Recurance · prevention of future deaths reports
Pre-inquest brief
Inadequate obstetric emergency training for paramedics
The earlier warning
Mia Gibson · 11 May 2016 · Heidi Connor, Nottinghamshire
“This is a clear training issue, and may well apply nationally.”
What was promised
No published response from Association of Ambulance Chief Executives was found for the earlier reports.
What recurred
- 16 Sept 2025 · Mohammed Khan · Emma Brown · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Mia Gibson · 11 May 2016
“This is a clear training issue, and may well apply nationally.”
Later · Mohammed Khan · 16 Sept 2025
“absence of any mandatory training on obstetric emergencies was putting lives at risk.”
What happened next
No web check of the stated actions has been published for this chain.