Brema Virgo

I am Frazer STUART, Assistant Coroner for the coroner area of Gwent

On 31 July 2025 I commenced an investigation into the death of Brema Elizabeth VIRGO aged 77. The investigation concluded at the end of the inquest on 27 February 2026. Brema Elizabeth Virgo died on the 23rd July 2025, at The Grange Hospital, Cwmbran, of a head injury sustained following a trip over a utilities cover.

On Wednesday 23rd July 2025 Brema Elizabeth Virgo was walking along the pavement when she tripped over a raised manhole cover causing her to fall forward onto the ground where she received a significant head injury. She was conveyed to the Grange University Hospital where a CT head demonstrated a large left-sided extradural haematoma with subarachnoid and intraventricular extension causing acute hydrocephalus and tonsillar herniation, as well as fractures of the left maxillary wall and left infraorbital floor. No neurosurgical interventions were possible and it was determined that palliation was in Brema’s best interests.  At 2118hrs that day, Brema was declared life extinct.

During the course of the investigation my inquiries revealed matters giving rise to concern. In my opinion there is a risk that future deaths could occur unless action is taken.  In the circumstances it is my statutory duty to report to you. The MATTERS OF CONCERN are as follows: (brief summary of matters of concern) The methods used for assessing and interpreting height of the defects in pavements allows for circumstances to occur whereby the actual height of the entire defect may not be reflected. Relevant defects may not be properly identified resulting in preventative remedial action not being taken, which presents a risk of future deaths.

In my opinion action should be taken to prevent future deaths and I believe you (and/or your organisation) have the power to take such action.