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recurance

Patricia Eyken

25 Mar 2024 · Coroner Guy Davies · Cornwall and the Isles of Scilly

This report repeats 1 earlier warning. See the linked reports.

The coroner's concerns

  1. 1. ambulance delay causing preventable death

    “[the deceased]'s death followed an ambulance delay, attributable to a systemic failure, which is likely to have contributed to [the deceased]'s death by preventing lifesaving treatment”

Linked reports

Repeats an earlier warningDerek Shaw11 Nov 2022 · 1 year 4 months earlier
Identical hazardConfidence 0.95 · high

Earlier report

“Evidence given at the inquest revealed that there was a delay in an ambulance attending to the deceased”
Original on judiciary.uk ↗

This report

“[the deceased]'s death followed an ambulance delay, attributable to a systemic failure, which is likely to have contributed to [the deceased]'s death by preventing lifesaving treatment.”
Full chain: Delayed ambulance handover at hospitals

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.

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