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recurance

Matthew Faulkner

29 Mar 2018 · Coroner Geoffrey Sullivan · Hertfordshire

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. resource shortfall

    “demand on the EEAS far outstripped the resources available to them”
  2. 2. persistent resource shortfall

    “current position regarding demand outstripping available resources is not significantly different to that in May 2017”
  3. 3. unsustainable demand

    “demands placed on the EEAS by the public are not sustainable”
  4. 4. hand-over delay

    “significant delays on hand-over to hospital”

Linked reports

Raised again laterChristina Ruse26 Aug 2022 · 4 years 5 months later
Identical hazardConfidence 0.90 · high

This report

“(1) At the time of this incident, demand on the EEAS far outstripped the resources available to them.”

Later report

“2. There were no emergency ambulances available to assign to this call due to high call demand.”
Original on judiciary.uk ↗
Full chain: Delayed ambulance response to patient deterioration

Responses

2018-0097-Response-by-East-North-Hertfordshire-NHS-Trust.pdf ↗· East of England Ambulance Service

Stated action · March 2017

“In January 2017 we identified ambulance handover times as a key challenge within our performance targets and in order to address this in March 2017 we sought external expertise to reconfigure the handover process, our aim being to reduce handover times to the meet the national standard of 100% within 15 min of arrival, thus releasing ambulance crews in a timelier manner.”

2018-0097-Response-by-East-of-England-Ambulance-Service.pdf ↗· East of England Ambulance Service

Stated action · coming months

“We are planning to arrange a further briefing for HM coroners in the coming months”

Stated action · December 2017

“The Trust introduced Patient Safety Intervention Teams (PSIT) across the Trust in December 2017 to support our Acute Trust colleagues throughout the winter”

Stated action · January 2018

“Following the risk summit that took place in January 2018, an independent harm review was commissioned by NHS Improvement”

Stated action · December 2017

“The Trust introduced Patient Safety Intervention Teams (PSIT) across the Trust in December 2017 to support our Acute Trust colleagues throughout the winter”

Stated action · December 2017

“The Trust introduced Patient Safety Intervention Teams (PSIT) across the Trust in December 2017 to support our Acute Trust colleagues throughout the winter”
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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