“The protocol used by the London Ambulance Service to triage calls includes a question…”
Dated 6 Apr 2016, from the coroner for South London. 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 1 Jun 2016. 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 dated6 Apr 2016
- Deadline1 Jun 2016
- Published on judiciary.uk6 Apr 2016
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| London Ambulance Service NHS TrustNamed in the report as “London Ambulance Service” | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 1 Jun 2016. 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.
— The protocol used by the London Ambulance Service to triage calls includes a question about the type of fit, but the question is not posed by the call handler to the caller, and the section is only completed if the caller offers the information. In view of the potential consequences for the patient, this part of the protocol may require amendment, so that the question is put pre-emptively in all cases.
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, 2016-0133
- Added to Minute Book
- 8 Oct 2026
- Reuse
- 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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