“There were no available ambulance resources to convey Glenys Roberts from Ysbyty Gwynedd…”
Dated 24 Oct 2022, from the coroner for North West Wales. Sent to 2 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
All responses publishedReplies were due by 19 Dec 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.
- Report dated24 Oct 2022
- Deadline19 Dec 2022
- Published on judiciary.uk25 Oct 2022
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Welsh Ambulance Services University NHS TrustNamed in the report as “Welsh Ambulance Service Trust” | Response publishedPublished on judiciary.uk in October 2022. |
| Betsi Cadwaladr University Local Health Board | Response publishedPublished on judiciary.uk in October 2022. |
The coroner’s concerns
– There were no available ambulance resources to convey Glenys Roberts from Ysbyty Gwynedd to Ysbyty Glan Clwyd. The reason for this being multifactorial but particularly due to fit patients remaining in hospital due to no community care available to them, thereby remaining in hospital and limiting patient beds. Whilst action is being taken by WAST and BCUHB the following concerns remain:- 1. Review of and action relating to intra hospital transfers has been too slow 2. Review of the current vascular pathway to ensure vascular emergency transfers have direct admission into hospital is still not fully operational and has been too slow 3. Development of a pan Betsi Cadwaladr University Local Health Board ambulance handover plan to support reducing lost hours to improve performance and availability is still not in force and has been too slow
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, 2022-0333
- 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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