Recurance · prevention of future deaths reports
Pre-inquest brief
Call handlers lack clinical training and rely on protocols
The earlier warning
Colin Sluman · 21 Jun 2017 · Elizabeth Earland, Exeter and Greater Devon
“Call handlers are not clinically trained and are completely reliant on the Protocol for categorising responses”
What was promised
Stated action 1 · response to Colin Sluman (21 Jun 2017) · stated timescale: 15 February 2017
“In addition to this, the Clinical Lead of SWAST raised with NHS Pathways concerns surrounding dizziness symptoms not being part of the”
What recurred
- 21 Oct 2024 · Amanda Gainford · Kate Roberts · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Colin Sluman · 21 Jun 2017
“Call handlers are not clinically trained and are completely reliant on the Protocol for categorising responses”
Later · Amanda Gainford · 21 Oct 2024
“call handlers for the service are not medically trained but receive basic medical training”
What happened next
No web check of the stated actions has been published for this chain.