Recurance · prevention of future deaths reports
Pre-inquest brief
Ambulance fails to document refusal consent
The earlier warning
Emma Langley · 18 Nov 2019 · James Bennett, Birmimgham and Solihull
“The paramedic asked the deceased's partner to sign the 'non-conveyance' statement on his EPR tablet after summarising a 1 hour 45 minute attendance.”
judiciary.uk/prevention-of-future-death-reports/emma-langley
What was promised
Stated action 1 · response to Emma Langley (18 Nov 2019) · stated timescale: none stated
“We are currently in the process of changing the software on our electronic patient report to include a statement that will be visible on the screen where patients, family or carers will see and read prior to signing. This statement clearly sets out that they are signing to acknowledge the refusal for treatment and/or transport to hospital and/or referral for further care against the advice of the attending ambulance clinicians. It also goes on to state that the risks of this has been explained”
judiciary.uk/…/2019-0384-Response-by-West-Midlands-Ambulance-Se…
What recurred
- 14 Dec 2020 · Elsie Taylor · Joanne Lees · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Emma Langley · 18 Nov 2019
“The paramedic asked the deceased's partner to sign the 'non-conveyance' statement on his EPR tablet after summarising a 1 hour 45 minute attendance.”
Later · Elsie Taylor · 14 Dec 2020
“(2) The EPR did not record that the deceased had been advised to go to hospital nor that she understood any such advice and she was not asked to sign a disclaimer;”
What happened next
No web check of the stated actions has been published for this chain.