Raymond Davidson
27 Feb 2018 · Coroner Derek Winter · Sunderland
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. operational shortages
“the recruitment/retention of staff had improved; and ¢ welfare calls triggered earlier clinician involvement than previously; and ¢ although there were several other initiatives under way, operational shortages were ongoing”
2. delayed emergency response
“hours 51 minutes elapsed from the original 111 call; e 8 hours and 29 minutes after the urgent categorisation; and ¢ 1 hour 3 minutes after the case was prioritised as a G2 response”
3. lack of direct patient contact
“frequent telephone contact made, but this was not with the patient directly, which may have impacted on the less than robust initial clinical review of [the deceased]'s condition”
Linked reports
Identical hazardConfidence 0.90 · high
Earlier report
“the reasons for the delay of the ambulance arrival include severe demand and shortages in the division.”
This report
“although there were several other initiatives under way, operational shortages were ongoing.”
Responses
2018-0059-North-East-Ambulance-Service-NHS-Trust.pdf ↗· North East Ambulance Service NHS Foundation Trust
Stated action · end of May 2018
“We are aiming to develop and approve an action plan by the end of May 2018 that will include timescales to address the shortfall in funding and deliver the ARP standards”