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recurance

Gladys Williams

10 Sept 2018 · Coroner John Gittins · North Wales (East and Central)

This report repeats 5 earlier warnings, and was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. ambulance delays and admission to emergency department

    “The issues of ambulance delays/admission to ED/availability of resources/patient flow and the multifactorial problems associated with cases of this nature have been reported upon by me on numerous occasions following previous inquests”

Linked reports

Repeats an earlier warningFrederick Pring21 Jan 2014 · 4 years 8 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“the current practices in place for the handover of patients at an Emergency Department far too often results in wholly unacceptable delays with patients being kept waiting for long periods in ambulances”
Original on judiciary.uk ↗

This report

“The issues of ambulance delays/admission to ED/availability of resources/patient flow and the multifactorial problems”
Full chain: Ambulance delays leading to resource unavailability
Repeats an earlier warningPamela Conway26 Aug 2016 · 2 years earlier
Closely relatedConfidence 0.93 · high

Earlier report

“there remain wholly unacceptable delays with patients being kept waiting for long periods in ambulances and ambulance resources consequently being unavailable for allocation to other calls”
Original on judiciary.uk ↗

This report

“The issues of ambulance delays/admission to ED/availability of resources/patient flow and the multifactorial problems associated with cases of this nature have been reported upon by me on numerous occasions following previous inquests.”
Full chain: Ambulance delays leading to resource unavailability
Repeats an earlier warningLilly Baxandall17 May 2017 · 1 year 4 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“unacceptable delays with patients being kept waiting for long periods in ambulances and ambulance resources consequently being unavailable for allocation to other calls”
Original on judiciary.uk ↗

This report

“The issues of ambulance delays/admission to ED/availability of resources/patient flow and the multifactorial problems associated with cases of this nature have been reported upon by me on numerous occasions following previous inquests.”
Full chain: Ambulance delays leading to resource unavailability
Repeats an earlier warningDaphne Williams25 May 2017 · 1 year 4 months earlier
Identical hazardConfidence 0.96 · high

Earlier report

“The issues of ambulance delays/admission to ED/availability of resources/patient flow and the multifactorial problems associated with cases of this nature have been reported upon by me on several occasions following previous inquests.”
Original on judiciary.uk ↗

This report

“The issues of ambulance delays/admission to ED/availability of resources/patient flow and the multifactorial problems associated with cases of this nature have been reported upon by me on numerous occasions following previous inquests.”
Full chain: Ambulance delays leading to resource unavailability
Repeats an earlier warningCatherine Roberts7 Jul 2017 · 1 year 2 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“The issues of admission to the Emergency Department/availability of resources/patient flow and the multifactorial problems associated with cases of this nature have been reported upon by the Senior Coroner on several occasions following previous inquests.”
Original on judiciary.uk ↗

This report

“The issues of ambulance delays/admission to ED/availability of resources/patient flow and the multifactorial problems associated with cases of this nature have been reported upon by me on numerous occasions following previous inquests”
Full chain: Ambulance delays leading to resource unavailability
Raised again laterMary Jones10 Jul 2023 · 4 years 10 months later
Closely relatedConfidence 0.90 · high

This report

“The issues of ambulance delays/admission to ED/availability of resources/patient flow”

Later report

“unacceptably lengthy delays remain such as in the case of [the deceased]”
Original on judiciary.uk ↗
Full chain: Ambulance delays leading to resource unavailability

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