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recurance

Lack of shared welfare check guidance

Closely relatedConfidence 0.80 · moderate2 reports · 2015–2021 One-page brief (print or PDF)

London Ambulance Service received 2 coroners' reports about this hazard between 21 Jul 2015 and 28 Sept 2021.

They came from 2 different coroners in 2 coroner areas. A similar concern was raised again 1 time after the first warning.

A published response was found for 1 of the 1 earlier reports, stating 1 specific action.

2
reports
2
different coroners
2015–2021
years
0.80
lowest link confidence

The story, report by report

Spacing grows with the time between reports.

  1. First warning

    Anne Wilson↗

    21 Jul 2015 · Sonia Hayes · London (South)

    “The MPS and the London Ambulance Service (LAS) have joint working arrangements however the changes made concerning the future handling of welfare checks was not shared with the LAS at that time.”
    Original on judiciary.uk ↗

    London Ambulance Service responded, stating 1 specific action.Response (PDF) ↗

    “a Control Services Bulletin will be issued at the 15/89/2015 15:56 62077832889 LAS_LEGAL | PAGE 63/83 end of September 2015 about the MPS welfare checks policy to mitigate the risk of a call to a vulnerable patient being closed prior to assessment by a clinician.”

    Stated timescale: end of September 2015

  2. 6 years 2 months later

    Raised again · 1st time

    Richard Boateng↗

    28 Sept 2021 · Jonathan Landau · South London

    Closely relatedConfidence 0.80 · moderatea different coroner
    “The LAS quality manager accepted in evidence that it would have been better to have taken her number and to pass it on to the police to make contact.”
    Original on judiciary.uk ↗
  3. All reports to London Ambulance Service

Next

This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error