Recurance · prevention of future deaths reports
Pre-inquest brief
The earlier warning
Elizabeth Leah · 19 Feb 2015 · John Pollard, Manchester (South)
“On describing the circumstances, the Care Staff were told that they would get a call back from NHS within 60 minutes. They were also informed that there would be a delay of up to 6 hours for the ambulance to arrive.”
judiciary.uk/prevention-of-future-death-reports/elizabeth-leah
What was promised
Stated action 1 · response to Barbara Patterson (21 May 2015) · stated timescale: early 2014
“The Pathways system piloted in the North East has a fault in that it does not advise non clinical call handlers to issue CPR advice unless a patient has stopped breathing. Although this fault was pointed out to Pathways by NEAS NHS Trust manager before the latest update of the system (early 2014), Pathways refused to amend the system. The fault remains in place.”
judiciary.uk/…/2015-0198-Response-by-Department-of-Health.pdf
Stated action 2 · response to Christopher Fields (18 May 2016) · stated timescale: none stated
“I therefore do not consider that the algorithms used for coding are inaccurate or unfit for purpose based on the evidence of this case.”
judiciary.uk/…/2016-0194-Response-by-Department-of-Health.pdf
Stated action 3 · response to Peter Scott (26 May 2016) · stated timescale: none stated
“In 2015/16, the trust carried out a significant recruitment campaign and educated 350 whole time equivalent frontline posts.”
37 further stated actions are listed on the full chain page.
What recurred
- 21 May 2015 · Barbara Patterson · Carly Henley
- 18 May 2016 · Christopher Fields · John Pollard
- 26 May 2016 · Peter Scott · Heidi Connor · Closely related · confidence 0.85 (high)
- 4 Sept 2017 · Anthony McCormack · Fiona Borrill
- 22 Apr 2022 · John Murphy · Lauren Costello
- 24 Jun 2022 · Grenville Wait · Chris Morris · Closely related · confidence 0.92 (high)
- 17 Jul 2022 · Ronald Hartley · Alison Mutch · Identical hazard · confidence 0.90 (high)
- 14 Sept 2022 · Irene Davies · Alison Mutch
- 4 Nov 2022 · Ellen MacFarlane · Alison Mutch
- 11 Nov 2022 · Derek Shaw · Catherine Wood
- 6 Jan 2023 · Kyriacos Athanasis · Catherine Wood
- 18 Jan 2023 · Lyn Brind · Jacqueline Lake
- 31 Mar 2023 · Veronica Jenkins · Anna Crawford · Closely related · confidence 0.85 (high)
- 22 May 2023 · Michael Bray · Peter Taheri · Identical hazard · confidence 0.90 (high)
- 20 Jun 2023 · Joan Corcoran · Alison Mutch · Identical hazard · confidence 0.90 (high)
- 19 Jul 2023 · Thelma Radmore · Alison Mutch · Closely related · confidence 0.90 (high)
- 2 Aug 2023 · Lee Dryden · Abigail Combes · Closely related · confidence 0.90 (high)
- 13 Sept 2023 · Geoffery Hoad · Jacqueline Lake · Identical hazard · confidence 0.90 (high)
- 29 Sept 2023 · John Winsworth · Jacqueline Lake · Closely related · confidence 0.90 (high)
- 9 Nov 2023 · Christopher Hart · Nigel Parsley · Closely related · confidence 0.85 (high)
- 15 Nov 2023 · Lynda Blackmore · Graeme Hughes · Closely related · confidence 0.90 (high)
- 23 Nov 2023 · Kenneth Heard · Guy Davies · Closely related · confidence 0.85 (high)
- 23 Nov 2023 · John Seagrove, Pauline Humphris and Patricia Steggles · Andrew Cox
- 1 Dec 2023 · David Briggs · Hannah Berry · Closely related · confidence 0.90 (high)
- 20 Dec 2023 · James Campion · Anita Bhardwaj · Identical hazard · confidence 0.90 (high)
- 20 Dec 2023 · Shaun Parks · Katy Dickinson · Closely related · confidence 0.92 (high)
- 22 Jan 2024 · Donna Smith · Clare Bailey · Closely related · confidence 0.85 (high)
- 12 Mar 2024 · Peter Beresford · Lauren Costello · Identical hazard · confidence 0.98 (high)
- 20 Mar 2024 · Jean Walker · Hannah Berry · Closely related · confidence 0.90 (high)
- 25 Mar 2024 · Patricia Eyken · Guy Davies · Identical hazard · confidence 0.95 (high)
- 17 Apr 2024 · Jade Griffiths-Jones · Emma Brown · Identical hazard · confidence 0.95 (high)
- 25 Apr 2024 · Richard Carpenter · David Ridley · Identical hazard · confidence 0.92 (high)
- 8 May 2024 · Bobilya Mulonge · Lauren Costello · Identical hazard · confidence 0.95 (high)
- 4 Jul 2024 · Harry Dunn: Prevention of Future Deaths Report (1) · Anne Pember · Identical hazard · confidence 0.90 (high)
- 20 Sept 2024 · Susan Dear · Hannah Godfrey · Closely related · confidence 0.90 (high)
- 3 Oct 2024 · Kevin Woods · Guy Davies · Identical hazard · confidence 0.90 (high)
- 21 Oct 2024 · Henry Willems · David Reid · Identical hazard · confidence 0.90 (high)
- 6 Nov 2024 · Simon Boyd · Chris Morris · Identical hazard · confidence 0.92 (high)
- 19 Dec 2024 · Andrew Lewis · Heidi Connor · Closely related · confidence 0.90 (high)
- 31 Jan 2025 · Nicola Owens · Anita Bhardwaj · Closely related · confidence 0.90 (high)
- 17 Feb 2025 · Diana Fairweather-Purkis · Paul Appleton · Identical hazard · confidence 0.95 (high)
- 28 Feb 2025 · Lachlan Campbell (2) · Andrew Cox · Identical hazard · confidence 0.95 (high)
- 3 Apr 2025 · Andrew Waters · Guy Davies · Identical hazard · confidence 0.90 (high)
- 9 Apr 2025 · Bernard Lyon · Alison Mutch · Identical hazard · confidence 0.90 (high)
- 2 May 2025 · Paul Burke · Jacques Howell · Closely related · confidence 0.90 (high)
- 12 May 2025 · James Smith · Guy Davies · Identical hazard · confidence 0.95 (high)
- 30 May 2025 · Brian Garrick · Stephen Covell · Identical hazard · confidence 0.98 (high)
- 20 Aug 2025 · Ricky O'Connell · Alison Mutch · Identical hazard · confidence 0.95 (high)
- 28 Oct 2025 · Lewis Garfield · Hassan Shah · Closely related · confidence 0.90 (high)
- 14 Jan 2026 · Dorothy Hoyberg · Melanie Lee · Closely related · confidence 0.90 (high)
- 7 Feb 2026 · Janet Springall · Alan Anthony · Closely related · confidence 0.80 (moderate)
- 4 Mar 2026 · Roman Barr · Linda Lee · Identical hazard · confidence 0.95 (high)
- 3 Apr 2026 · Roman Barr · Linda Lee · Identical hazard · confidence 0.92 (high)
- 18 Jun 2026 · Geoffrey Fuller · Guy Davies · Closely related · confidence 0.92 (high)
The clearest link, quoted from both reports:
Earlier · John Murphy · 22 Apr 2022
“Despite a number of measures being undertaken by the North West Ambulance Service, the delay in paramedics attending Category 2 calls has not been resolved to within target ranges because there are residual staff and emergency vehicle shortages.”
Later · Peter Beresford · 12 Mar 2024
“Despite a number of measures being undertaken by the North West Ambulance Service, the delay in paramedics attending Category 2 calls has not been resolved to within target ranges because there are residual staff and emergency vehicle shortages.”
What happened next
No evidence found either way · stated action 1
“You're in the grocery store, at the gym, or standing in a hospital hallway when someone collapses. They appear unconscious - but then you notice something unsettling: they're making sounds. Labored, irregular, almost snoring-like gasps. Their chest seems to rise slightly. Your brain registers one thing: they're breathing. So you wait, you call for help, and precious seconds tick away.”
Agonal Breathing: Why It Delays CPR and How to Recognize It - ACLS · affordableacls.com/…/recognizing-agonal-breathing-misunderstood…
“Agonal breathing or agonal respirations are medical terms used to describe insufficient breathing that often sounds like snoring, snorting, gasping, or labored breathing. The person will appear to be choking or having an involuntary gasp reflex. Agonal breathing is not true breathing and often indicates that someone is suffering from a severe medical emergency like cardiac arrest.”
Agonal Breathing: Gasping, Respiration, Sound & What to Do · avive.life/blog/agonal-breathing-everything-you-need-to-know
No evidence found does not mean the action did not happen.
No evidence found either way · stated action 2
“If the reviewing clinician identified inaccuracies in the initial clinical coding, Healthcare Resource Group (HRG) codes were changed.”
Targeted education for clinicians and clinical coding staff improves the accuracy of clinical coding: A quality improvement project · pmc.ncbi.nlm.nih.gov/articles/PMC11059275
No evidence found does not mean the action did not happen.
Evidence found · stated action 3
“The trust's "turnaround plan" lists measures including recruiting more paramedics, tackling sickness and restructuring management.”
East of England Ambulance: Plan to recruit 350 staff · bbc.com/news/uk-england-22252375
“The trust said it planned to recruit 82 specialist paramedics, 149 paramedics, 24 emergency medical technicians and 96 emergency care assistants.”
East of England Ambulance: Plan to recruit 350 staff · bbc.com/news/uk-england-22252375
“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,”
East of England Ambulance: Plan to recruit 350 staff · bbc.com/news/uk-england-22252375
No evidence found either way · stated action: “I am advised that work is underway to increase the training of the Fire Service to Extended Community First Responder levels.”
“21ST CENTURY Fire and Rescue Service Leaders at the Core of Better Communities ® Fire and Emergency Services Thank you to the entire Subject Matter Expert group and the CPSE and ICMA staff that brought their experience, insight, and dedication to the development of this white paper.”
21st-Century-Fire-and-Emergency-Services-White-Paper- ... · cpse.org/…/21st-Century-Fire-and-Emergency-Services-White-Paper…
“The International Association of Fire Chiefs (IAFC) restates and reaffirms existing resolutions and announces its position in support of fire-based emergency medical services (EMS).”
Position · iafc.org/…/iafc-position-fire-based-emergency-medical-services
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “The North West Ambulance Service (NWAS) lead commissioners, representatives from the local health system and NHS England have developed a 6-point winter improvement plan concentrating on key actions to assist in improving performance levels for 999 and Urgent and Emergency Care.”
“Every winter the NHS struggles to keep up with the growing needs of our patients and the past few weeks have been no exception. We are seeing poor standards of care normalised and accepted as inevitable as part of the expected annual 'winter crisis.'”
Our urgent and emergency care improvement proposals - National Association of Primary Care · napc.co.uk/our-urgent-and-emergency-care-improvement-proposals
“PART A: OUR MANDATE 1 1. Constitutional Mandate 2. Legislative and Policy Mandates 2.1. Legislation falling under the Department of Health's Portfolio 2.2 Other legislation applicable to the Department 3. Health Sector Policies and Strategies over the five-year planning period 3.1. National Development Plan: Vision 2030 3.2. Sustainable Development Goals 3.3. Medium Term Development Plan 2024-2029”
ANNUAL PERFORMANCE PLAN 2025-2026 · health.gov.za/…/NATIONAL-DEPARTMENT-OF-HEALTH-ANNUAL-PERFORMANC…
“Healthcare organizations face constant pressure to enhance patient outcomes, streamline operations, and maintain [financial](https://www.dccsconsulting.com/financial-advisory-services) stability.”
Healthcare Performance Improvement Plan Strategies · dccsconsulting.com/…/crafting-effective-healthcare-performance-…
No evidence found does not mean the action did not happen.
Evidence found · stated action: “The NHS will also set out detailed recovery plans in the new year, including plans to improve ambulance response times and improve A&E waiting times.”
“500 new ambulances deployed to increase fleet capacity and bring down response times by March 2026.”
What the 10-Year Plan means for Ambulance Trusts? · theaccessgroup.com/…/hsc-what-the-10-year-plan-means-for-ambula…
“Another of the UEC plan's headline targets includes reducing ambulance wait times for Category 2 calls by over 14%, meeting a new maximum 45-minute ambulance handover standard.”
Urgent and Emergency Care Plan promises £450m investment to provide faster care for patients | Hospital Healthcare Europe · hospitalhealthcare.com/…/urgent-and-emergency-care-plan-promise…
“A commitment to roll out almost 500 new ambulances across the country by March 2026 has also been promised.”
Urgent and Emergency Care Plan promises £450m investment to provide faster care for patients | Hospital Healthcare Europe · hospitalhealthcare.com/…/urgent-and-emergency-care-plan-promise…
No evidence found either way · stated action: “The government is committed to supporting the ambulance service to manage the pressures it is facing, ensuring that people receive the treatment that they need when they need it. This will be supported by the government investing an additional £3.3 billion in each of 2023-24 and 2024-25 as announced in the Autumn Statement. This will enable rapid action to improve urgent and emergency care performance towards pre-pandemic levels. The NHS will set out detailed recovery plans in the new year.”
The Department of Health and Social Care announced investment in urgent and emergency care but did not specify a completion date for the promised improvements.
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “In February 2022, the NHS published its Delivery Plan for Tackling the COVID-19 Backlog of Elective Care.1 The government plans to spend more than £8 billion from 2022-23 to 2024-25, in addition to the £2 billion Elective Recovery Fund and £700 million Targeted Investment Fund already made available to systems last financial year, to help drive up and protect elective activity. The Delivery Plan also set clear ambitions to eliminate long waits for planned NHS treatment. The overall vision is to eradicate”
“In Spring 2022, the department will publish a discussion paper to [...]”
Government response to ‘Clearing the backlog caused by the pandemic’ report from the Health and Social Care Select Committee - GOV.UK · gov.uk/…/government-response-to-clearing-the-backlog-caused-by-…
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “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.”
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.
No evidence found either way · stated action: “The report raises concerns about ambulance capacity and response times by East of England Ambulance Service NHS Trust (EEAST). In preparing this response, Departmental officials have made enquiries with NHS England and the Care Quality Commission (CQC). I have been informed that the CQC carried out routine engagement with the Trust to review progress against its action plan and to ensure they comply with CQC regulations. More generally, I have been assured that the CQC will continue to have regular”
“The Care Quality Commission (CQC) is the independent regulator of health and social care services in England. Its role is to help protect people by setting clear expectations for safe, effective care and by holding providers to account.”
What is the CQC? Understanding the Care Quality Commission · radarhealthcare.com/news-blogs/what-is-the-cqc
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “also plan also commits to reducing average Category 2 ambulance response times to 30 minutes across this fiscal year.”
“our site work. We'd like to use additional cookies to understand how you use the site and improve our services. You”
Ambulance service response times · commonslibrary.parliament.uk/research-briefings/cdp-2025-0042
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “published our Delivery plan for recovering urgent and emergency care services' which aims to deliver sustained improvements in waiting times, including to reduce Category 2 response times to 30 minutes on average this year”
The Department of Health and Social Care released an urgent and emergency care plan in June 2025 that includes a target to reduce Category 2 ambulance response times to 30 minutes on average by the end of 2025/26.
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “we published our 'Delivery plan for recovering urgent and emergency care services' which aims to deliver sustained improvements in waiting times”
“Patients will receive better, faster and more appropriate emergency care as the government sets out reforms to shorten waiting times in A&E.”
New ambulances and faster emergency care for patients next winter - GOV.UK · gov.uk/…/new-ambulances-and-faster-emergency-care-for-patients-…
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “In addition, all North East & Yorkshire systems have been asked for assurance that national guidance is being followed.”
“The quality standard for imaging (QSI) is designed to be used within a service as a measure of quality against which quality improvement, patient experience and involvement can be achieved. It articulates the expectations of good imaging services. Services that demonstrate their achievement of the QSI are eligible to apply for the award of the QSI Quality [name redacted].”
Quality Standard for Imaging - College of Radiographers · collegeofradiographers.ac.uk/…/qsi_standards-2024.pdf
“The regional medical imaging interoperability network which serves 4-Million patients throughout Yorkshire, the Humber and North Lincolnshire”
About our network - Yorkshire Imaging Collaborative · yorkshireimaging.nhs.uk/about-our-network
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “Ambulance services received £200 million of additional funding in 2023/24 to expand capacity and improve response times, and we are maintaining this additional capacity in 2024/25.”
“This federal investment will* *help South Dakota's rural ambulance crews reach patients faster, share critical health data with hospitals, and respond to emergencies with modern technology”
Trump Administration Announces $7.2 Million to Expand Ambulance-Based Telemedicine and Upgrade Emergency Communications Across South Dakota | CMS · cms.gov/…/trump-administration-announces-7-2-million-expand-amb…
“The Trump Administration announced today that an $8.7 million investment is being delivered to support rural healthcare for Montana residents through the federal Rural Health Transformation Program (RHTP)”
Trump Administration Announces $8.7 Million for New Ambulances and Lifesaving Medical Equipment Upgrades Across Rural Montana | CMS · cms.gov/…/trump-administration-announces-8-7-million-new-ambula…
“Professional Sports Authenticator parent company Collectors is investing $200M into the company to "expand operations over the next 18 months."”
PSA parent Collectors invests $200M to expand operations · sportsbusinessjournal.com/…/psa-parent-collectors-invests-200m-…
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “In 2023/24, average Category 2 ambulance response times (including for serious conditions such as heart attacks and strokes) were over 13 minutes faster compared to the previous year, a reduction of 27%.”
“We use essential cookies to make our site work.”
Written evidence - AMB0002 · committees.parliament.uk/writtenevidence/165608/html
“The NHS Alliance homepage”
Ambulance sector · thenhsalliance.org/…/ambulance-sector
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “we published our 'Delivery plan for recovering urgent and emergency care services' which aims to deliver sustained improvements in waiting times, including to reduce Category 2 response times (including for serious conditions such as heart attacks and strokes) to 30 minutes on average this year”
“On 6 June 2025, the Department of Health and Social Care published a new [Urgent and Emergency Care Plan](https://www.england.nhs.uk/long-read/urgent-and-emergency-care-plan-2025-26/) (UEC Plan).”
Delivery plan for recovering urgent and emergency care services · thenhsalliance.org/…/delivery-plan-for-recovering-urgent-and-em…
“This fact sheet was last updated on 23 April 2024 and will not be updated again until the pre-election period has concluded.”
NHS urgent and emergency care – media fact sheet – Department of Health and Social Care Media Centre · healthmedia.blog.gov.uk/…/urgent-and-emergency-care-media-fact-…
“In January 2023, the Department of Health and Social Care and NHS England recently published the [**Delivery Plan for Recovering Urgent and Emergency Care Services**](https://www.england.nhs.uk/wp-content/uploads/2023/01/B2034-delivery-plan-for-recovering-urgent-and-emergency-care-services.pdf”
Urgent and emergency care recovery plan - what to look out for next winter | Healthwatch · healthwatch.co.uk/…/urgent-and-emergency-care-recovery-plan-wha…
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “the EEAST have taken the following actions taking to work with the integrated care system to reduce the impact of delays and reduce patient harm, including but not limited to: - EEAST are a member of the "Front Door Group" looking to improve arrival to handover times. This is chaired by the Deputy Director for Intensive Support from the NHSE/I team. EEAST have shared good practice from West Suffolk and Colchester Hospitals within the group, which is attended by all Acutes in the area. EEAST have”
The Department of Health and Social Care document outlines EEAST's involvement in the Front Door Group and mentions sharing good practice from West Suffolk and Colchester Hospitals to improve ambulance handover times, but does not specify any concrete actions taken or a defined timescale for implementation.
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “We have produced several guidelines to help clinicians treating children presenting with fever and symptoms such as those in the case of [name redacted]. These include; fever in under 5s: assessment and initial management [NG143], sepsis: recognition, diagnosis and early management [NG51] and sore throat (acute): antimicrobial prescribing [NG84].”
The organisation's statement about producing guidelines for fever in under 5s, sepsis, and sore throat is not supported by any source evidence.
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “we published our 'Delivery plan for recovering urgent and emergency care services' which aims to deliver sustained improvements in waiting times. Our ambitions for this year are to improve A&E waiting times to 78% of patients to be admitted, transferred, or discharged from A&E within four hours by March 2025, and to reduce Category 2 ambulance response times to 30 minutes on average across this fiscal year.”
“Patients will receive better, faster and more appropriate emergency care as the government sets out reforms to shorten waiting times in A&E”
New ambulances and faster emergency care for patients next winter - GOV.UK · gov.uk/…/new-ambulances-and-faster-emergency-care-for-patients-…
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “the department is mindful of the statutory responsibilities in relation to prevention of future deaths reports and we are prioritising responses as a matter of urgency.”
“Responses to prevention of future death reports”
SALG | Responses to prevention of future death reports · salg.ac.uk/…/responses-to-prevention-of-future-death-reports
“Coroners have an important patient safety role under [Regulation 28 of the Coroner's (Investigations) Regulations 2013”
Guide to preparing and delivering a prevention of future deaths report · brownejacobson.com/…/guide-prevention-of-future-deaths-report
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “published our 'Delivery plan for recovering urgent and emergency care services' which aims to deliver sustained improvements in waiting times”
“In 2023, the government published a [plan](https://www.england.nhs.uk/long-read/delivery-plan-for-recovering-urgent-and-emergency-care-services-january-2023/) for recovering urgent and emergency care services, which built on two headline targets: reducing average category two ambulance response times to 30 minutes, and improving A&E waiting times.”
Delivery plan for recovering urgent and emergency care services · thenhsalliance.org/…/delivery-plan-for-recovering-urgent-and-em…
No evidence found does not mean the action did not happen.
Evidence found · stated action: “care. The Department recognises the significant pressure the urgent and emergency care system is facing. That is why we published our Delivery plan for recovering urgent and emergency care services, which aims to deliver sustained improvements in waiting times. Our ambitions for this year are to improve A&E waiting times to 78% of patients to be admitted, transferred, or discharged from A&E within four hours by March 2025, and to reduce Category 2 ambulance response times to 30 minutes on average across”
“The 2025/26 NHS Planning Guidance sets out clear priorities to: (1) continue to reduce elective care waiting times, with 65 per cent of patients waiting less than 18 weeks; (2) improve ambulance response and A&E waiting times, with a minimum of 78 per cent of patients seen within four hours, (3) improve patients' access to general practice (GP) and urgent dental care access, including 700,000”
2025/26 NHS priorities and operational planning guidance: what you need to know · thenhsalliance.org/…/202526-nhs-priorities-and-operational-plan…
“Category 2 - such as those with a stroke, heart attack, sepsis or major trauma - receive an ambulance within 30 minutes - eradicating last winter's lengthy ambulance handover delays to a maximum handover time of 45 minutes - a minimum of 78% of patients who attend an A&E to be admitted, transferred or discharged within 4 hours - reducing the number of patients [...] maximum 45-minute ambulance”
Urgent and emergency care plan 2025/26 · aace.org.uk/…/Urgent-and-emergency-care-plan-2025-26.pdf
No evidence found either way · stated action: “the West Yorkshire Integrated Care Board will shortly be responding on the specific local actions being taken to support ambulance response times”
“Meeting of the Board of the NHS West Yorkshire ICB held in public on 22 September 2026.”
NHS West Yorkshire ICB Board Meeting · youtube.com/watch?v=oQzkEEnbJuA
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “Ambulance services received £200 million of additional funding in 2023/24 to expand capacity and improve response times.”
“Trump Administration announced $7.2 million in Rural Health Transformation Program (RHTP) funding to modernize emergency medical services (EMS) for South Dakota. This investment will provide first responders with modern telemedicine tools, expanded training, and faster access to patient data, helping them respond to emergencies and better connect rural patients with care across South Dakota.”
Trump Administration Announces $7.2 Million to Expand Ambulance-Based Telemedicine and Upgrade Emergency Communications Across South Dakota | CMS · cms.gov/…/trump-administration-announces-7-2-million-expand-amb…
“This article considers how to reliably provide emergency medical services (EMS). EMS responses are critical functions of local governments, yet, in rural areas, many are staffed by licensed volunteers. As requests for emergency health services increase and the workforce decreases, transitioning to a paid workforce is critical to maintaining response capacity. This article discusses the need and”
How Should Rural EMS Funding Streams Be Improved? | Journal of Ethics | American Medical Association · journalofethics.ama-assn.org/…/2025-07
“February 11, 2025 By[[name redacted] R. [name redacted], MS, RN, NREMT-P](https://www.jems.com/author/daniel-r-gerard-ms-rn/) 15 min read ##”
Optimizing EMS and Reducing Ambulance Patient Offload Time: Part 1 · jems.com/…/optimizing-ems-and-reducing-ambulance-patient-offloa…
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “In January 2023, NHS England published a two year 'Delivery plan for recovering urgent and emergency care services' which aims to deliver sustained improvements in waiting times, with a target for this year to reduce Category 2 ambulance response times to 30 minutes on average.”
NHS England set a target to reduce Category 2 ambulance response times to 30 minutes on average for 2023/24.
No evidence found does not mean the action did not happen.
Evidence found · stated action: “NHSE published a two year 'Delivery plan for recovering urgent and emergency care services' which aims to deliver sustained improvements in waiting times with targets for this year for a minimum of 78% of patients being admitted, transferred, or discharged within four hours by March 2025, and to reduce Category 2 ambulance response times to 30 minutes on average.”
“On 6 June 2025, the Department of Health and Social Care published a new [Urgent and Emergency Care Plan](https://www.england.nhs.uk/long-read/urgent-and-emergency-care-plan-2025-26/) (UEC Plan).”
Delivery plan for recovering urgent and emergency care services · thenhsalliance.org/…/delivery-plan-for-recovering-urgent-and-em…
“The UK Government has pledged nearly £450m in its new Urgent and Emergency Care Plan 2025/26 (UEC plan), to address longstanding pressures across the NHS by reducing hospital admissions and lengthy discharge, tackling ambulance handover delays and eliminating corridor care.”
Urgent and Emergency Care Plan promises £450m investment to provide faster care for patients | Hospital Healthcare Europe · hospitalhealthcare.com/…/urgent-and-emergency-care-plan-promise…
“'This plan sets out not only what we know is working across the country, but how systems must work together to improve access and quality for the benefit of our patients. In order to support this shift in delivery focus, NHS England will be asking providers and systems to be accountable to their own local boards and populations, creating robust winter plans which will be tested during winter”
Urgent and Emergency Care Plan promises £450m investment to provide faster care for patients | Hospital Healthcare Europe · hospitalhealthcare.com/…/urgent-and-emergency-care-plan-promise…
No evidence found either way · stated action: “the Health Secretary has ordered a full and independent investigation into NHS performance to provide a frank assessment of the issues and challenges it faces”
“Independent Investigation of the National Health Service in England The Rt Hon. Professor the Lord Darzi of Denham OM KBE FRS FMedSci HonFREng September 2024 © Crown copyright 2024 This publication is licensed under the terms of the Open Government Licence v3.0 except where otherwise stated. To view this licence, visit www.nationalarchives.gov.uk/ doc/open-government-licence/version/3 Where we”
Independent Investigation of the National Health Service in ... · assets.publishing.service.gov.uk/…/lord-darzi-independent-inves…
“Independent investigation of NHS performance: terms of reference Published 11 July 2024 ## Applies to England ## Contents”
Independent investigation of NHS performance: terms ... · gov.uk/…/independent-investigation-of-nhs-performance-terms-of-…
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “making space for a Clinical Decision Unit model, for patients who need more clinical care but don't need to be admitted to hospital”
“We hope to launch our brand new HSMA-λ (HSMA lambda) courses, aimed at leaders and decision makers, in *winter 2026/27 - spring 2027*, and HSMA 7 in *spring/summer 2027*.”
Modelling the potential impact of having a Clinical Decision ... · hsma.co.uk/…/H1_1005_modelling_potential_impact_of_clinical_div…
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “converting the Same Day Medical Assessment Unit (SDMA) to a Same Day Emergency Care (SDEC) and having a triage process to ensure only patients considered as same day go to the SDEC”
“Same day emergency care (SDEC) describes an ambulatory service designed to provide an alternative to ED management, reduce admission rates and improve emergency care system performance.”
Impact of same day emergency care services on urgent and emergency care delivery outcomes: a systematic review · pmc.ncbi.nlm.nih.gov/articles/PMC12505097
“In 2019, NHS England (NHSE) announced the implementation of Same Day Emergency Care (SDEC) in every hospital with a type 1 emergency department (ED).”
How is same day emergency care (SDEC) being ... · eprints.whiterose.ac.uk/…/SDEC_Final_Paper_V3_Changes_Accepted.…
“Provision of medical same day emergency care services within the UK: analysis from the Society for Acute Medicine Benchmarking Audit”
Provision of medical same day emergency care services within the UK: analysis from the Society for Acute Medicine Benchmarking Audit · bmjopen.bmj.com/content/15/4/e094580
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “supporting the move of acute medical resource from the emergency department to Acute Medical Unit with the intention of improving short stay performance at the Acute Medical Unit”
“The post-acute landscape, especially inpatient rehabilitation, continues to rapidly grow and transf”
Shifting Post-Acute Landscape: Three Trends Every Hospital Leader Should Watch in 2026 · lifepointhealth.net/…/shifting-post-acute-landscape-three-trend…
“Multiple factors influence EDLOS before admission, including limited medical resources and a high volume of non-emergency cases.”
Shortening emergency department length of stay: Fast track, short-stay unit and acute medical unit · pmc.ncbi.nlm.nih.gov/articles/PMC12268096
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “maintaining capacity gains in acute hospital beds and ambulance hours on the road achieved in 2023-24”
“Over time, additional information on hospital service capacity has been added to the survey, covering emergency department services, surgical services, obstetric, perinatal services, dental services, observation ser”
ED Wait Time Reduction Commission Access and Capacity ... · hscrc.maryland.gov/…/ED%20WTR%20Access%20and%20Capacity%20Subgr…
“These flexibilities include allowances for safehospital care for eligible patients in their homes and updated staffing flexibility designed to allow ambulatory surgical centers (ASCs) to provide greater inpatient care when needed.”
CMS Announces Comprehensive Strategy to Enhance Hospital Capacity Amid COVID-19 Surge | CMS · cms.gov/…/cms-announces-comprehensive-strategy-enhance-hospital…
“Hospitals and healthcare coalitions are faced with significant challenges after natural or human-caused events or disasters. Surge planning is a critical component of every healthcare facility's emergency plan and response as well as a core focus of the Hospital Preparedness Program cooperative agreement.”
Hospital Surge Capacity and Immediate Bed Availability | ASPR TRACIE · asprtracie.hhs.gov/…/0
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “directing patients to more appropriate services in the community where these can better meet their needs”
“HHS is issuing this Call to Action to catalyze efforts at the community level to encourage partnerships across sectors.”
HHS Call to Action: Addressing Health-Related Social Needs ... · aspe.hhs.gov/…/hhs-call-to-action-health-related-social-needs.p…
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “developing local partnership working between the NHS and social care and making sure people get the right support from health and social care services to return home as soon as possible”
“The Cabinet Secretary agreed with COSLA that we undertake a short piece of work with Health & Social Care Partnerships to look at how delayed discharges, A&E attendances and hospital admissions all reduced significantly during March and April as the COVID-19 outbreak hit.”
LESSONS LEARNED FROM REDUCING DELAYED ... · hscscotland.scot/…/lessons-learned-report-final.pdf
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “The NHS will focus on delivering the following range of practical actions to improve performance in 2025/26: - working towards delivering hospital handovers within 15 minutes, and implementing joint working arrangements that ensure that no handover takes longer than 45 minutes, - improving ambulance 'hear and treat' service rates, including increasing the proportion of Category 2 ambulance incidents where an ambulance clinician provides advice and treatment over the phone, - ensuring all 999 am”
“joint working arrangements that ensure that no handover takes longer than 45 minutes, working towards delivering handovers within 15 minutes.”
The latest update on the W45 / Rapid Release Protocols · aace.org.uk/…/the-latest-update-on-the-w45-rapid-release-protoc…
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “The NHS planning guidance also includes an implementation target for improving A&E waiting times compared to 2024/25, with a minimum of 78% of patients seen within 4 hours in March 2026 and increasing the proportion of patients admitted, discharged, and transferred from an emergency department within 12 hours across 2025/26 compared to 2024/25.”
“Hospitals in England should create "extended emergency medicine ambulatory care" (EEMAC) areas to accommodate patients facing longer waits who can be safely investigated and managed during a prolonged emergency department stay, according to new guidance from NHS”
NHS Backs New A&E Care Areas for Patients Facing Long Waits · medscape.com/…/nhs-backs-new-a-e-care-areas-patients-facing-lon…
No evidence found does not mean the action did not happen.
No evidence found either way · stated action: “the CQC is replying to you separately”
The source does not mention any promised action by the Department of Health and Social Care regarding the CQC replying separately.
No evidence found does not mean the action did not happen.
A source suggests the action was not carried out as stated · stated action: “On 6 June 2025, we published our Urgent and Emergency Care Plan for 2025/26. The plan requires the NHS to focus on those activities that will have the biggest impact on improving urgent and emergency care performance, including ambulance response and handover times: - at least 78% of patients in A&E departments will be seen within 4 hours.”
“Across England, the proportion of handovers exceeding 60 minutes has increased steadily since May 2021, and towards the end of 2022 accounted for more than a fifth of handovers. Over the same time, [name redacted] share of >60-minute handovers has exceeded five-percent on just two occasions.”
National Ambulance Handover Delays · aace.org.uk/…/Effective-interventions-in-managing-hospital-hand…
“An expectation of ambulance handover within 15 min of arrival at EDs was stipulated by the Department of Health and Social Care in England more”
How are handover delays from ambulances to emergency ... · link.springer.com/article/10.1186/s12873-026-01532-9
“Zero tolerance - Making ambulance handover delays a thing of the past, NHS Confederation 2012 Introduction This paper focuses on practical approaches to help reduce ambulance-to-hospital handover delays. Patient handover delays are not solely the responsibility of ambulance services and emergency departments. Delays are often associated with compromised 'down-stream' flow in acute hospitals and”
Improving Ambulance Handover – Practical Approaches · england.nhs.uk/wp-content/uploads/2013/08/amb-hand.pdf