Recurance · prevention of future deaths reports
Pre-inquest brief
Delayed ambulance dispatch to unconscious head injury patient
The earlier warning
Stuart Knight · 22 Sept 2015 · Stuart Fisher, Central Lincolnshire
“Significant and unacceptable delays occurred in despatching an ambulance to a patient who was unconscious and had clearly suffered a serious head Injury.”
judiciary.uk/prevention-of-future-death-reports/stuart-knight
What was promised
Stated action 1 · response to Stuart Knight (22 Sept 2015) · stated timescale: March 2016
“Service has made significant investment in both staff and vehicle resources since 2014 in both "frontline" staff who attend 999 calls but also in staffing within the emergency operations centre. This recruitment has been supported with investment in our education centres to facilitate training from Emergency Care Assistant, through Ambulance Technician and ultimately to Paramedic level. Staff work on allocated rota lines with a percentage (around 12% in Lincolnshire) working on relief where they can be”
judiciary.uk/…/2015-0385-Response-by-East-Midlands-Ambulance-Se…
What recurred
- 24 Jan 2019 · Olive Johnson · Paul Cooper · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Stuart Knight · 22 Sept 2015
“Significant and unacceptable delays occurred in despatching an ambulance to a patient who was unconscious and had clearly suffered a serious head Injury.”
Later · Olive Johnson · 24 Jan 2019
“Why were no first responder's called out in relation to the deceased?”
What happened next
No web check of the stated actions has been published for this chain.