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recurance

Valerie Hill (2)

13 Jun 2025 · Coroner Graeme Hughes · South Wales Central

The coroner's concerns

  1. 1. excessive ambulance handover delays

    “The volumes of people waiting excessive periods for transfer from ambulance vehicles to the care of staff in Emergency Departments, in particular, has reached intolerable levels....I am concerned about the level of tolerance to such delays a require you to take greater ownership of this issue as a priority....the current situation cannot continue”
  2. 2. ambulance handover delays

    “Despite some relaxation in the guidelines set by the Welsh Ministers in relation to ambulance handover delays/timings in 2024, WAST continues to adopt the 15 minute handover expectation/assumption for their rostering. Yet I received evidence that hospitals across Wales are only delivering this expectation around 10-20% of the time”
  3. 3. lack of leadership response to ambulance handover delays

    “A health and social care system leadership response is required to current operational pressures on a par to the Covid-19 response”
  4. 4. ongoing ambulance handover delays

    “For the past two iterations of the framework, I have been explicitly clear of my expectation that Health Boards prioritise plans to improve timeliness of ambulance patient handover to free up ambulance clinicians to respond to patients in the community...I have also set a priority for improvement of patient flow”

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.

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