Recurance · prevention of future deaths reports
Pre-inquest brief
The earlier warning
Keith Hopwood · 15 Jun 2022 · Alison Mutch, Manchester South
“The inquest heard that the delays in relation to the ambulance service were due to significant resource issues for all ambulance services not just North West Ambulance Service.”
judiciary.uk/…/keith-hopwood-prevention-of-future-deaths-report
What was promised
Stated action 1 · response to Ellen MacFarlane (4 Nov 2022) · stated timescale: 2024/25
“we are maintaining this additional capacity in 2024/25. This is alongside the delivery of new ambulances and specialist mental health vehicles. With more ambulances on the road, patients will receive the treatment they need more swiftly.”
judiciary.uk/…/2022-0350-Response-from-Department-of-Health-and…
What recurred
- 4 Nov 2022 · Ellen MacFarlane · Alison Mutch
- 19 Jul 2023 · Bernhard Marek · Alison Mutch · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Keith Hopwood · 15 Jun 2022
“The inquest heard that the delays in relation to the ambulance service were due to significant resource issues for all ambulance services not just North West Ambulance Service.”
Later · 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 and that such delays were not unusual throughout December due to demand and resources.”
What happened next
No evidence found either way · stated action 1
The Department of Health and Social Care did not explicitly state that additional ambulance capacity would be maintained specifically in 2024/25 alongside new ambulances and mental health vehicles in the provided sources.
No evidence found does not mean the action did not happen.