Recurance · prevention of future deaths reports
Pre-inquest brief
Delayed entry to residence due to underestimated urgency
The earlier warning
Michael Thorley · 7 Jul 2015 · John Pollard, Manchester (South)
“There was an inordinate and inexcusable delay in gaining entry to the premises where it was known that the caller to the ambulance service had apparently collapsed mid-call.”
judiciary.uk/prevention-of-future-death-reports/michael-thorley
What was promised
Stated action 1 · response to Michael Thorley (7 Jul 2015) · stated timescale: none stated
“The Specialist Operational Training Unit which is responsible for training officers in both decision making and tactics will use this example during their method of entry training modules.”
judiciary.uk/…/2015-0260-Response-by-Greater-Manchester-Police.…
What recurred
- 7 Jul 2025 · Elaine Tarbuck · Timothy Brennand · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Michael Thorley · 7 Jul 2015
“There was an inordinate and inexcusable delay in gaining entry to the premises where it was known that the caller to the ambulance service had apparently collapsed mid-call.”
Later · Elaine Tarbuck · 7 Jul 2025
“The full background of the deceased, her history of falls, her recent bereavement and high risk to have suffered an adverse medical episode, or deliberate or unintended physical harm raised the expectation on the part of the family, that having called the emergency services, entry would be forced to the deceased's residence as they were of the view that there was a real and immediate risk of death or serious harm having occurred.”
What happened next
No web check of the stated actions has been published for this chain.