Recurance · prevention of future deaths reports
Pre-inquest brief
The earlier warning
Lyn Brind · 18 Jan 2023 · Jacqueline Lake, Norfolk
“Further at the time of the inquest there were approximately 140 beds at the Queen Elizabeth Hospital occupied by patients who were medically fit to be discharged, but beds could not be found in the community.”
What was promised
Stated action 1 · response to Lyn Brind (18 Jan 2023) · stated timescale: across this fiscal year
“also plan also commits to reducing average Category 2 ambulance response times to 30 minutes across this fiscal year.”
judiciary.uk/…/2023-0017-Response-from-Department-of-Health-and…
Stated action 2 · response to Dorothy Reid (4 Feb 2025) · stated timescale: 2025/26
“The NHS will focus on delivering the following range of practical actions to improve performance in 2025/26: - increasing the proportion of patients seen, treated and discharged in 1 day or less using the principles of same day emergency care (SDEC) - optimising the urgent care offer to meet the needs of their local population, including the use of urgent treatment centres (UTCs) - increasing the percentage of patients discharged by or on day 7 of their admission.”
What recurred
- 4 Feb 2025 · Dorothy Reid · Catherine Wood · Identical hazard · confidence 0.90 (high)
- 10 Feb 2026 · Barbara Wingate · Catherine Wood · Identical hazard · confidence 0.95 (high)
The clearest link, quoted from both reports:
Earlier · Lyn Brind · 18 Jan 2023
“Further at the time of the inquest there were approximately 140 beds at the Queen Elizabeth Hospital occupied by patients who were medically fit to be discharged, but beds could not be found in the community.”
Later · Barbara Wingate · 10 Feb 2026
“On any given day the court heard that up to a third of the hospital beds can be filled with patients who are fit to leave hospital.”
What happened next
No evidence found either way · stated action 1
“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 2
“Same Day Emergency Care (SDEC) is a healthcare approach allowing specialists to assess, diagnose, and treat patients on the same day they arrive at the hospital. It is designed as a substitute for traditional hospital admission, aiming to address certain urgent health conditions efficiently without requiring overnight stays.”
How Same Day Emergency Care Can Prevent More Serious Issues - davidmmayerdmd.com · davidmmayerdmd.com/…/how-same-day-emergency-care-can-prevent-mo…
“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
No evidence found does not mean the action did not happen.