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recurance

Grenville Wait

24 Jun 2022 · Coroner Chris Morris · Manchester South

This report repeats 2 earlier warnings, and was raised again 5 times later. See the linked reports.

The coroner's concerns

  1. 1. ambulance response times

    “target response times are still routinely not being met nationally”

Linked reports

Repeats an earlier warningBarbara Patterson21 May 2015 · 7 years 1 month earlier
Closely relatedConfidence 0.92 · 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.”
Original on judiciary.uk ↗

This report

“target response times are still routinely not being met nationally. By way of illustration, the court heard evidence that on 21st June 2021, the Trust's average response”
Full chain: Delayed ambulance handover at hospitals
Repeats an earlier warningAnthony McCormack4 Sept 2017 · 4 years 10 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“I heard evidence that NWAS failed to meet target times which are nationally set by the Department of Health and that although NWAS was given more financial resources”
Original on judiciary.uk ↗

This report

“target response times are still routinely not being met nationally.”
Full chain: Delayed ambulance handover at hospitals
Raised again laterVeronica Jenkins31 Mar 2023 · 9 months later
Closely relatedConfidence 0.85 · high

This report

“target response times are still routinely not being met nationally.”

Later report

“a deficit in operational hours provided by SECAMBS leading to delayed response times compromising patient safety.”
Original on judiciary.uk ↗
Full chain: Delayed ambulance handover at hospitals
Raised again laterMichael Bray22 May 2023 · 11 months later
Identical hazardConfidence 0.90 · high

This report

“target response times are still routinely not being met nationally.”

Later report

“long delays in ambulance response to Category 2 calls create a risk that other deaths will occur in the future.”
Original on judiciary.uk ↗
Full chain: Delayed ambulance handover at hospitals
Raised again laterJoan Corcoran20 Jun 2023 · 1 year later
Identical hazardConfidence 0.90 · high

This report

“Notwithstanding the steps North West Ambulance Service NHS Foundation Trust has taken via its patient safety plan to manage and respond to demands on its service, it is a matter of concern that target response times are still routinely not being met nationally.”

Later report

“The inquest heard evidence that under the Department of Health's Ambulance Response time criteria, a category 2 call should have an average response time of 18 minutes and be within 40 minutes in 9 out of 10 cases.”
Original on judiciary.uk ↗
Full chain: Delayed ambulance handover at hospitals
Raised again laterJade Griffiths-Jones17 Apr 2024 · 1 year 10 months later
Identical hazardConfidence 0.90 · high

This report

“target response times are still routinely not being met nationally. By way of illustration, the court heard evidence that on 21st June 2021, the Trust's average response”

Later report

“West Midlands Ambulance Service continue to fail to meet target response times and have been made the subject of a regulation 12 notice on this topic by the CQC.”
Original on judiciary.uk ↗
Full chain: Delayed ambulance handover at hospitals
Raised again laterSimon Boyd6 Nov 2024 · 2 years 4 months later
Identical hazardConfidence 0.92 · high

This report

“target response times are still routinely not being met nationally”

Later report

“national targets for ambulance response times continue not to be adhered to”
Original on judiciary.uk ↗
Full chain: Delayed ambulance handover at hospitals

Responses

2022-0195-Response-from-Department-of-Health-and-Social-Care.pdf ↗· Department of Health and Social Care

Stated action · new year

“The NHS will also set out detailed recovery plans in the new year, including plans to improve ambulance response times and improve A&E waiting times.”
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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