Recurance · prevention of future deaths reports
Pre-inquest brief
Inadequate audit of 111 call errors
The earlier warning
Samia Shara · 19 Dec 2014 · Fiona Willcox, London Inner (West)
“That long and complex calls made to 999 and 111 should be available for audit by the CCG to identify learning opportunities”
What was promised
No published response from NHS England was found for the earlier reports.
What recurred
- 27 Jan 2020 · Shanté Turay-Thomas · Mary Hassell · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · Samia Shara · 19 Dec 2014
“That long and complex calls made to 999 and 111 should be available for audit by the CCG to identify learning opportunities”
Later · Shanté Turay-Thomas · 27 Jan 2020
“When LCW audited the call in the first instance, the audit identified the problem with the address, but failed to recognise how badly the call had gone in other ways.”
What happened next
No web check of the stated actions has been published for this chain.