Reginald Dixon
18 Sept 2017 · Coroner Zafar Siddique · Black Country
The coroner's concerns
1. incorrect triage of second call as Level 3
“evidence emerged during the inquest that the second call received by the WMAS operator at 1921 hours had been incorrectly triaged as Level 3. The evidence of vomiting and drowsiness should have resulted in a Level 2 categorisation and therefore faster response time”
2. insufficient resources and 29 minute response times
“Evidence also emerged during the inquest that there were insufficient resources available and average response times of 29 minutes. This delay posed a risk to patients”