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recurance

Peter Beresford

12 Mar 2024 · Coroner Lauren Costello · Manchester South

This report repeats 2 earlier warnings, and was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. delay in paramedics attending Category 2 calls

    “Despite a number of measures being undertaken by the North West Ambulance Service, the delay in paramedics attending Category 2 calls has not been resolved to within target ranges because there are residual staff and emergency vehicle shortages.”
  2. 2. delays in ambulances clearing Accident and Emergency departments

    “The resources available in the North West Ambulance Service cannot be fully utilised because of the delays in ambulances clearing Accident and Emergency departments caused by the pressure on these departments across the NHS.”

Linked reports

Repeats an earlier warningJohn Murphy22 Apr 2022 · 1 year 11 months earlier
Identical hazardConfidence 0.98 · high

Earlier report

“Despite a number of measures being undertaken by the North West Ambulance Service, the delay in paramedics attending Category 2 calls has not been resolved to within target ranges because there are residual staff and emergency vehicle shortages.”
Original on judiciary.uk ↗

This report

“Despite a number of measures being undertaken by the North West Ambulance Service, the delay in paramedics attending Category 2 calls has not been resolved to within target ranges because there are residual staff and emergency vehicle shortages.”
Full chain: Delayed ambulance handover at hospitals
Repeats an earlier warningMichael Bray22 May 2023 · 10 months earlier
Closely relatedConfidence 0.85 · high

Earlier report

“long delays in ambulance response to Category 2 calls create a risk that other deaths will occur in the future”
Original on judiciary.uk ↗

This report

“Despite a number of measures being undertaken by the North West Ambulance Service, the delay in paramedics attending Category 2 calls has not been resolved to within target ranges”
Full chain: Delayed ambulance handover at hospitals
Raised again laterRicky O'Connell20 Aug 2025 · 1 year 5 months later
Identical hazardConfidence 0.90 · high

This report

“delays in ambulances clearing Accident and Emergency departments caused by the pressure on these departments across the NHS.”

Later report

“delays in ambulances clearing ED was still having a very significant impact on their ability to respond to calls including category 2 calls”
Original on judiciary.uk ↗
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