Efan Robert James · Prevention of Future Deaths report

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Issued 23 Apr 2015•Carmarthenshire and Pembrokeshire

Published report and response evidence

This report’s concerns and statements found in recipients’ published responses. Statements are included even where no link to an individual concern is recorded. A link shows an evidence connection; it does not assign responsibility.

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Concerns
1

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
2

Described in responses

Recipients and published responses

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

Select any concern, action or position to view the source wording.

Concerns raised1

  1. Confusing and unrealistic guidance on bed-sharing when parents feel tired
    Part of recurring concern: Failure to ensure safe sleeping arrangements for infants and children

Stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.2

  1. NHS Wales

    Continue exploring effective ways to support parents in protecting babies from sudden unexpected infant death.

  2. NHS Wales

    Review the Welsh Government leaflet in light of the reported concerns about reducing sudden unexpected infant death risk.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.1

  1. NHS Wales

    The Welsh Government leaflet should continue unchanged because it reflects current evidence, aligns with NICE guidance, and the review recommended no amendments.

    Existing arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Confusing and unrealistic guidance on bed-sharing when parents feel tired

Wider context from the report

“That the advice given by Welsh Assembly Government in the publication “Reduce the risk of cot death” is confusing. It suggests that parents should not share a bed with their baby if they “feel very tired”. Parents of young children will frequently feel tired and gauging whether they are “very tired” is an unrealistic test. ”

Is this part of a recurring concern?

Yes — Failure to ensure safe sleeping arrangements for infants and children.

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Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Continue exploring effective ways to support parents in protecting babies from sudden unexpected infant death.

Verbatim wording from the response

“Following your Regulation 28 letter I asked the Wales Child Death Review team to review the Welsh Government leaflet in light of your comments. They have concluded that the leaflet should continue to be used, and they did not recommend any changes to it. They have reiterated the importance of disseminating the advice mentioned above about how to reduce the risk of sudden unexpected infant death through safe sleeping practices and maintaining a smoke free environment. This message continues to be disseminated by primary care health professionals across Wales. Welsh Government is continuing to explore effective ways of supporting parents to protect their babies from sudden unexpected infant death.”

Source location

2015-0158-Response-by-Welsh-Government
Page 2 · response
Published 23 April 2015

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Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Review the Welsh Government leaflet in light of the reported concerns about reducing sudden unexpected infant death risk.

Verbatim wording from the response

“Following your Regulation 28 letter I asked the Wales Child Death Review team to review the Welsh Government leaflet in light of your comments. They have concluded that the leaflet should continue to be used, and they did not recommend any changes to it. They have reiterated the importance of disseminating the advice mentioned above about how to reduce the risk of sudden unexpected infant death through safe sleeping practices and maintaining a smoke free environment. This message continues to be disseminated by primary care health professionals across Wales. Welsh Government is continuing to explore effective ways of supporting parents to protect their babies from sudden unexpected infant death.”

Source location

2015-0158-Response-by-Welsh-Government
Page 2 · response
Published 23 April 2015

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Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

The Welsh Government leaflet should continue unchanged because it reflects current evidence, aligns with NICE guidance, and the review recommended no amendments.

Verbatim wording from the response

“The Wales Child Death Review published a report on sudden unexpected infant death in January 2015 (available at http://www.wales.nhs.uk/sitesplus/888/opendoc/256680). The report emphasised that these sad events of infant death are a complex problem with many possible factors. The review concluded that the advice leaflet provided by Welsh Government was based on the best possible current evidence about minimising risk in the baby’s environment, and reducing factors contributing to risk. The report emphasised that even when all the advice is adhered to, sadly there are still some unexplained infant deaths.”

Source location

2015-0158-Response-by-Welsh-Government
Page 1 · response
Published 23 April 2015

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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026