Miles Robinson
8 Jul 2025 · Coroner Sian Reeves · South London
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. inaccurate triage of cardiac arrest symptoms
“In the UK, 999 calls are triaged using one of two approved triage tools (also referred to as call prioritisation systems) approved by NHS England: the Medical Priority Dispatch System ("MPDS") and NHS Pathways. LAS uses MPDS. The MPDS looks at signs and symptoms and prioritises them into dispatch codes, which assign a level of priority to the call, and in turn inform the type of ambulance resource that will be allocated to manage the incident”
Linked reports
Closely relatedConfidence 0.85 · high
Earlier report
“A call to the London Ambulance Service regarding a man who had been unconscious did not prompt a red prioritisation.”
This report
“Given the rigidity of the structured questions, there was no capacity within MPDS to account for information provided on behalf of Mr [name redacted] during the first 999 call, namely that he thought and felt like he was having a heart attack.”
Responses
No published response was found on judiciary.uk.