Gwynne Samuel
17 Jun 2022 · Coroner Caroline Saunders · Gwent
The coroner's concerns
1. delayed ambulance arrival causing prolonged immobilization
“The time it took for an ambulance to arrive and convey him to hospital contributed to his death insofar that the development of an acute kidney injury, which compromised his treatment and general condition, was caused by a long lie”
2. 12 hour delay in ambulance provision for Amber 2 patient
“the inability to provide an ambulance to a patient determined to be in a serious condition (Amber 2) for 12 hours, puts lives in danger and, as in this case, may contribute to their death”