Olive Johnson
24 Jan 2019 · Coroner Paul Cooper · Lincolnshire
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. no first responders dispatched
“Why were no first responder's called out in relation to the deceased?”
2. response time breaches
“How many occasions have EMAS exceeded their response times since 01/01/2108 to date?”
3. regrading time not counted
“Is it fair that if a patient is regraded whilst awaiting an initial response the total time from the initial call to the regrading is cancelled out?”
4. insufficient conveying resources
“Do EMAS believe they have enough conveying resources to meet their response targets?”
Linked reports
Closely relatedConfidence 0.85 · high
Earlier report
“Significant and unacceptable delays occurred in despatching an ambulance to a patient who was unconscious and had clearly suffered a serious head Injury.”
This report
“Why were no first responder's called out in relation to the deceased?”
Responses
2019-0031-Response-by-East-Midlands-Ambulance-Service-NHS-Trust.pdf ↗· East Midlands Ambulance Service
Stated action
“the Trust takes all matters relating to patient safety extremely seriously. In particular, matters arising from Coroners' Inquests from which lessons can be learnt, including Prevention of Future Death Reports, are discussed by the Incident Review Group and Lessons Learned Group.”