Recurance · prevention of future deaths reports
Pre-inquest brief
Delayed ambulance response due to missed urgency recognition
The earlier warning
Mandeep Singh · 23 Mar 2016 · Clare Bailey, Teesside
“the reasons for the delay of the ambulance arrival include severe demand and shortages in the division.”
judiciary.uk/prevention-of-future-death-reports/mandeep-singh
What was promised
Stated action 1 · response to Mandeep Singh (23 Mar 2016) · stated timescale: none stated
“the Trust has undertaken initiatives to seek to educate both the public in relation to the appropriateness of making calls and to work with colleagues in other sectors to try to reduce the demand on Trust services.”
judiciary.uk/…/2016-0116-Response-by-North-East-Ambulance-Servi…
What recurred
- 6 Dec 2019 · Maureen Wharton · Terence Carney
- 22 Jan 2024 · Donna Smith · Clare Bailey · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Maureen Wharton · 6 Dec 2019
“Central to these concerns are that a period of 3.45 hours elapsed between the first call and the arrival of an Ambulance crew at [the deceased]'s side.”
Later · Donna Smith · 22 Jan 2024
“The call handler did not detect a worsening condition and did not escalate the call from Category 2 to category 1.”
What happened next
No web check of the stated actions has been published for this chain.