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Coroner’s reportPrevention of future deaths · 2022-0265

“EEAST were telephoned at 19.30 hours to request an ambulance to transport Mrs Ruse to the…”

Dated 26 Aug 2022, from the coroner for Norfolk. 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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Replies were due by 21 Oct 2022.

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 dated26 Aug 2022
  2. Deadline21 Oct 2022
  3. Published on judiciary.uk3 Oct 2022
  4. Today23 Oct 2026

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Sent toResponse
East of England Ambulance Service NHS TrustNamed in the report as “East of England Ambulance Service”Response publishedPublished on judiciary.uk in October 2022.

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The coroner’s concerns

1.EEAST were telephoned at 19.30 hours to request an ambulance to transport Mrs Ruse to the High Dependency Unit. This was coded as a Category 2 response, with the aim of responding within 40 minutes and with the average time of 18 minutes. 2. There were no emergency ambulances available to assign to this call due to high call demand. 3. An ambulance did not become available until 20.54 hours and arrived on scene at 20.57 hours, by which time Mrs Ruse had deteriorated further and had been taken back into theatre. EEAST staff did wait (exceeding the period of their shift) and Mrs Ruse was taken to the High Dependency Unit at 22.42 hours. It is accepted that EEAST have taken several steps following the increase in call demand and subsequent delays in responding to patients. However evidence was heard that it will take up to a year to see if these steps are effective. In the meantime, there is concern that future deaths will occur.

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, 2022-0265
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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