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recurance

Trystan Bryant

19 Oct 2018 · Coroner Ian Arrow · Plymouth, Torbay and South Devon

The coroner's concerns

  1. 1. ambulance doors cannot be locked while stationary

    “When ambulances are stationary ambulance doors cannot be locked to prevent egress from inside the vehicle.”
  2. 2. detention and escort under Section 136

    “roadside. He was then detained by the police under Section 136 of the Mental Health Act and escorted by two police officers to an ambulance. Two”
  3. 3. ambulance staff entering after patient

    “Two members of the South West Ambulance team entered the ambulance followed by Mr [name redacted] and the two polic”

Responses

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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