Shaun Parks
20 Dec 2023 · Coroner Katy Dickinson · South Yorkshire (Western)
This report repeats 5 earlier warnings, and was raised again 2 times later. See the linked reports.
The coroner's concerns
1. delayed ambulance response
“The ambulance response time of 3 hours and 18 minutes has likely affected the outcome.”
2. insufficient emergency medical dispatchers
“There were insufficient Emergency Medical Dispatcher's available to meet the forecasted demand.”
3. delayed patient offloading
“There was a significant delay in offloading patients at hospitals, which tied up resources and meant they were unable to respond to emergency calls.”
Linked reports
Closely relatedConfidence 0.92 · high
Earlier report
“During the inquest evidence was given that ambulance availability is being jeopardised by crews being delayed at hospital when handing patients over to Accident and Emergency staff.”
This report
“There was a significant delay in offloading patients at hospitals, which tied up resources and meant they were unable to respond to emergency calls.”
Closely relatedConfidence 0.90 · high
Earlier report
“In the event, the vehicle did not arrive for 2 hours 8 minutes.”
This report
“The ambulance response time of 3 hours and 18 minutes has likely affected the outcome.”
Closely relatedConfidence 0.90 · high
Earlier 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”
This report
“The ambulance response time of 3 hours and 18 minutes has likely affected the outcome.”
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”
This report
“The ambulance response time of 3 hours and 18 minutes has likely affected the outcome.”
Identical hazardConfidence 0.90 · high
Earlier report
“under the Department of Health's Ambulance Response time criteria, a category 2 call should have an average response time of 18 minutes”
This report
“The ambulance response time of 3 hours and 18 minutes has likely affected the outcome.”
Closely relatedConfidence 0.85 · high
This report
“The ambulance response time of 3 hours and 18 minutes has likely affected the outcome.”
Later report
“An ambulance resource arrived around 10 hours from [the deceased]'s first call (to 111 services), and 8 1⁄2 hours after the ambulance service categorised this as a call requiring attendance within 2 hours.”
Closely relatedConfidence 0.90 · high
This report
“The ambulance response time of 3 hours and 18 minutes has likely affected the outcome.”
Later report
“Delay in ambulance response and the consequent delay in the provision of pre- hospital emergency care.”
Responses
No published response was found on judiciary.uk.