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Coroner’s reportPrevention of future deaths · 2016-0422

“That there may be deficiencies in the foundation training of paramedics: 1, one of the…”

Dated 29 Nov 2016, from the coroner for Birmingham and Solihull. 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.

Read the full report on judiciary.uk

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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; a reply may have been sent and not yet published.

  1. Report dated29 Nov 2016
  2. Deadline24 Jan 2017
  3. Published on judiciary.uk19 Feb 2017
  4. Today23 Oct 2026

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Health and Care Professions CouncilResponse publishedPublished on judiciary.uk in February 2017.

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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.

— That there may be deficiencies in the foundation training of paramedics: 1, one of the paramedics who qualified in 2015 after a 2 year foundation degree gave evidence that he had never had any formal testing on interpretation of 12 lead ECG; : 2. the same paramedic gave evidence that he was not aware from his training that arm pain is a recognised, albeit, atypical sign of myocardial infarction; and 3. two paramedics did not identify obvious ST elevation (the other paramedic completed a dipfoma in paramedic science in August 2012). ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and | believe you 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, 2016-0422
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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