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Recurance · prevention of future deaths reports

Pre-inquest brief

Callers not prompted to seek companionship during emergency calls

Organisation: NHS Pathways · Generated: 27 Oct 2026

Recurance · recurance.com/chains/ea13294efbd494ea

The earlier warning

John Scott · 14 Feb 2019 · Veronica Hamilton-Deeley, Brighton and Hove

“1. Is there anyone else with you or are you alone? If there is anyone else with you may | please speak to them.”

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

What was promised

Stated action 1 · response to John Scott (14 Feb 2019) · stated timescale: May 2020

“Call handlers using NHS Pathways are always trained to speak directly with the patient when it is a 3° party call, this ensures that the questions being asked are answered as accurately as possible to ensure both a safe outcome and that questions are not mis-interpreted through a 3 party.”

judiciary.uk/…/2019-0051-Response-by-NHS-Digital.pdf

What recurred

  • 14 Jan 2021 · Karl Bolam · Anna Loxton · Closely related · confidence 0.85 (high)

The clearest link, quoted from both reports:

Earlier · John Scott · 14 Feb 2019

“1. Is there anyone else with you or are you alone? If there is anyone else with you may | please speak to them.”

Later · Karl Bolam · 14 Jan 2021

“The script currently used by NHS Pathways in respect of emergency callers does not positively persuade callers to call someone to be with them, particularly in circumstances where paramedic attendance is delayed due to demands on the service.”

What happened next

No web check of the stated actions has been published for this chain.

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.