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recurance

Christina Lawal

28 Nov 2019 · Coroner Sarah Bourke · London Innner (North)

The coroner's concerns

  1. 1. no cordless telephone available for emergency calls

    “The care worker had to return to the main office at Duncan Court in order to make a 999 call as there was no cordless telephone available for her use.”
  2. 2. inaccurate emergency triage information due to lack of patient presence

    “The emergency triage system used by the London Ambulance Service often involves the caller being asked to give information regarding the patient's appearance (e.g. do they feel hot, are they sweating or clammy etc). Similarly callers may be asked to put questions to the patient regarding the nature and location pain. A caller may not give the correct information if they are not with the patient at the time of the call.”
  3. 3. delayed recognition of patient deterioration during remote calls

    “Callers to the ambulance service may not be aware of further deterioration in a patient's condition if they are calling from a different location.”

Responses

No published response was found on judiciary.uk.

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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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Christina Lawal · Recurance