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recurance

Brian Garrick

30 May 2025 · Coroner Stephen Covell · The County of Devon, Plymouth and Torbay

This report repeats 5 earlier warnings. See the linked reports.

The coroner's concerns

  1. 1. delays in patient handovers at acute hospitals

    “Response times for ambulances attending acute medical incidents continue to be impacted by severe delays in patient handovers at acute hospitals preventing ambulances and their crews returning to service”

Linked reports

Repeats an earlier warningBarbara Patterson21 May 2015 · 10 years earlier
Identical hazardConfidence 0.95 · high

Earlier report

“During the inquest evidence was given that ambulance availability is being jeopardised by crews being delayed at hospital when handing patients over to Accident and Emergency staff.”
Original on judiciary.uk ↗

This report

“Response times for ambulances attending acute medical incidents continue to be impacted by severe delays in patient handovers at acute hospitals preventing ambulances and their crews returning to service.”
Full chain: Delayed ambulance handover at hospitals
Repeats an earlier warningPeter Scott26 May 2016 · 9 years earlier
Identical hazardConfidence 0.98 · high

Earlier report

“Finally, I was made aware that one of the key problems in ensuring ambulance availability is delayed handover of patients at hospitals.”
Original on judiciary.uk ↗

This report

“Response times for ambulances attending acute medical incidents continue to be impacted by severe delays in patient handovers at acute hospitals preventing ambulances and their crews returning to service.”
Full chain: Delayed ambulance handover at hospitals
Repeats an earlier warningLynda Blackmore15 Nov 2023 · 1 year 6 months earlier
Identical hazardConfidence 0.95 · high

Earlier report

“handover delays are impacting upon response times in respect of patients requiring emergency treatment &/or conveyance to hospital.”
Original on judiciary.uk ↗

This report

“Response times for ambulances attending acute medical incidents continue to be impacted by severe delays in patient handovers at acute hospitals preventing ambulances and their crews returning to service.”
Full chain: Delayed ambulance handover at hospitals
Repeats an earlier warningJade Griffiths-Jones17 Apr 2024 · 1 year 1 month earlier
Closely relatedConfidence 0.90 · high

Earlier report

“ambulance crews is continuing to be compromised by delays at hospitals resulting in delays in response times which creates a risk to the life”
Original on judiciary.uk ↗

This report

“Response times for ambulances attending acute medical incidents continue to be impacted by severe delays in patient handovers at acute hospitals preventing ambulances and their crews returning to service”
Full chain: Delayed ambulance handover at hospitals
Repeats an earlier warningHarry Dunn: Prevention of Future Deaths Report (1)4 Jul 2024 · 11 months earlier
Identical hazardConfidence 0.90 · high

Earlier report

“I am concerned that these continuing delays for ambulances at hospital handovers reflects a risk of deaths into the future.”
Original on judiciary.uk ↗

This report

“Response times for ambulances attending acute medical incidents continue to be impacted by severe delays in patient handovers at acute hospitals preventing ambulances and their crews returning to service.”
Full chain: Delayed ambulance handover at hospitals

Responses

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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