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recurance

Diana Fairweather-Purkis

17 Feb 2025 · Coroner Paul Appleton · Teesside and Hartlepool

This report repeats 8 earlier warnings. See the linked reports.

The coroner's concerns

  1. 1. insufficient ambulance availability

    “There is insufficient Ambulance Service availability/resource to enable Ambulances to attend to patients in a timely manner and in accordance with relevant target attendance times.”
  2. 2. delays in ambulance crew release

    “There are excessive delays in Ambulance crews being released following attendance at hospital, due to delays in patients being handed over to hospital staff.”

Linked reports

Repeats an earlier warningBarbara Patterson21 May 2015 · 9 years 9 months earlier
Identical hazardConfidence 0.95 · high

Earlier report

“During the inquest evidence was given that ambulance availability is being jeopardised by crews being delayed at hospital when handing patients over to Accident and Emergency staff.”
Original on judiciary.uk ↗

This report

“There are excessive delays in Ambulance crews being released following attendance at hospital, due to delays in patients being handed over to hospital staff.”
Full chain: Delayed ambulance handover at hospitals
Repeats an earlier warningPeter Scott26 May 2016 · 8 years 9 months earlier
Identical hazardConfidence 0.95 · high

Earlier report

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

This report

“There is insufficient Ambulance Service availability/resource to enable Ambulances to attend to patients in a timely manner and in accordance with relevant target attendance times.”
Full chain: Ambulance crew availability reduced by hospital handover delays
Repeats an earlier warningRita Taylor25 Jan 2023 · 2 years 1 month earlier
Identical hazardConfidence 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

“There is insufficient Ambulance Service availability/resource to enable Ambulances to attend to patients in a timely manner and in accordance with relevant target attendance times.”
Full chain: Insufficient ambulance availability leading to delayed response
Repeats an earlier warningAlbert Dovey20 Jul 2023 · 1 year 7 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“delays in him being assessed by clinicians due to delays in the ambulance attending after he was found on the floor and due to delays for ambulances to be processed at the hospital.”
Original on judiciary.uk ↗

This report

“There are excessive delays in Ambulance crews being released following attendance at hospital, due to delays in patients being handed over to hospital staff.”
Full chain: Ambulance crew availability reduced by hospital handover delays
Repeats an earlier warningChristopher Hart9 Nov 2023 · 1 year 3 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“continuing lack of sufficient ambulance resource in Suffolk will lead to future loss of life”
Original on judiciary.uk ↗

This report

“There is insufficient Ambulance Service availability/resource to enable Ambulances to attend to patients in a timely manner and in accordance with relevant target attendance times.”
Full chain: Insufficient ambulance availability leading to delayed response
Repeats an earlier warningDennis King15 Jan 2024 · 1 year 1 month earlier
Closely relatedConfidence 0.90 · high

Earlier report

“Availability of ambulances to carry out transfers in a timely manner, in urgent cases, between NHS Hospitals and in responding to 999 and 111 calls in the community.”
Original on judiciary.uk ↗

This report

“There is insufficient Ambulance Service availability/resource to enable Ambulances to attend to patients in a timely manner and in accordance with relevant target attendance times.”
Full chain: Ambulance crew availability reduced by hospital handover delays
Repeats an earlier warningJade Griffiths-Jones17 Apr 2024 · 10 months earlier
Identical hazardConfidence 0.90 · high

Earlier report

“availability of ambulance crews is continuing to be compromised by delays at hospitals resulting in delays in response times which creates a risk to the life”
Original on judiciary.uk ↗

This report

“There are excessive delays in Ambulance crews being released following attendance at hospital, due to delays in patients being handed over to hospital staff.”
Full chain: Ambulance crew availability reduced by hospital handover delays
Repeats an earlier warningJosh Smith15 Jul 2024 · 7 months earlier
Identical hazardConfidence 0.90 · high

Earlier report

“delays in this process continue to impact upon the speed of the ambulance response to patients waiting within the community.”
Original on judiciary.uk ↗

This report

“There are excessive delays in Ambulance crews being released following attendance at hospital, due to delays in patients being handed over to hospital staff.”
Full chain: Ambulance crew availability reduced by hospital handover delays

Responses

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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