Veronica Jenkins
31 Mar 2023 · Coroner Anna Crawford · Surrey
This report repeats 3 earlier warnings, and was raised again 1 time later. See the linked reports.
The coroner's concerns
1. delayed response times due to deficit in operational hours
“risk of a future reoccurrence of the situation which arose on 10 May 2022, namely a deficit in operational hours provided by SECAMBS leading to delayed response times compromising patient safety”
Linked reports
Closely relatedConfidence 0.85 · high
Earlier report
“the ambulance was so delayed in its response to Mr [name redacted]”
This report
“a deficit in operational hours provided by SECAMBS leading to delayed response times compromising patient safety”
Closely relatedConfidence 0.92 · high
Earlier report
“(1) That there were insufficient resources to deal with the high number of calls on”
This report
“There is a risk of a future reoccurrence of the situation which arose on 10 May 2022, namely a deficit in operational hours provided by SECAMBS leading to delayed response times compromising patient safety.”
Closely relatedConfidence 0.85 · high
Earlier report
“target response times are still routinely not being met nationally.”
This report
“a deficit in operational hours provided by SECAMBS leading to delayed response times compromising patient safety.”
Closely relatedConfidence 0.90 · high
This report
“This risk is due firstly to a lack of available staff to provide the required operational hours and secondly to handover delays at hospitals across the region.”
Later report
“As stated in his evidence at para 45, the handover delays experienced at/around the time that the deceased was awaiting assistance were well in excess of the targets enshrined in the Welsh Health Circular of May 2016.”
Responses
2023-0112-Response-from-Department-of-Health-and-Social-Care-.pdf ↗· Department of Health and Social Care
2023-0112-Response-from-South-East-Coast-Ambulance-Service.pdf ↗· South East Coast Ambulance Service
Stated action · 31 March 2023
“SECAmb had planned for 2370.1 WTE by 31 March 2023.”