“When the ambulance service is faced with significant delays in circumstances where there…”
Dated 14 Aug 2019, from the coroner for Cheshire. Sent to 4 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
Report put online after its 56 daysOrganisations 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.
judiciary.uk put this report online on 18 Oct 2019, after the 56 days for replies had ended (9 Oct 2019). These dates can’t tell us whether a reply was due before it went online. A reply may have been sent and not yet published.
- Report dated14 Aug 2019
- Deadline9 Oct 2019
- Published on judiciary.uk18 Oct 2019
- Today22 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Department of Health and Social Care | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 18 Oct 2019, after the 56 days for replies had ended (9 Oct 2019). These dates can’t tell us whether a reply was due before it went online. |
| North West Ambulance Service NHS TrustNamed in the report as “North West Ambulance” | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 18 Oct 2019, after the 56 days for replies had ended (9 Oct 2019). These dates can’t tell us whether a reply was due before it went online. |
| Cheshire Fire and Rescue | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 18 Oct 2019, after the 56 days for replies had ended (9 Oct 2019). These dates can’t tell us whether a reply was due before it went online. |
| Cheshire Constabulary | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 18 Oct 2019, after the 56 days for replies had ended (9 Oct 2019). These dates can’t tell us whether a reply was due before it went online. |
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) When the ambulance service is faced with significant delays in circumstances where there are no eye’s on the ground, there was no provision to utilise the other emergency services to assist in its place or to provide an update to them.
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, 2019-0270
- 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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