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recurance

Andrew Collins

2 Oct 2018 · Coroner Andrew Barkley · South Wales Central

This report repeats 1 earlier warning, and was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. delayed ambulance response to critically unwell patient

    “There was a delay of some 3 hours in sending an ambulance to Mr [name redacted] when it was clear that his clinical picture was rapidly deteriorating”

Linked reports

Repeats an earlier warningRonald Hamer20 Apr 2016 · 2 years 5 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“As against an internal Welsh Ambulances Services Trust response target time for an Amber 2 call of 20 minutes, an ambulance did not arrive at the scene for nearly 2 hours and 40 minutes.”
Original on judiciary.uk ↗

This report

“There was a delay of some 3 hours in sending an ambulance to Mr [name redacted] when it was clear that his clinical picture was rapidly deteriorating.”
Full chain: Delayed ambulance response to critically unwell patient
Raised again laterEmlyn Roberts6 Jul 2023 · 4 years 9 months later
Identical hazardConfidence 0.90 · high

This report

“There was a delay of some 3 hours in sending an ambulance to Mr [name redacted] when it was clear that his clinical picture was rapidly deteriorating.”

Later report

“the delay in the attendance of the ambulance is significant and unacceptable.”
Original on judiciary.uk ↗
Full chain: Delayed ambulance response to critically unwell patient

Responses

2018-0336-Response-by-Welsh-Ambulance-Services-NHS-Trust.pdf ↗· Welsh Ambulance Service NHS Trust

Stated action

“The Trust acknowledges your concerns regarding our lack of resourcing, which meant that there was a significant delay in attending to a critically unwell patient.”
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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.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error