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recurance

David Briggs

1 Dec 2023 · Coroner Hannah Berry · South Yorkshire (Western)

This report repeats 3 earlier warnings, and was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. delayed ambulance arrival

    “The ambulance service was called at 2049 on 14 November 2022 and the call was graded as a Category 2 call requiring a response within 40 minutes. The ambulance finally arrived at 0044 on 15 November 2022”
  2. 2. insufficient ambulance resources

    “YAS were not resourced to respond to the number of emergency calls”
  3. 3. delayed patient offloading

    “There was a significant delay in offloading patients at hospitals which tied up ambulance resource and meant they were unable to respond to emergency calls”

Linked reports

Repeats an earlier warningPeter Scott26 May 2016 · 7 years 6 months earlier
Identical hazardConfidence 0.85 · high

Earlier report

“I remain very concerned about resource issues for this ambulance service.”
Original on judiciary.uk ↗

This report

“YAS were not resourced to respond to the number of emergency calls.”
Full chain: Insufficient ambulance availability leading to delayed response
Repeats an earlier warningDerek Shaw11 Nov 2022 · 1 year 1 month earlier
Closely relatedConfidence 0.90 · high

Earlier report

“Evidence given at the inquest revealed that there was a delay in an ambulance attending to the deceased and that earlier arrival of an ambulance is likely to mean he would not have died when he did.”
Original on judiciary.uk ↗

This report

“The ambulance service was called at 2049 on 14 November 2022 and the call was graded as a Category 2 call requiring a response within 40 minutes. The ambulance finally arrived at 0044 on 15 November 2022.”
Full chain: Delayed ambulance handover at hospitals
Repeats an earlier warningRita Taylor25 Jan 2023 · 10 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“insufficient ambulance service resources to meet the needs of the City of Milton Keynes”
Original on judiciary.uk ↗

This report

“YAS were not resourced to respond to the number of emergency calls”
Full chain: Insufficient ambulance availability leading to delayed response
Raised again laterAndrew Lewis19 Dec 2024 · 1 year 1 month later
Closely relatedConfidence 0.90 · high

This report

“There was a significant delay in offloading patients at hospitals which tied up ambulance resource and meant they were unable to respond to emergency calls.”

Later report

“I have also been provided with data regarding the number of hours that ambulances have spent queuing at hospitals in the last 3 months (September to November 2024).”
Original on judiciary.uk ↗
Full chain: Delayed ambulance handover at hospitals

Responses

2023-0506-Response-from-Department-of-Health-and-Social-Care.pdf ↗· Department of Health and Social Care

Stated action · 2023/24

“published our 'Delivery plan for recovering urgent and emergency care services' which aims to deliver sustained improvements in waiting times”
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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