Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of knowledge about emergency response codes and delayed staff training on
The earlier warning
John Williams · 28 Mar 2017 · ME Hassell, London Inner (North)
“The issue of the difference between a code blue and a code red is one about which | have written before.”
judiciary.uk/prevention-of-future-death-reports/john-williams
What was promised
A published response was found, but no specific action could be extracted with a verified quote.
What recurred
- 16 May 2024 · Luke Pearce · Kelly Dixon · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · John Williams · 28 Mar 2017
“The issue of the difference between a code blue and a code red is one about which | have written before.”
Later · Luke Pearce · 16 May 2024
“relevant training and guidance to equip staff to understand when and how to enter a cell in a medical emergency, and the appropriate use of Code Blue and Code Red communications in a medical emergency”
What happened next
No web check of the stated actions has been published for this chain.