Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of clear protocol for repeated 999 calls and non-ambulance response
The earlier warning
Darren Powney · 10 Nov 2017 · Derek Winters, Sunderland
“It appeared that the dynamic risk assessment undertaken did not facilitate ambulance crews requesting further information or clarification, as the markers can unintentionally build a picture about an individual.”
judiciary.uk/prevention-of-future-death-reports/darren-powney
What was promised
Stated action 1 · response to Darren Powney (10 Nov 2017) · stated timescale: none stated
“The Trust will address each point you have raised in your matters of concern below.”
judiciary.uk/…/2017-0346-Response-by-North-East-Ambulance-Servi…
What recurred
- 6 Dec 2019 · Maureen Wharton · Terence Carney · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Darren Powney · 10 Nov 2017
“It appeared that the dynamic risk assessment undertaken did not facilitate ambulance crews requesting further information or clarification, as the markers can unintentionally build a picture about an individual.”
Later · Maureen Wharton · 6 Dec 2019
“c) No NEAS protocol appears to exist to assist personnel to initiate a response other than one limited to and directing an ambulance allocation”
What happened next
No web check of the stated actions has been published for this chain.