“Delay in ambulance dispatch Call categorised C2 received response 1 hour 2 minutes after…”
Dated 30 Oct 2019, from the coroner for Newcastle upon Tyne. 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 25 Dec 2019. 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 dated30 Oct 2019
- Deadline25 Dec 2019
- Published on judiciary.uk9 Dec 2019
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| North East Ambulance Service NHS Foundation TrustNamed in the report as “North East Ambulance Service” | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 25 Dec 2019. 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) Delay in ambulance dispatch Call categorised C2 received response 1 hour 2 minutes after original call (2) Failure to conduct reassessment of C2 category notwithstanding 5 subsequent calls describing additional symptoms and a deteriorating condition (3) Inconsistency in approach and answers to algorithm question designed to indicate risk of aortic aneurysm/rupture/dissection (4) Calls triaged by health advisors with limited medical training and no medical qualifications (5) Inconsistency in approach to referral for clinical input (6) Appropriateness of triage by algorithm. Insufficient if any weight given to actual reported symptoms and indicators of a medical emergency
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, 2019-0363
- 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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