“Po an Advocacy and Locum Consultant IMCA expressed in evidence his concerns in relation…”
Dated 8 May 2015, from the coroner for Avon. Sent to 1 organisation or person.
A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.
The 56-day response deadline
Deadline passedReplies were due by 3 Jul 2015. A reply may have been sent and not yet published.
Organisations 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.
- Report dated8 May 2015
- Deadline3 Jul 2015
- Published on judiciary.uk8 May 2015
- Today27 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| South Western Ambulance Service NHS Foundation TrustNamed in the report as “South Western Ambulance Service” | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 3 Jul 2015. A reply may have been sent and not yet published. |
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. Po an Advocacy and Locum Consultant IMCA expressed in evidence his concerns in relation to the ambulance service in this particular case. | heard evidence that South West Ambulance Services Trust had attended Mr. Hacker previously to take him to hospital for treatment of his gangrene and had not been successful in persuading Mr. Hacker to go with them. BE «ons: EEE fom the South Western Ambulance Services Trust before and after Mr. Hacker's death to be told that if an ambulance turned up at the property then there was a protocol in place that meant that the crew would not use restraint or apply force if Mr. Hacker did not want to go with them. [expressed concerns as to the Trust's policy around the Mental Capacity Act. If Mr. Hacker had been taken to hospital sooner he may or may not have received treatment depending on a number of factors including his capacity to make decisions. | did not make any criticism around the ambulance service in this case however it did raise a concern with me about prevention of future deaths. | am therefore writing this report to ask that you consider your training and policy around the Mental Capacity Act ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and | believe you and your organisation have the power to take such action.
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, 2015-0179
- Added to Minute Book
- 8 Oct 2026
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0
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