“1, The paramedic who attended at around 10:00am gave evidence which indicated that she…”
Dated 2 Nov 2015, from the coroner for Essex. Sent to 2 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
Deadline passedReplies were due by 28 Dec 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 dated2 Nov 2015
- Deadline28 Dec 2015
- Published on judiciary.uk2 Nov 2015
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| East of England Ambulance Service NHS Trust | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 28 Dec 2015. A reply may have been sent and not yet published. |
| General Medical Council | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 28 Dec 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, The paramedic who attended at around 10:00am gave evidence which indicated that she did not seem to have leamed from the events in March 2014. 2. She had not used the sepsis screening tool effectively in March 2014 and the court is not confident that she would, in similar circumstances again, use it effectively. 3. There needs to be effective training of ambulance staff in the use of the tool and in the circumstances as to when it is appropriate to convey a patient to hospital. ‘ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and I believe 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, 2015-0422
- Added to Minute Book
- 8 Oct 2026
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- We show short extracts and link to the original. We don’t host the full report.
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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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