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recurance

Faye Allen

29 Apr 2019 · Coroner Alison Mutch · Manchester (South)

The coroner's concerns

  1. 1. inadequate medical staffing at events

    “During the course of the inquest the issue of the availability of paramedics and other medical assistance was considered. The inquest was referred to the National Ambulance Service Guidance for preparing an Emergency Plan specifically Annex B which feeds into the Purple Guide. The annex and its tables set out staffing levels that are recommended for different event types. However, it became clear during the evidence that the recommended levels of staffing could be interpreted in different ways”
  2. 2. lack of clear staffing standards

    “During the course of the inquest the evidence revealed matters giving rise | to concern”
  3. 3. paramedic availability

    “paramedics and other medical assistance”
  4. 4. guidance ambiguity

    “National Ambulance Service Guidance for preparing an Emergency Plan specifically Annex B which feeds into the Purple Guide”

Responses

2019-0147-Responses.pdf ↗· Health and Safety Executive

Stated action · end of September 2019

“The next stage will be for that draft text to go out to consultation with relevant Stakeholders. We will then make the necessary changes and alm to publish a revised version of the guidance before the end of September 2019.”
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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.

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