“There appears to be no national guidance on how independent national providers of medical…”
Dated 9 Sep 2013, from the coroner for Manchester South. Sent to 4 organisations or people.
A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.
The 56-day response deadline
Report put online after its 56 daysOrganisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk; a reply may have been sent and not yet published.
judiciary.uk put this report online on 29 Jan 2014, after the 56 days for replies had ended (4 Nov 2013). These dates can’t tell us whether a reply was due before it went online. A reply may have been sent and not yet published.
- Report dated9 Sep 2013
- Deadline4 Nov 2013
- Published on judiciary.uk29 Jan 2014
- Today22 Oct 2026
Watch this report
We’ll email you when a response is published on judiciary.uk, or when the 56 days to reply end with none published there yet. Free, and you can stop with one click.
Responses from each recipient
| Sent to | Response |
|---|---|
| Department of Health and Social CareNamed in the report as “Department for Health and Social Care” | Response publishedPublished on judiciary.uk in January 2014. |
| North West Ambulance Service NHS TrustNamed in the report as “North West Ambulance Service” | Response publishedPublished on judiciary.uk in January 2014. |
| Manchester Medical Service | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 29 Jan 2014, after the 56 days for replies had ended (4 Nov 2013). These dates can’t tell us whether a reply was due before it went online. |
| Northern Care Alliance NHS Foundation TrustNamed in the report as “Salford Royal Hospital NHS Trust” | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 29 Jan 2014, after the 56 days for replies had ended (4 Nov 2013). These dates can’t tell us whether a reply was due before it went online. |
Some responses were published as scans, so their text was read automatically. Check the wording against the original before you quote it.
The coroner’s concerns
This report was published as a scan, so its text was read automatically. Check the wording against the original before you quote it.
— 1. There appears to be no national guidance on how independent national providers of medical services (particularly those covering large scale public events) can put NHS hospitals on standby for incoming urgent patients, something which is normal procedure for the regional ambulance services. 2. There is confusion as to whether the independent providers should place a call to the regional ambulance services who would then act as “gatekeeper” in forwarding this information to the respective hospital. 3. Without clear guidance there is a risk that the most critically ill people who are being transported to hospital are at risk as the hospitals have received no pre- alert, have not had the opportunity to place teams on standby and are not expecting their arrival. 4. In certain hospitals at particular times i.e. overnight this problem is exacerbated by the fact that the resus reception is not manned constantly and this may cause delays in ambulance crew gaining access especially if the entrance has a coded key pad which they also do not have access to.
An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.
- Source
- judiciary.uk, Prevention of Future Deaths reports, 2013-0226
- Added to Minute Book
- 8 Oct 2026
- Reuse
- We show short extracts and link to the original. We don’t host the full report.
Something wrong, such as a date or who it was sent to? Report a mistake
Is this report about someone close to you? You can ask us to remove names from our pages.
Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0
Ask about this report
AISummaries and questions, with page references. Pro and above.
Sign in to use