Derek Shaw
11 Nov 2022 · Coroner Catherine Wood · Mid Kent and Medway
A similar concern from this report was raised again 7 times later. See the linked reports.
The coroner's concerns
1. delayed ambulance arrival
“Evidence given at the inquest revealed that there was a delay in an ambulance attending to the deceased and that earlier arrival of an ambulance is likely to mean he would not have died when he did.”
Linked reports
Closely relatedConfidence 0.90 · high
This report
“Evidence given at the inquest revealed that there was a delay in an ambulance attending to the deceased and that earlier arrival of an ambulance is likely to mean he would not have died when he did.”
Later report
“The inquest heard that the long wait for an ambulance and prolonged delay in the Emergency Department were due to demand on services and resources available.”
Closely relatedConfidence 0.90 · high
This report
“Evidence given at the inquest revealed that there was a delay in an ambulance attending to the deceased and that earlier arrival of an ambulance is likely to mean he would not have died when he did.”
Later report
“The ambulance service was called at 2049 on 14 November 2022 and the call was graded as a Category 2 call requiring a response within 40 minutes. The ambulance finally arrived at 0044 on 15 November 2022.”
Closely relatedConfidence 0.85 · high
This report
“Evidence given at the inquest revealed that there was a delay in an ambulance attending to the deceased and that earlier arrival of an ambulance is likely to mean he would not have died when he did.”
Later report
“The delay in the ambulance dispatch prevented Mr [name redacted] receiving medical treatment and further psychiatric assistance.”
Identical hazardConfidence 0.95 · high
This report
“Evidence given at the inquest revealed that there was a delay in an ambulance attending to the deceased”
Later report
“[the deceased]'s death followed an ambulance delay, attributable to a systemic failure, which is likely to have contributed to [the deceased]'s death by preventing lifesaving treatment.”
Identical hazardConfidence 0.92 · high
This report
“Evidence given at the inquest revealed that there was a delay in an ambulance attending to the deceased and that earlier arrival of an ambulance is likely to mean he would not have died when he did.”
Later report
“delays in ambulances attending patients in the community are likely to increase the risk of death in Cat 2 instances especially that would otherwise be preventable had the patient been got to hospital in a timely fashion”
Identical hazardConfidence 0.90 · high
This report
“Evidence given at the inquest revealed that there was a delay in an ambulance attending to the deceased and that earlier arrival of an ambulance is likely to mean he would not have died when he did.”
Later report
“Delay in ambulance response and the consequent delay in the provision of pre- hospital emergency care.”
Identical hazardConfidence 0.90 · high
This report
“Evidence given at the inquest revealed that there was a delay in an ambulance attending to the deceased and that earlier arrival of an ambulance is likely to mean he would not have died when he did.”
Later report
“On the day in question across GM some hospitals were taking up to 60 minutes extra over the accepted turnaround time to clear ambulances.”
Responses
2022-0370-Response-from-Department-of-Health-and-Social-Care.pdf ↗· Department of Health and Social Care
Stated action
“The report raises concerns about ambulance capacity and response times by East of England Ambulance Service NHS Trust (EEAST). In preparing this response, Departmental officials have made enquiries with NHS England and the Care Quality Commission (CQC). I have been informed that the CQC carried out routine engagement with the Trust to review progress against its action plan and to ensure they comply with CQC regulations. More generally, I have been assured that the CQC will continue to have regular”