Robert Gracey
6 Jan 2026 · Coroner Paul Smith · Greater Lincolnshire
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. lack of established police ambulance protocols
“police forces have established ABD protocols with their local ambulance service so that suspected ABD incidents are treated as medical emergencies (i.e. Cat 1, with a response time of 8 minutes)”
Linked reports
Identical hazardConfidence 0.90 · high
Earlier report
“The version of NHS Pathways currently in use is version 16 which does not enable operators to recognise potential ED / ABD and respond accordingly.”
This report
“Under the current NHS Pathways system, ABD does not have its own allocation pathway.”