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recurance

Bobilya Mulonge

8 May 2024 · Coroner Lauren Costello · Manchester South

This report repeats 2 earlier warnings, and was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. delay in paramedics attending Category 2 calls

    “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”

Linked reports

Repeats an earlier warningJohn Murphy22 Apr 2022 · 2 years 1 month earlier
Identical hazardConfidence 0.95 · high

Earlier report

“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.”
Original on judiciary.uk ↗

This report

“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. This is because resources available in the North West Ambulance Service cannot be fully utilised as a result of the delays in ambulances clearing Accident and Emergency departments.”
Full chain: Delayed ambulance handover at hospitals
Repeats an earlier warningMichael Bray22 May 2023 · 1 year earlier
Closely relatedConfidence 0.90 · high

Earlier report

“long delays in ambulance response to Category 2 calls create a risk that other deaths will occur in the future”
Original on judiciary.uk ↗

This report

“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.”
Full chain: Delayed ambulance handover at hospitals
Raised again laterRicky O'Connell20 Aug 2025 · 1 year 3 months later
Identical hazardConfidence 0.95 · high

This report

“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.”

Later report

“delays in ambulances clearing ED was still having a very significant impact on their ability to respond to calls including category 2 calls”
Original on judiciary.uk ↗
Full chain: Delayed ambulance handover at hospitals

Responses

2024-0250-Response-from-Department-of-Health-and-Social-Care.pdf ↗· Department of Health and Social Care

Stated action · March 2025

“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.”
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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error