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recurance

Delayed A&E assessment due to insufficient inpatient bed capacity

Closely relatedConfidence 0.86 · high2 reports · 2020–2021 One-page brief (print or PDF)

Greater Manchester Health and Social Care Partnership received 2 coroners' reports about this hazard between 30 Sept 2020 and 21 May 2021.

They came from 1 coroner 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.

2
reports
1
coroner
2020–2021
years
0.86
lowest link confidence

The story, report by report

Spacing grows with the time between reports.

  1. First warning

    Joseph Cheetham↗

    30 Sept 2020 · Alison Mutch · Greater Manchester South

    “Lack of bed capacity in the hospital meant that he spent over 24 hours in the A and E department despite being frail and vulnerable.”
    Original on judiciary.uk ↗

    Greater Manchester Health and Social Care Partnership responded, stating 2 specific actions.Response (PDF) ↗Response (PDF) ↗

    “All localities within GM are now in the process of implementing these. In addition to this, further work is being undertaken to help reduce the numbers of attendances to emergency departments. As highlighted in previous correspondence, GM has agreed to a new approach which will incorporate two elements: - Implementation of the new national NHS 111 First Initiative, which will ask patients to call 111 prior to attending an Emergency Department - A new pre-Emergency Department triage and streaming”

    Stated timescale: early December

    “times The Trust has in place approved policies for protecting meal times. This includes restricting visiting, visual aids to identify people who require extra support and minimising clinical interactions during meal times. Patients are regularly reviewed using the Malnutrition Universal Screening Tool (MUST) score for nutrition and hydration. We monitor nutrition and hydration through nursing quality metrics and the ward accreditation scheme. Trained volunteers also support patients with their”
  2. 8 months later

    Raised again · 1st time

    Martin Gibbons↗

    21 May 2021 · Alison Mutch · Manchester South

    Closely relatedConfidence 0.86 · high
    “It was during the prolonged wait in the Emergency Department for a mental health bed that Mr [name redacted] left.”
    Original on judiciary.uk ↗

    Greater Manchester Health and Social Care Partnership responded, stating 1 specific action.Response (PDF) ↗

    “The LMHT has now completed a joint piece of work with their ED colleagues at TGICFT. A triage assessment tool has been implemented which guides the triage nurse to consider the most appropriate pathway for the patient based on their risk/presentation at that time.”
  3. All reports to Greater Manchester Health and Social Care Partnership

Next

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.

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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