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recurance

Simon Boyd

6 Nov 2024 · Coroner Chris Morris · Manchester South

This report repeats 4 earlier warnings, and was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. ambulance response time targets

    “national targets for ambulance response times continue not to be adhered to”

Linked reports

Repeats an earlier warningAnthony McCormack4 Sept 2017 · 7 years 2 months earlier
Identical hazardConfidence 0.90 · high

Earlier report

“I heard evidence that NWAS failed to meet target times which are nationally set by the Department of Health”
Original on judiciary.uk ↗

This report

“The court heard evidence to the effect that, notwithstanding the national target for Category 3 999 calls of 9 out of 10 responses within 120 minutes, the anticipated wait for a Category 3 ambulance on 1st June 2024 was around 3 hours and 15 minutes.”
Full chain: Delayed ambulance handover at hospitals
Repeats an earlier warningGrenville Wait24 Jun 2022 · 2 years 4 months earlier
Identical hazardConfidence 0.92 · high

Earlier report

“target response times are still routinely not being met nationally”
Original on judiciary.uk ↗

This report

“national targets for ambulance response times continue not to be adhered to”
Full chain: Delayed ambulance handover at hospitals
Repeats an earlier warningLee Dryden2 Aug 2023 · 1 year 3 months earlier
Closely relatedConfidence 0.80 · moderate

Earlier report

“Yorkshire Ambulance Service were unable to respond to [the deceased]'s call until 2 hours and 26 minutes had passed.”
Original on judiciary.uk ↗

This report

“notwithstanding the national target for Category 3 999 calls of 9 out of 10 responses within 120 minutes, the anticipated wait for a Category 3 ambulance on 1st June 2024 was around 3 hours and 15 minutes.”
Full chain: Ambulance crew availability reduced by hospital handover delays
Repeats an earlier warningMichael Clarke3 May 2024 · 6 months earlier
Identical hazardConfidence 0.90 · high

Earlier report

“The inquest was told that due to significant demand the wait time for an ambulance in category 3 was in excess of 4 hours rather than the target 1 hour.”
Original on judiciary.uk ↗

This report

“The court heard evidence to the effect that, notwithstanding the national target for Category 3 999 calls of 9 out of 10 responses within 120 minutes, the anticipated wait for a Category 3 ambulance on 1st June 2024 was around 3 hours and 15 minutes.”
Full chain: Ambulance crew availability reduced by hospital handover delays
Raised again laterDorothy Hoyberg14 Jan 2026 · 1 year 2 months later
Identical hazardConfidence 0.90 · high

This report

“notwithstanding the national target for Category 3 999 calls of 9 out of 10 responses within 120 minutes, the anticipated wait for a Category 3 ambulance on 1st June 2024 was around 3 hours and 15 minutes.”

Later report

“Multiple attempts were made to find an ambulance resource for [the deceased] but LAS were unable to meet targets for Category 3 patients and were struggling to meet targets for Category 2 patients.”
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