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recurance

David Sweeney

19 Aug 2018 · Coroner ME Hassell · London Inner (North)

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

The coroner's concerns

  1. 1. lack of red prioritisation for unconscious patient

    “A call to the London Ambulance Service regarding a man who had been unconscious did not prompt a red prioritisation”

Linked reports

Repeats an earlier warningYusuf Abdismad27 May 2015 · 3 years 3 months earlier
Closely relatedConfidence 0.80 · moderate

Earlier report

“When [the deceased]'s mother replied "no", the EMD went on to ask "Is he conscious?”
Original on judiciary.uk ↗

This report

“A call to the London Ambulance Service regarding a man who had been unconscious did not prompt a red prioritisation.”
Full chain: Rigid MPDS questioning leads to under‑prioritisation of unconscious patients
Raised again laterMiles Robinson8 Jul 2025 · 6 years 11 months later
Closely relatedConfidence 0.85 · high

This report

“A call to the London Ambulance Service regarding a man who had been unconscious did not prompt a red prioritisation.”

Later report

“Given the rigidity of the structured questions, there was no capacity within MPDS to account for information provided on behalf of Mr [name redacted] during the first 999 call, namely that he thought and felt like he was having a heart attack.”
Original on judiciary.uk ↗
Full chain: Rigid MPDS questioning leads to under‑prioritisation of unconscious patients

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.

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