Skip to content
recurance

Frederick Pring

21 Jan 2014 · Coroner John Gittins · North Wales (East & Central)

A similar concern from this report was raised again 5 times later. See the linked reports.

The coroner's concerns

  1. 1. delays in patient handover causing ambulance resource unavailability

    “the current practices in place for the handover of patients at an Emergency Department far too often results in wholly unacceptable delays with patients being kept waiting for long periods in ambulances and ambulance resources consequently being unavailable for allocation to other calls”

Linked reports

Raised again laterPamela Conway26 Aug 2016 · 2 years 7 months later
Closely relatedConfidence 0.90 · high

This report

“the current practices in place for the handover of patients at an Emergency Department far too often results in wholly unacceptable delays with patients being kept waiting for long periods in ambulances and ambulance resources consequently being unavailable for allocation to other calls”

Later report

“there remain wholly unacceptable delays with patients being kept waiting for long periods in ambulances and ambulance resources consequently being unavailable for allocation to other calls as a result of which the risk of future deaths continues”
Original on judiciary.uk ↗
Full chain: Ambulance delays leading to resource unavailability
Raised again laterLilly Baxandall17 May 2017 · 3 years 4 months later
Identical hazardConfidence 0.95 · high

This report

“the current practices in place for the handover of patients at an Emergency Department far too often results in wholly unacceptable delays with patients being kept waiting for long periods in ambulances and ambulance resources consequently being unavailable for allocation to other calls”

Later report

“unacceptable delays with patients being kept waiting for long periods in ambulances and ambulance resources consequently being unavailable for allocation to other calls”
Original on judiciary.uk ↗
Full chain: Ambulance delays leading to resource unavailability
Raised again laterGladys Williams10 Sept 2018 · 4 years 8 months later
Closely relatedConfidence 0.90 · high

This report

“the current practices in place for the handover of patients at an Emergency Department far too often results in wholly unacceptable delays with patients being kept waiting for long periods in ambulances”

Later report

“The issues of ambulance delays/admission to ED/availability of resources/patient flow and the multifactorial problems”
Original on judiciary.uk ↗
Full chain: Ambulance delays leading to resource unavailability
Raised again laterMadeline Staples11 Feb 2019 · 5 years 1 month later
Identical hazardConfidence 0.95 · high

This report

“the current practices in place for the handover of patients at an Emergency Department far too often results in wholly unacceptable delays with patients being kept waiting for long periods in ambulances and ambulance resources consequently being unavailable for allocation to other calls”

Later report

“unacceptable delays with patients being kept waiting for long periods in ambulances and ambulance resources consequently being unavailable for allocation to other calls”
Original on judiciary.uk ↗
Full chain: Ambulance delays leading to resource unavailability
Raised again laterPeter Connelly7 Nov 2019 · 5 years 10 months later
Identical hazardConfidence 0.95 · high

This report

“the current practices in place for the handover of patients at an Emergency Department far too often results in wholly unacceptable delays with patients being kept waiting for long periods in ambulances and ambulance resources consequently being unavailable for allocation to other calls”

Later report

“unacceptable delays with patients being kept waiting for long periods in ambulances and ambulance resources consequently being unavailable for allocation to other calls”
Original on judiciary.uk ↗
Full chain: Ambulance delays leading to resource unavailability

Responses

2014-0024-Response-by-Welsh-Ambulance-Service.pdf ↗· Betsi Cadwaladr University Health Board

Stated action

“incidents. WAST will review the Welsh MPDS codes and accompanying response recommendations (known as the 'DCR' table), with the intention of broadening the current response categories listed above to further distinguish between higher and lower acuity calls”
  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

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