Lynne Pamela Lawrence · Prevention of Future Deaths report

On 13/10/20 an investigation was opened into the death of
Lynne Pamela LAWRENCE

The investigation concluded at the end of the inquest on: 23/4/21

The conclusion of the inquest was recorded as:

Death By Accident

The medical cause of death was:

1a) Subdural haemorrhage

2 Atrial fibrillation

On 21st September 2020, Mrs Lynne Lawrence tripped on the pavement on her way home from Brynmawr. She was taken to hospital where the head injury she sustained was not initially diagnosed on scan but became evident after Lynne collapsed 2 days later. She had suffered an intracerebral haemorrhage made worse by the effects of warfarin which she took for atrial fibrillation. The bleed was catastrophic and Lynne Lawrence died at 15:54 on 23/9/20 in the Intensive Care Unit of the Royal Gwent Hospital in Newport.

1. Condition of Pavement on

At the time of her fall, Mrs Lawrence was walking along a narrow pedestrian pavement near ████████, Alma Street, Brynmawr, Newport, NP23. The video footage available to me at the inquest demonstrated that the pavement was uneven. Whilst I could not conclude that it was the unevenness of the pavement that caused Mrs Lawrence to fall, nonetheless I consider that this is a factor which could people's lives at risk in the future, especially the elderly with reduced mobility.