Lachlan Campbell (2)
28 Feb 2025 · Coroner Andrew Cox · Cornwall and the Isles of Scilly
This report repeats 6 earlier warnings, and was raised again 3 times later. See the linked reports.
The coroner's concerns
1. ambulance response delay
“Delay in ambulance response attributable to delays in handover of patients at Royal Cornwall Hospital”
Linked reports
Closely relatedConfidence 0.90 · high
Earlier report
“Yorkshire Ambulance Service were on their highest level of escalation at that time with significant delays at hospital handover caused or contributed to the delay in an ambulance being available to [the deceased].”
This report
“Delay in ambulance response attributable to delays in handover of patients at Royal Cornwall Hospital”
Closely relatedConfidence 0.92 · high
Earlier report
“handover delays are impacting upon response times in respect of patients requiring emergency treatment &/or conveyance to hospital”
This report
“Delay in ambulance response attributable to delays in handover of patients at Royal Cornwall Hospital”
Identical hazardConfidence 0.90 · high
Earlier report
“The ambulance delay in [the deceased]'s case, on 10 to 11 July 2022, was due to the demand on the service and delays in the patient handover process at the two main hospitals servicing Cornwall:”
This report
“Delay in ambulance response attributable to delays in handover of patients at Royal Cornwall Hospital”
Repeats an earlier warningJohn Seagrove, Pauline Humphris and Patricia Steggles23 Nov 2023 · 1 year 3 months earlier
Identical hazardConfidence 0.92 · high
Earlier report
“these gains have not been maintained and the situation has now worsened with 15-20 ambulances waiting outside the ED”
This report
“Delay in ambulance response attributable to delays in handover of patients at Royal Cornwall Hospital”
Identical hazardConfidence 0.95 · high
Earlier report
“availability of ambulance crews is continuing to be compromised by delays at hospitals resulting in delays in response times which creates a risk to the life”
This report
“Delay in ambulance response attributable to delays in handover of patients at Royal Cornwall Hospital”
Repeats an earlier warningHarry Dunn: Prevention of Future Deaths Report (1)4 Jul 2024 · 8 months earlier
Identical hazardConfidence 0.95 · high
Earlier report
“I am concerned that these continuing delays for ambulances at hospital handovers reflects a risk of deaths into the future.”
This report
“Delay in ambulance response attributable to delays in handover of patients at Royal Cornwall Hospital”
Closely relatedConfidence 0.92 · high
This report
“Delay in ambulance response attributable to delays in handover of patients at Royal Cornwall Hospital”
Later report
“Ambulance handover delays affecting emergency availability”
Identical hazardConfidence 0.90 · high
This report
“Delay in ambulance response attributable to delays in handover of patients at Royal Cornwall Hospital”
Later report
“Ambulance handover delays affecting emergency availability Prolonged ambulance handover times at local hospitals were a significant factor in no ambulance being available at the time help was sought”
Identical hazardConfidence 0.90 · high
This report
“Delay in ambulance response attributable to delays in handover of patients at Royal Cornwall Hospital”
Later report
“The court noted that the NHS national target is for ambulances to handover patients to hospital is within 15 minutes of arrival.”
Responses
2025-0115-Response-from-Department-of-Health-and-Social-Care.pdf ↗· Department of Health and Social Care