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recurance

Hubert Kelly

19 Sept 2018 · Coroner Laura Nash · Black Country

The coroner's concerns

  1. 1. patients left to wait in corridors

    “Evidence emerged during the inquest that following triage assessment nursing staff lacked room or resources to allow patients to remain in the ambulance triage area or in a cubicle and consequently patients were left to wait in corridors”
  2. 2. no meaningful interaction with patients waiting for further assessment

    “There was no meaningful interaction with patients waiting for further assessment including no permanent medically qualified staff in the waiting area”
  3. 3. exceeding four-hour waiting time

    “Waiting times at the emergency department were frequently exceeding the four- hour waiting time set nationally, with patients waiting to be seen by clinicians for up to seven hours”

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.

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