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Recurance · prevention of future deaths reports

Pre-inquest brief

Ambulance response delay in North West

Organisation: North West Ambulance Service · Generated: 27 Oct 2026

Recurance · recurance.com/chains/b862d99004d602b7

The earlier warning

Christopher Fields · 18 May 2016 · John Pollard, Manchester South

“The calls (999) to the ambulance service were properly coded and applied by the call-taker leading to a Green 2 response. This should have led to a vehicle attending within 20 minutes. In the event, the vehicle did not arrive for 2 hours 8 minutes.”

judiciary.uk/…/christopher-fields

What was promised

Stated action 1 · response to Christopher Fields (18 May 2016) · stated timescale: none stated

“NWAS is currently exploring better ways to minimise lengthy waits during high demand periods and has also secured funding for 400 additional frontline staff and 60 new vehicles which | hope will assist in alleviating some of these pressures.”

judiciary.uk/…/2016-0194-Response-by-North-West-Ambulance-Servi…

What recurred

  • 4 Sept 2017 · Anthony McCormack · Fiona Borrill · Identical hazard · confidence 0.90 (high)

The clearest link, quoted from both reports:

Earlier · Christopher Fields · 18 May 2016

“The calls (999) to the ambulance service were properly coded and applied by the call-taker leading to a Green 2 response. This should have led to a vehicle attending within 20 minutes. In the event, the vehicle did not arrive for 2 hours 8 minutes.”

Later · Anthony McCormack · 4 Sept 2017

“NWAS failed to meet target times which are nationally set by the Department of Health”

What happened next

No evidence found either way · stated action 1

“NWAS to upgrade ambulance fleet after securing £8m in funding”

NWAS to upgrade ambulance fleet after securing £8m in ... · emergencyservicestimes.com/…/nwas-to-upgrade-ambulance-fleet-af…

No evidence found does not mean the action did not happen.

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.