Mary Jones
10 Jul 2023 · Coroner Kate Robertson · North West Wales
This report repeats 5 earlier warnings. See the linked reports.
The coroner's concerns
1. ambulance delays
“unacceptably lengthy delays remain such as in the case of [the deceased]”
2. social care deficiencies
“lack of patient flow due to social care deficiencies”
Linked reports
Closely relatedConfidence 0.80 · moderate
Earlier report
“That notwithstanding changes which have been made by both BCuHB and WAST, 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”
This report
“Evidence was heard at the Inquest that the initial delays experienced by [the deceased] whilst awaiting an ambulance and waiting in the rear of the ambulance possibly contributed indirectly to her existing frailty.”
Closely relatedConfidence 0.90 · high
Earlier report
“substantial delays in the handover of patients particularly as a result of problems in patient flow resulting in an inability to admit patients who require treatment”
This report
“I have still not been presented with any meaningful evidence on the involvement of Local Authorities in the considerations by WAST and BCUHB of lack of patient flow due to social care deficiencies.”
Closely relatedConfidence 0.90 · high
Earlier report
“ambulance delays/admission to ED/availability of resources/patient flow”
This report
“unacceptably lengthy delays remain such as in the case of [the deceased]”
Closely relatedConfidence 0.90 · high
Earlier report
“The issues of ambulance delays/admission to ED/availability of resources/patient flow”
This report
“unacceptably lengthy delays remain such as in the case of [the deceased]”
Closely relatedConfidence 0.90 · high
Earlier report
“unacceptable delays with patients being kept waiting for long periods in ambulances and ambulance resources consequently being unavailable for allocation to other calls”
This report
“unacceptably lengthy delays remain such as in the case of [the deceased].”