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recurance

Michael Vincent

7 Nov 2023 · Coroner Sean Cummings · Bedfordshire and Luton

The coroner's concerns

  1. 1. delayed ambulance response leading to prolonged time on floor

    “Mr [name redacted] had fallen many hours prior to making his first call to the ambulance service. There then followed a further ten hour delay, during which time he had a cardiac arrest, before he was admitted to the Emergency Department. He had been allocated an appropriate response time, expected within 18 minutes at 1929 on the 19th December 2022. For the reasons given in the circumstances above, that target was missed by an enormous margin. There is a strong possibility, even arguably a probability”
  2. 2. prolonged lying after fall causing kidney injury and death

    “Long lie after a fall, especially in the elderly often results in a terminal kidney injury and death”
  3. 3. lack of systematic review and monitoring of emergency call management

    “Consideration should be given to review of how these types of emergency call are managed and thereafter monitored”

Responses

No published response was found on judiciary.uk.

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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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