Peter Parker
22 Oct 2024 · Coroner Aled Gruffydd · SWANSEA NEATH & PORT TALBOT
This report repeats 8 earlier warnings, and was raised again 1 time later. See the linked reports.
The coroner's concerns
1. ambulances waiting at Emergency Departments to hand over patients
“significant delay to respond to the call was ambulances waiting at Emergency Departments to hand over patients”
Linked reports
Closely relatedConfidence 0.90 · high
Earlier report
“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
“ambulances waiting at Emergency Departments to hand over patients, meaning that the ambulances are not therefore responding to calls for assistance”
Identical hazardConfidence 0.90 · high
Earlier report
“(1) The delay in an ambulance being despatched to the home address of the deceased who was clearly experiencing seizures/fits.”
This report
“During the course of the inquest the reason given for the significant delay to respond to the call was ambulances waiting at Emergency Departments to hand over patients”
Identical hazardConfidence 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
“ambulances waiting at Emergency Departments to hand over patients, meaning that the ambulances are not therefore responding to calls for assistance”
Closely relatedConfidence 0.80 · moderate
Earlier report
“The target turnaround time for ambulances at A&E is wildly unrealistic.”
This report
“During the course of the inquest the reason given for the significant delay to respond to the call was ambulances waiting at Emergency Departments to hand over patients,”
Identical hazardConfidence 0.92 · 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
“ambulances waiting at Emergency Departments to hand over patients, meaning that the ambulances are not therefore responding to calls for assistance.”
Identical hazardConfidence 0.92 · high
Earlier report
“ambulances are unable to offload patients into the Emergency Department which then causes the community delays as ambulances are not readily available.”
This report
“the reason for the delay was due to ambulances waiting to offload patients at hospitals, in accordance with the ambulance's duty of care, and therefore not responding to emergency calls as is their purpose.”
Identical hazardConfidence 0.90 · high
Earlier report
“handover delays are impacting upon response times in respect of patients requiring emergency treatment &/or conveyance to hospital.”
This report
“the reason given for the significant delay to respond to the call was ambulances waiting at Emergency Departments to hand over patients, meaning that the ambulances are not therefore responding to calls for assistance.”
Closely relatedConfidence 0.90 · high
Earlier report
“Despite having their full complement of ambulance resources staffed and on shift many of them were held up by delays in handover at hospitals;”
This report
“During the course of the inquest the reason given for the significant delay to respond to the call was ambulances waiting at Emergency Departments to hand over patients,”
Closely relatedConfidence 0.90 · high
This report
“During the course of the inquest the reason given for the significant delay to respond to the call was ambulances waiting at Emergency Departments to hand over patients”
Later report
“It appears to remain the case that the lack of social care provision and/or Community Hospitals means that those fit to be discharged from district general hospitals are not discharged”
Responses
2024-0565-Response-from-SWANSEA-BAY-UNIVERSITY-HEALTH-BOARD.pdf ↗· Swansea Bay University Health Board
2024-0565-Response-from-WELSH-AMBULANCE-SERVICE-NHS-TRUST.pdf ↗· Welsh Ambulance Service NHS Trust
2024-0565-Response-from-Welsh-Government.pdf ↗· Welsh Government
Stated action · December 2024
“Welsh Government has set a priority for improvement in patient flow and the reduction of delayed discharges (pathways of care delays). To build on this, the Welsh Government has also set health boards in-year aspirations in 2024/2025 to reduce ambulance patient handovers over 1 hour by 30% by December 2024”