Ronald Hartley
17 Jul 2022 · Coroner Alison Mutch · Manchester South
This report repeats 1 earlier warning, and was raised again 6 times later. See the linked reports.
The coroner's concerns
1. delayed ambulance response
“when they found Mr [name redacted] and rang for an ambulance they were told that due to the ongoing demands on the Ambulance Service that it would be approximately 6 hours before one could attend and transport Mr [name redacted] to hospital”
Linked reports
Identical hazardConfidence 0.90 · high
Earlier report
“On describing the circumstances, the Care Staff were told that they would get a call back from NHS within 60 minutes. They were also informed that there would be a delay of up to 6 hours for the ambulance to arrive.”
This report
“when they found Mr [name redacted] and rang for an ambulance they were told that due to the ongoing demands on the Ambulance Service that it would be approximately 6 hours before one could attend and transport Mr [name redacted] to hospital.”
Closely relatedConfidence 0.90 · high
This report
“when they found Mr [name redacted] and rang for an ambulance they were told that due to the ongoing demands on the Ambulance Service that it would be approximately 6 hours before one could attend and transport Mr [name redacted] to hospital”
Later report
“2. The Ambulance Service graded [the deceased]'s mother's call to them on the 15th December 2021 as a category 2 call which has two targets as described in evidence, the first being a response time of 20 minutes call time and that 9 out of 10 calls would be responded too within 40 minutes. Yorkshire Ambulance Service were unable to respond to [the deceased]'s call until 2 hours and 26 minutes had passed. Yorkshire Ambulance Service were on their highest level of escalation at that time with significant delays at”
Identical hazardConfidence 0.90 · high
This report
“they were told that due to the ongoing demands on the Ambulance Service that it would be approximately 6 hours before one could attend”
Later report
“Due to continuing demand on the ambulance service, an ambulance did not become available until 08.16 hours.”
Closely relatedConfidence 0.90 · high
This report
“when they found Mr [name redacted] and rang for an ambulance they were told that due to the ongoing demands on the Ambulance Service that it would be approximately 6 hours before one could attend and transport Mr [name redacted] to hospital”
Later report
“The ambulance service was called at 11.55 hours on 14 February 2023 and the call was graded as a Category 3 call reinquire a response within 2 hours. The ambulancearrived at 09.30 hours on 15 February 2023. The time between calling the ambulance and the ambulance arriving on scene was in excess of 19 hours.”
Closely relatedConfidence 0.90 · high
This report
“when they found Mr [name redacted] and rang for an ambulance they were told that due to the ongoing demands on the Ambulance Service that it would be approximately 6 hours before one could attend and transport Mr [name redacted] to hospital”
Later report
“The ambulance response time of 3 hours and 18 minutes has likely affected the outcome.”
Identical hazardConfidence 0.90 · high
This report
“when they found Mr [name redacted] and rang for an ambulance they were told that due to the ongoing demands on the Ambulance Service that it would be approximately 6 hours before one could attend and transport Mr [name redacted] to hospital”
Later report
“The delay in the ambulance dispatch prevented Mr [name redacted] receiving medical treatment and further psychiatric assistance”
Identical hazardConfidence 0.90 · high
This report
“when they found Mr [name redacted] and rang for an ambulance they were told that due to the ongoing demands on the Ambulance Service that it would be approximately 6”
Later report
“Delay in ambulance response and the consequent delay in the provision of pre- hospital emergency care.”
Responses
2022-0216-Response-from-Department-of-Health-and-Social-Care.pdf ↗· Department of Health and Social Care
Stated action · 2023-24 and 2024-25
“The government is committed to supporting the ambulance service to manage the pressures it is facing, ensuring that people receive the treatment that they need when they need it. This will be supported by the government investing an additional £3.3 billion in each of 2023-24 and 2024-25 as announced in the Autumn Statement. This will enable rapid action to improve urgent and emergency care performance towards pre-pandemic levels. The NHS will set out detailed recovery plans in the new year.”