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recurance

Marjorie Michael

26 Jul 2024 · Coroner Caroline Saunders · Gwent

The coroner's concerns

  1. 1. delayed ambulance response

    “[the deceased] [name redacted] (MJM) fell at her residential Home on 4/9/2023. Carers were correctly advised by the ambulance call handlers not to move her on the basis that this could worsen any injury she had sustained. As a result, MJM lay on the floor for over 14 hours waiting for an ambulance”
  2. 2. ongoing delays in emergency call response

    “Despite ongoing attempts by Welsh Ambulance Service and Aneurin Bevan University Health Board, the delays in responding to emergency calls are not improving”
  3. 3. lack of reduction in waiting times for Amber 1 and Amber 2 responses

    “Witness evidence also confirmed that despite these initiatives there was no appreciable reduction in the lengthy waiting times for Amber 1 and Amber 2 responses; which are categorised as potentially life-threatening emergencies”

Responses

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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.

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