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recurance

Bernhard Marek

19 Jul 2023 · Coroner Alison Mutch · Manchester South

This report repeats 2 earlier warnings, and was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. significant delays for frail elderly patients with hip fractures

    “The inquest was told that the wait time that was given at the time of the initial call was due to demand on the ambulance service and that such delays were not unusual throughout December due to demand and resources”

Linked reports

Repeats an earlier warningKeith Hopwood15 Jun 2022 · 1 year 1 month earlier
Closely relatedConfidence 0.90 · high

Earlier report

“The inquest heard that the delays in relation to the ambulance service were due to significant resource issues for all ambulance services not just North West Ambulance Service.”
Original on judiciary.uk ↗

This report

“The inquest was told that the wait time that was given at the time of the initial call was due to demand on the ambulance service and that such delays were not unusual throughout December due to demand and resources.”
Full chain: Ambulance delays for frail elderly hip fracture patients
Repeats an earlier warningEllen MacFarlane4 Nov 2022 · 8 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“such delays were not unusual and were still occurring.”
Original on judiciary.uk ↗

This report

“such delays were not unusual throughout December due to demand and resources.”
Full chain: Ambulance delays for frail elderly hip fracture patients
Raised again laterMichael Clarke3 May 2024 · 9 months later
Identical hazardConfidence 0.90 · high

This report

“The inquest was told that the wait time that was given at the time of the initial call was due to demand on the ambulance service”

Later report

“The inquest was told that due to significant demand the wait time for an ambulance in category 3 was in excess of 4 hours rather than the target 1 hour”
Original on judiciary.uk ↗
Full chain: Excessive ambulance response delays for frail elderly hip fracture patients

Responses

2023-0257-Response-from-Greater-Manchester-Integrated-Care.pdf ↗· Greater Manchester Integrated Care

Stated action · 21st September 2023

“Learning to be presented/shared with the Greater Manchester System Quality Group on 21st September 2023.”
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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