Prevention of Future Deaths reports · 2026
Regulation 28 report to prevent future deaths, reference 2026-0328, written 21 May 2026. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 21 May 2026 |
|---|---|
| Reference | 2026-0328 |
| Deceased | Leslie Williams |
| Coroner | Aled Gruffydd |
| Coroner area | Swansea Neath & Port Talbot |
| Source | judiciary.uk record |
| Responses published | 1 |
Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.
REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1)
NOTE: This form is to be used after an inquest.
REGULATION 28 REPORT TO PREVENT FUTURE DEATHS
THIS REPORT IS BEING SENT TO:
TUI UK Limited
WIGMORE HOUSE
WIGMORE LANE
LUTON
BEDFORDSHIRE
LU2 9TN
1 CORONER
I am Aled Gruffydd, Assistant Coroner, for the coroner area of SWANSEA NEATH &
PORT TALBOT
2 CORONER’S LEGAL POWERS
I make this report under paragraph 7, Schedule 5, of the Coroners and Justice Act
2009 and regulations 28 and 29 of the Coroners (Investigations) Regulations 2013.
1
3
INVESTIGATION and INQUEST
On 22nd July 2025 an investigation was commenced into the death of Leslie Keith
Williams. The investigation concluded at the end of the inquest on 21st May 2026.
The medical cause of death is
1a drowning
1b) pure autonomic failure
The conclusion of the inquest as how Mr Williams
came to his death is a narrative conclusion and is as follows:-
- The deceased died from drowning after losing consciousness in the sea due to the
naturally occurring condition of pure autonomic failure.
4 CIRCUMSTANCES OF THE DEATH
The deceased was Leslie Keith Williams, who was pronounced dead on the 1st of July
2025 at the Jasmine Hospital, Hurghada, Egypt. Keith and his wife
were
holidaying at the TUI Blue Crystal Resort in Hurghada. After breakfast Keith stated
that he wanted to walk down to the sea a short distance away. Keith suffered with
PAF (pure autonomic failure) which is a rare neurodegenerative condition that affects
the autonomic nervous system with the most common feature being orthostatic
hypotension, which is a significant drop in blood pressure when you stand up. This
meant he was also prone to falling unconscious.
A short while after he had left,
decided to walk down to the beach and find
him. As she was walking towards the sea she saw that Keith was being pulled out of
the water by a lifeguard and a passerby. Not long after two British nurses who were
on the beach also arrived and began providing CPR.
states that it took 40
minutes before a Doctor arrived at scene and it was 15 minutes before a defibrillator
came from the hotel. Keith was conveyed to hospital and was pronounced
deceased a short time later.
2
5 CORONER’S CONCERNS
During the inquest evidence was heard that it took 15 minutes for a defibrillator to
arrive and 40 minutes for a doctor to arrive. Despite CPR attempts being made by
lifeguards and holidaying nurses these lifesaving measures were not present. I was
also told by the wife of the deceased that this was the third case of drowning at the
‘resort’. However, I do not have verification of this information and do not know the
exact location of these other possible drownings.
It is acknowledged that TUI UK are not the direct owners of the hotel however it is
understood that it comes under the ‘TUI Blue’ brand.
The MATTERS OF CONCERN are as follows. –
1. That lifesaving measures beyond basic CPR are delayed thus reducing the
opportunities for a successful outcome.
2. These prevailing circumstances have led to this incident being the third
drowning incident at the resort.
6 ACTION SHOULD BE TAKEN
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.
7 YOUR RESPONSE
You are under a duty to respond to this report within 56 days of the date of this report,
namely by 21 July 2026. I, the coroner, may extend the period.
Your response must contain details of action taken or proposed to be taken, setting
out the timetable for action. Otherwise you must explain why no action is proposed.
8 COPIES and PUBLICATION
I have sent a copy of my report to the Chief Coroner and to the following Interested
Persons
.
I am also under a duty to send the Chief Coroner a copy of your response.
The Chief Coroner may publish either or both in a complete or redacted or summary
form. They may send a copy of this report to any person who they believe may find it
useful or of interest. You may make representations to me, the coroner, at the time of
your response, about the release or the publication of your response by the Chief
Coroner.
3
9
21 May
2026…
…. [SIGNED BY CORONER]
4
1 response published against this report on judiciary.uk. A response is a body's written reply to the coroner's concerns; publication is at the discretion of the Chief Coroner's office, so an absent response does not mean nobody replied.
Mr Aled Gruffydd, Senior Coroner Swansea Neath & Port Talbot 20 July 2026 Dear Mr Gruffydd, Thank you for your PFD report dated 21 May 2026, regarding the sad death of Leslie Keith Williams. We have reviewed the report, and as we didn’t play a part in the Inquest (and so are not aware of all of the facts or evidence adduced at it), I set out below some matters which may be considered relevant, before turning to your concerns. However, before I do may I express my personal sympathy to Leslie’s family, and my sadness at his death. TUI UK Limited (“TUI UK”) provided a package holiday to Leslie and his wife. As such TUI UK were the organiser of that holiday, under the relevant Package Travel Regulations. The holiday included accommodation at the TUI Blue Crystal Bay Hotel. TUI Blue is a trading name for a flagship hotel brand of the TUI Group, TUI UK’s parent company based in Germany. However, whilst this hotel was offered for sale as a TUI Blue branded hotel, it is in fact, owned, operated and managed by an Egyptian company, Sunrise Resorts and Cruises. They also advertise accommodation at their hotel directly, and through third parties (for example, Booking.Com). TUI UK contracted with Sunrise to use the hotel, and the relevant contract expects the hotel to comply with relevant health and safety standards. Generally speaking the relevant standard is the local standard. When a customer books a holiday with TUI UK, they receive documentation, which signposts various sites from which relevant information can be obtained. This includes FCDO travel advice. Travel advice changes regularly, but includes FCDO advice as to healthcare in different destinations. TUI GROUP | TUI AG | Karl-Wiechert-Allee 23, 30625 Hannover | Postfach 61 02 09, 30602 Hannover, Deutschland Tel. +49 511 566-00, Fax +49 511 566-1901 | www.tuigroup.com Vorsitzender des Aufsichtsrates: Dr. Dieter Zetsche | Vorstand: Sebastian Ebel (Vorstandsvorsitzender), Marco Ciomperlik, Mathias Kiep, Sybille Reiss, Sitz der Gesellschaft: Berlin/Hannover | Handelsregister: Amtsgericht Berlin-Charlottenburg HRB 321 | Amtsgericht Hannover HRB 6 580 | Ust-Id.Nr. DE 115653127 Bankverbindung: Commerzbank AG | IBAN DE53 2504 0066 0310 8958 00 | BIC (SWIFT) COBADEFF250 Bankverbindung: Deutsche Bank AG | IBAN DE52 2507 0070 0054 5459 00 | BIC (SWIFT) DEUTDE2HXXX Bankverbindung: UniCredit Bank AG | IBAN DE46 7002 0270 0000 2809 04 | BIC (SWIFT) HYVEDEMMXXX Seite 2 Datum 20 July 2026 Healthcare also differs in hotels. I am not aware of hotels directly employing their own medical teams on site, but am aware that some hotels feature independently operated on-site clinics, which may have a medical doctor available when open. It is our experience and expectation that such on-site facilities are not for emergency response per se, but for more general issues that may befall a guest on holiday (for example, sunstroke, gastric illness etc). It is our expectation that emergency care and treatment, beyond initial care of the type described in your report, is provided by the emergency services. The nature and extent of care provision by emergency services in different countries can and does vary. I have noted your concerns as to delays with provision of a defibrillator, the arrival time of a Doctor and evidence of other incidents in resort. We have been unable to identify those other incidents in any records we have. However, in light of this tragic incident we have written to Sunrise hotels, highlighting your concerns and have asked that they consider them carefully, in particular as regards their emergency response procedures. I hope that this response assists your considerations. Yours sincerely TUI Group Director Group Security, Health & Safety, Crisis & BCM
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