Sharon Butcher
31 Mar 2015 · Coroner Andrew Tweddle · County Durham & Darlington
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. delay in ambulance response
“There was a 10 minute delay and the prisons local protocol for summoning an ambulance was not followed”
Linked reports
Identical hazardConfidence 0.90 · high
This report
“There was a 10 minute delay and the prisons local protocol for summoning an ambulance was not followed.”
Later report
“It is essential that an ambulance is called in all cases where there are serious concerns about the health of a prisoner and that access to both the prison and the individual prisoner is not delayed”