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Coroner’s reportPrevention of future deaths · 2018-0233

“The LAS failed to make a relevant and proper note of the symptoms of the deceased when…”

Dated 12 Jun 2018, from the coroner for Inner West 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.

Read the full report on judiciary.uk

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The 56-day response deadline

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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 dated12 Jun 2018
  2. Deadline7 Aug 2018
  3. Published on judiciary.uk23 Sep 2018
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
London Ambulance Service NHS TrustResponse publishedPublished on judiciary.uk in September 2018.

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The coroner’s concerns

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— 1) The LAS failed to make a relevant and proper note of the symptoms of the deceased when these were phoned through to the LAS anid as a.result the clinicians at LAS made an incorrect priority decision which caused significant delay in-a timely attendance. being made on the deceased 2) The LAS breached its own pre-set time guidelines in failing to return a call to the deceased's home to take further details of her medical conditions..

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, 2018-0233
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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