Rebecca Evans
14 Mar 2017 · Coroner John Gittins · North Wales (East and Central)
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. delayed admission to hospital
“significant delays in the admission of Ms [name redacted] to Hospital and that medical treatment was consequently not commenced in a timely manner”
2. inadequate patient handover practices
“current practices in place for the handover of patients at an Emergency Department far too often results in wholly unacceptable delays with patients being kept waiting for long periods in ambulances and ambulance resources consequently being unavailable for allocation to other calls”
3. persistent patient flow problems
“my statutory duty requires me to report these concerns by way of regulation 28 reports on a very regular basis and that despite previous such reports there continue to be 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”
Linked reports
Closely relatedConfidence 0.90 · high
This report
“current practices in place for the handover of patients at an Emergency Department far too often results in wholly unacceptable delays with patients being kept waiting for long periods in ambulances”
Later report
“there were significant handover delays across all BCUHB sites.”
Responses
2017-0077-Response-by-University-Health-Board.pdf ↗· Welsh Ambulance NHS Trust
Stated action
“The plan addresses the main causes of Unscheduled Care pressure through reducing admissions (demand), reducing DTOCs and length of stay (supply) and addressing flow at the front of hospitals to protect minors from long waits. It also includes reducing ambulance handover delays.”