Anton Kusz

27 Apr 2017 · Coroner Andrew Barkley · South Wales Central

This report repeats 1 earlier warning. See the linked reports.

The coroner's concerns

1. delay in ambulance response
“There was a delay of over eight hours before an ambulance crew was able to convey Mr [name redacted] to the hospital”
2. delayed emergency call handling
“The initial 999 call was made at 0822 hours and was then chased on at least seven different occasions by the care home and also his General Practitioner”
3. inadequate clinical escalation
“The evidence revealed that the General Practitioner reported an occasional irregular heart beat and asked that an urgent ambulance was sent”
4. delayed clinical triage
“It was not until 1447 that a Clinician, employed by the Ambulance Service reviewed and undertook a secondary triage of Mr [name redacted] case”
5. hospital handover delays
“One of the main factors accounting for the significant delay was the unavailability of resources/ambulances caused by extensive delays at hospitals across the region handing over patients at Accident and Emergency Departments”
6. excessive ambulance wait times
“Delays of three to four hours were widely reported when the optimum period of time is fifteen minutes”

Repeats an earlier warningChristopher Connor12 Nov 2015 · 1 year 5 months earlier

Closely relatedConfidence 0.85 · high

Earlier report

“(1) The delay in the attendance of an ambulance which, on the evidence, only arrived after police officers arrived on the scene and”

This report

“There was a delay of over eight hours before an ambulance crew was able to convey Mr [name redacted] to the hospital.”