Martin Sullivan

“The MPDS script and algorithm, it seems, were inadequate in this instance to recognise the life-threatening situation that [the deceased] was in”

“Rule 6 of the MPDS Protocol recognises that asthma patients are generally very experienced in managing their disease. Noting that statements such as can't breathe and unable to breathe or a similar description should be considered as 2 ineffective breathing. Ineffective breathing eliciting a Category 1 response”

“This was clearly a busy shift for NWAS, notwithstanding that the service was at 97% of commissioned capacity. 111 ambulances instead of 112 - having increased from 67 circa one hour previously, and it is likely that crisis was probably building from the reduced numbers of ambulance over the earlier period”

“The EA that eventually arrived was outside the 90th percentile target of 40mins”