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recurance

Mrs Withers

12 Oct 2015 · Coroner Hassan Shah · Northampton

The coroner's concerns

  1. 1. failure to obtain patient medical history during initial emergency call

    “The policy In relation to obtaining a patient's medical history during the first 999 call, reporting an Incident”
  2. 2. inadequate response to patient inability to receive calls

    “The policy In relation to calling back a life llne/third party where the patient Is unable to receive calls”
  3. 3. loss of essential patient medical history in electronic systems

    “The policy/procedure In relation to saving essential patient medical history In the ambulance service electronic data systems”
  4. 4. inconsistent staffing levels and tolerance thresholds

    “The policy In relation to staffabstraction toleranceand levels”
  5. 5. delays in patient handover between ambulance and hospital

    “The policy and protocol In relation to hand over times between East Midlands Service paramedics and Kettering General Hospital Accident and Emergency staff”

Responses

No published response was found on judiciary.uk.

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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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