Recurance · prevention of future deaths reports
Pre-inquest brief
Excessive ambulance response delays for frail elderly hip fracture patients
The earlier warning
Bernhard Marek · 19 Jul 2023 · Alison Mutch, Manchester South
“The inquest was told that the wait time that was given at the time of the initial call was due to demand on the ambulance service”
judiciary.uk/…/bernhard-marek-prevention-of-future-deaths-report
What was promised
Stated action 1 · response to Bernhard Marek (19 Jul 2023) · stated timescale: 21st September 2023
“Learning to be presented/shared with the Greater Manchester System Quality Group on 21st September 2023.”
judiciary.uk/…/2023-0257-Response-from-Greater-Manchester-Integ…
What recurred
- 3 May 2024 · Michael Clarke · Alison Mutch · Identical hazard · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Bernhard Marek · 19 Jul 2023
“The inquest was told that the wait time that was given at the time of the initial call was due to demand on the ambulance service”
Later · Michael Clarke · 3 May 2024
“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”
What happened next
No web check of the stated actions has been published for this chain.