal from acute opiate dependency.
Authors
