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recurance

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Terrence Smith

21 Feb 2019 · Coroner Richard Travers · Surrey
Check this reportOriginal

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

No concerns could be extracted with a verified quote. Read the original report.

Linked reports

Raised again laterRobert Gracey6 Jan 2026 · 6 years 10 months later
Identical hazardConfidence 0.90 · high

This 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.”

Later report

“Under the current NHS Pathways system, ABD does not have its own allocation pathway.”
Original on judiciary.uk ↗
Full chain: Delayed recognition of excited delirium in ambulance dispatch

Responses

No published response was found on judiciary.uk.

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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