Skip to content
recurance

David Ince

12 Nov 2014 · Coroner Sian Jones · Preston & West Lancashire

The coroner's concerns

  1. 1. ECG not handed over to A&E staff

    “In the course of the Inquest hearing, it became apparent that the NWAS electronic record referred to an ECG having been carried out on Mr [name redacted] by the ambulance staff at 11.35pm, prior to his first admission to A&E. However the fact of an ECG and its relevant features was not recorded in the notes of the A&E nurse who received the verbal handover from NWAS personne! on arrival at RPH, and no ECG trace was handed over or seen by A&E staff.”
  2. 2. ECG traces not routinely handed over to A&E staff

    “Ince in the A&E department, that NWAS staff often have to be asked for ECG traces which they have obtained on patients, and will often have to return to their vehicles to get them, rather than handing them over to A&E staff as a matter of course when delivering patients to the department.”

Responses

No published response was found on judiciary.uk.

  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

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

David Ince · Recurance