Patient flow problems leading to ambulance handover delays
Welsh Ambulance Service NHS Trust received 2 coroners' reports about this hazard between 17 May 2017 and 6 Jun 2018.
They came from 2 different coroners. 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 0 specific actions.
The story, report by report
Spacing grows with the time between reports.
“substantial delays in the handover of patients particularly as a result of problems in patient flow”
Original on judiciary.uk ↗ Welsh Ambulance Service NHS Trust responded.Response (PDF) ↗
- 1 year 1 month laterClosely relatedConfidence 0.90 · higha different coroner
“patient flow and the multifactorial problems associated with cases of this nature have been reported upon by this Court on several occasions”
Original on judiciary.uk ↗ Repeated from the earlier report:patientflowproblems
The most recent report. A response may not be due or published yet.
- All reports to Welsh Ambulance Service NHS Trust
Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals.
2017 → 2018Ester Wood1 year 1 month after Lilly Baxandall · different coronerClosely relatedConfidence 0.90 · high
Closely relatedConfidence 0.90 · highBoth reports highlight ongoing patient‑flow problems that cause ambulance handover delays and hinder timely admission.
Lilly Baxandall · 17 May 2017
“substantial delays in the handover of patients particularly as a result of problems in patient flow”
Original on judiciary.uk ↗ Ester Wood · 6 Jun 2018
“patient flow and the multifactorial problems associated with cases of this nature have been reported upon by this Court on several occasions”
Original on judiciary.uk ↗ Stated action in the response to the earlier report
“In October 2015 WAST introduced a new clinical response model to implement new ways in which callers to 999 are assessed. This sought to ensure that patients and users of the service received the most appropriate care and a response to suit their individual needs. The changes made clearly identify those patients who require an immediate life-saving response and these patients receive the highest priority response in the fastest possible time. foe) All other patients receive a bespoke”
No specific action could be extracted with a verified quote.
No published response from Welsh Ambulance Service NHS Trust was found for this report. It is the most recent report, so a response may not be due or published yet.
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to Welsh Ambulance Service NHS Trust at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2017 → 2018 | 0.74 | 0.14 | Closely related · 0.90 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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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.