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recurance

Ahmedreza Fathi

5 May 2016 · Coroner Lydia Brown · Leicester City and Leicestershire South

The coroner's concerns

  1. 1. delay in requesting emergency assistance

    “On previous occasions following deaths in prison locally in Leicester, the Coroner and the PPO have raised concerns regarding delays in requesting 999 emergency assistance. On the night of 12 May 2015 there was a delay in summonsing an ambulance, in breach of PSI 03/13 and the prisons own internal policy. The then serving Head of Safety advised the Court that she”
  2. 2. lack of coordinated emergency response protocol

    “EMAS advised the court that 3 protocols already exist between other stakeholders and discussions to consider a prison/emergency response protocol would be welcomed and could be accommodated. | therefore encourage both the prison and EMAS to arrange a meeting to take this matter forward”
  3. 3. delayed emergency assistance

    “On the night of 12 May 2015 there was a delay in summonsing an ambulance, in breach of PSI 03/13 and the prisons own internal policy”

Responses

2016-0173-Response-by-East-Midlands-Ambulance-Service-NHS-Trust.pdf ↗· East Midlands Ambulance Service NHS Trust

Stated action · Wednesday 3 August 2016

“an initial meeting has been scheduled for Wednesday 3 August 2016”

2016-0173-Response-from-National-Offender-Management-Service.pdf ↗· East Midlands Ambulance Service NHS Trust

Stated action · May 2016

“HMP Gartree has revised the local contingency plans and re-issued instructions in May 2016 to ensure that all staff understand that they must not delay calling an ambulance in all cases where there are serious concerns about the health of an offender.”
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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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Ahmedreza Fathi · Recurance