Insufficient ambulance resources in specific division
East Midlands Ambulance Service received 2 coroners' reports about this hazard between 26 May 2016 and 9 Jan 2019.
They came from 2 different coroners in 2 coroner areas. A similar concern was raised again 1 time after the first warning.
A published response was found for 1 of the 1 earlier reports, stating 3 specific actions.
The story, report by report
Spacing grows with the time between reports.
“I remain very concerned about resource issues for this ambulance service. I raised similar concerns in a Prevention of Future Deaths Report”
Original on judiciary.uk ↗ East Midlands Ambulance Service responded, stating 2 specific actions.Response (PDF) ↗Response (PDF) ↗
“In 2015/16, the trust carried out a significant recruitment campaign and educated 350 whole time equivalent frontline posts.”
Web search (Tavily): Evidence found that the action was carried out
East of England Ambulance: Plan to recruit 350 staff ↗“EMAS has taken the CQC findings seriously and value the additional support from other NHS organisations following the CQC Quality Summit. With their input EMAS can progress areas that cannot be fixed quickly, or that are not within EMAS' immediate control.”
Stated timescale: 2016/17
- 2 years 7 months laterClosely relatedConfidence 0.85 · higha different coroner
“The shortage of double crewed ambulances and fast response vehicles in the Northampton Division.”
Original on judiciary.uk ↗ East Midlands Ambulance Service responded, stating 1 specific action.Response (PDF) ↗Response (PDF) ↗
“We have taken this call through NHS Pathways version 16 to try to identify the likely outcome had this version been in place at the time of the call. In version 16 the severely ill and new marks question has changed significantly. Firstly the 2 parts have now been split into separate questions. Due to concerns that the severely ill part of the question was too subjective this has been altered to”
- All reports to East Midlands Ambulance Service
Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals.
2016 → 2019Diana Gudgeon2 years 7 months after Peter Scott · different coronerClosely relatedConfidence 0.85 · high
Closely relatedConfidence 0.85 · highBoth reports highlight insufficient ambulance resources as a risk to patient safety. The later report narrows the concern to a shortage of double‑crewed ambulances and fast response vehicles in a specific division.
Peter Scott · 26 May 2016
“I remain very concerned about resource issues for this ambulance service. I raised similar concerns in a Prevention of Future Deaths Report”
Original on judiciary.uk ↗ Diana Gudgeon · 9 Jan 2019
“The shortage of double crewed ambulances and fast response vehicles in the Northampton Division.”
Original on judiciary.uk ↗ Stated action in the response to the earlier report
“The need for an urgent review of resources to reduce the risk of future deaths”
Stated action
“In 2015/16, the trust carried out a significant recruitment campaign and educated 350 whole time equivalent frontline posts.”
What happened next: Evidence found that the action was carried out
The trust announced plans to recruit over 350 staff to improve patient care and staff morale, citing £5m of additional investment for new posts.
“The trust's "turnaround plan" lists measures including recruiting more paramedics, tackling sickness and restructuring management.”
“The trust said it planned to recruit 82 specialist paramedics, 149 paramedics, 24 emergency medical technicians and 96 emergency care assistants.”
“The recruitment drive, in addition to reducing staff sickness and its spending on private ambulances, would enable it to provide the equivalent of an extra 25 of its own double-staffed ambulances, available around the clock,”
Stated action · timescale: 2016/17
“EMAS has taken the CQC findings seriously and value the additional support from other NHS organisations following the CQC Quality Summit. With their input EMAS can progress areas that cannot be fixed quickly, or that are not within EMAS' immediate control.”
No specific action could be extracted with a verified quote.
Stated action
“We have taken this call through NHS Pathways version 16 to try to identify the likely outcome had this version been in place at the time of the call. In version 16 the severely ill and new marks question has changed significantly. Firstly the 2 parts have now been split into separate questions. Due to concerns that the severely ill part of the question was too subjective this has been altered to”
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to East Midlands Ambulance Service at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2016 → 2019 | 0.72 | 0.13 | Closely related · 0.85 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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Other chains for East Midlands Ambulance Service
This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.