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Recurance · prevention of future deaths reports

Pre-inquest brief

Ambulance resource shortage delays urgent patient transfers

Organisation: East Midlands Ambulance Service · Generated: 26 Oct 2026

Recurance · recurance.com/chains/4d47e23942f8c70a

The earlier warning

Peter Scott · 26 May 2016 · Heidi Connor, Nottinghamshire

“I was advised that EMAS has had to invoke such a Plan (to at least level 3) for 9 out of the last 12 months.”

judiciary.uk/prevention-of-future-death-reports/peter-scott

What was promised

Stated action 1 · response to Peter Scott (26 May 2016) · stated timescale: none stated

“In 2015/16, the trust carried out a significant recruitment campaign and educated 350 whole time equivalent frontline posts.”

judiciary.uk/…/2016-0199-Response-by-NHS-Improvment.pdf

Stated action 2 · response to Peter Scott (26 May 2016) · stated timescale: 2016/17

“EMAS has taken the CQC findings seriously and value the additional support from other NHS organisations following the CQC Quality Summit. With their input EMAS can progress areas that cannot be fixed quickly, or that are not within EMAS' immediate control.”

judiciary.uk/…/2016-0199-Response-by-East-Midlands-Ambulance-Se…

What recurred

  • 4 Feb 2020 · Gordon Gillott · Emma Serrano · Closely related · confidence 0.90 (high)

The clearest link, quoted from both reports:

Earlier · Peter Scott · 26 May 2016

“I was advised that EMAS has had to invoke such a Plan (to at least level 3) for 9 out of the last 12 months.”

Later · Gordon Gillott · 4 Feb 2020

“there is a risk of future death if urgent transfers are not available to acutely ill patients due to resourcing issues.”

What happened next

Evidence found · stated action 1

“The trust's "turnaround plan" lists measures including recruiting more paramedics, tackling sickness and restructuring management.”

East of England Ambulance: Plan to recruit 350 staff · bbc.com/news/uk-england-22252375

“The trust said it planned to recruit 82 specialist paramedics, 149 paramedics, 24 emergency medical technicians and 96 emergency care assistants.”

East of England Ambulance: Plan to recruit 350 staff · bbc.com/news/uk-england-22252375

“The recruitment drive, in addition to reducing staff sickness and its spending on private ambulances, would enable it to provide the equivalent of an extra 25 of its own double-staffed ambulances, available around the clock,”

East of England Ambulance: Plan to recruit 350 staff · bbc.com/news/uk-england-22252375

Every quote is verified word for word against the original report on judiciary.uk. A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person.

Source: Courts and Tribunals Judiciary, Open Government Licence v3.0.