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recurance

Susan Smalley

22 Nov 2017 · Coroner Katy Skerrett · Gloucestershire

The coroner's concerns

  1. 1. insufficient ambulance resources

    “The sufficiency of ambulance resources that have been allocated to meet demand in the Gloucestershire area”
  2. 2. unclear hospital destination for patient

    “Whether clinicians, patients and paramedics are clear as to which hospital, either Gloucester Royal Hospital or Cheltenham General hospital, should be treating the patient”
  3. 3. delayed urgent transfers

    “When urgent emergency transfers are requested between hospitals, how they are appropriately expedited”

Responses

No published response was found on judiciary.uk.

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error