Christopher Hart
9 Nov 2023 · Coroner Nigel Parsley · Suffolk
This report repeats 3 earlier warnings, and was raised again 1 time later. See the linked reports.
The coroner's concerns
1. non-availability of ambulances
“continuing and regular instances of non-availability of ambulances occurring in Suffolk and the wider East of England region”
2. delayed ambulance arrival
“had an ambulance for [the deceased] arrived within the target time, the drugs he could have been given by ambulance personnel, and his early transport to hospital, would on a balance of probabilities have saved his life”
3. insufficient ambulance resources
“continuing lack of sufficient ambulance resource in Suffolk will lead to future loss of life”
Linked reports
Closely relatedConfidence 0.85 · high
Earlier report
“The target time for the arrival of the ambulance was 8 minutes, this was breached. The ambulance did not arrive for 15 minutes.”
This report
“had an ambulance for [the deceased] arrived within the target time, the drugs he could have been given by ambulance personnel, and his early transport to hospital, would on a balance of probabilities have saved his life”
Identical hazardConfidence 0.90 · high
Earlier report
“I remain very concerned about resource issues for this ambulance service.”
This report
“continuing lack of sufficient ambulance resource in Suffolk will lead to future loss of life”
Identical hazardConfidence 0.90 · high
Earlier report
“I am concerned that there are insufficient ambulance service resources to meet the needs of the City of Milton Keynes.”
This report
“I am therefore concerned that the continuing lack of sufficient ambulance resource in Suffolk will lead to future loss of life.”
Closely relatedConfidence 0.90 · high
This report
“continuing lack of sufficient ambulance resource in Suffolk will lead to future loss of life”
Later report
“There is insufficient Ambulance Service availability/resource to enable Ambulances to attend to patients in a timely manner and in accordance with relevant target attendance times.”