Recipient

Hempsons (solicitors for East of England Ambulance NHS Trust)

First report 9 Apr 2014•Latest report 9 Apr 2014

Recipient record

Reports, concerns and published responses

This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

Reports: 1
Published responses: 0%
Concerns addressed: 0
Stated actions: 0

Reports over time

Reports naming this recipient by issue year.

Evidence profile

Report topics

Share of this recipient’s reports compared with all other recipients.

0%published responses found

0stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from Hempsons (solicitors for East of England Ambulance NHS Trust) linked to the concerns in each report. Select any concern, action or position to view the source wording.

9 Apr2014
South and West Cambridgeshire
Concerns raised8
1. Failure of Emergency Care Assistant and Emergency Medical Technician crews to adhere to the EoE PPCI protocol after PPCI referral
2. Lack of training and instruction for Emergency Care Assistants and Emergency Medical Technicians in ECG machine operation and interpretation
3. Failure to provide Emergency Care Assistants and Emergency Medical Technicians with attendance at Immediate Life Support courses
1. Failure to ensure clinicians with current ALS training attend transfers after activation of the Primary Percutaneous Coronary Intervention protocol
2. Failure of ambulance crews to inform community referrers of their life-support training scope
3. Lack of specific guidance for contact and continuing dialogue with relatives after next of kin details are established
4. Failure to assess Emergency Care Assistants and Emergency Medical Technicians at intervals for compliance with life-support standards and scope of practice
5. Failure to ensure ALS-trained clinicians attend Code Red ambulance transfers for patients with acute coronary syndrome
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.

No linked response statements
No action or position from this recipient is clearly linked to the concerns in this report.
AI-generated summary

STEPHEN ANTHONY BEDFORD · Prevention of Future Deaths report

This summary was generated using AI from the published report. Please read the original report for the complete account.

Report summary

Stephen Anthony Bedford, aged 33, experienced chest pain at a gym on 31 July 2012, collapsed at a health centre, and was diagnosed with an ST elevation myocardial infarction before being transferred to Papworth Hospital, where his death was confirmed. The inquest recorded acute myocardial ischaemia and coronary artery thrombosis, and stated that the outcome might have been different with a more timely transfer to the specialist coronary intervention centre. Concerns included ambulance staff assessment and training, the attendance of appropriately trained paramedics on transfers, adherence to the PPCI protocol, ECG training, and communication with relatives.

Read the report on judiciary.uk
Source evidence
How this individual concern was interpreted
PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Hempsons (solicitors for East of England Ambulance NHS Trust); that does not assign responsibility.
PFD Monitor interpretation
Failure of Emergency Care Assistant and Emergency Medical Technician crews to adhere to the EoE PPCI protocol after PPCI referral
Wider context from the report
“5. Whether the Trust’s ECA and EMT crews should be made familiar with and instructed to adhere to the EoE PPCI protocol following any PPCI referral from the community or hospital and whether practical guidance in support of the protocol should be given on the lines suggested in the appendix attached. ”
Open source report
Source evidence
How this individual concern was interpreted
PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Hempsons (solicitors for East of England Ambulance NHS Trust); that does not assign responsibility.
PFD Monitor interpretation
Lack of training and instruction for Emergency Care Assistants and Emergency Medical Technicians in ECG machine operation and interpretation
Wider context from the report
“6. Whether ECA’s and EMT’s should be provided with additional training and instruction on the full operation and interpretation of ECG machines and whether they should attend the Trust’s ILS Courses. ”
Open source report
Source evidence
How this individual concern was interpreted
PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Hempsons (solicitors for East of England Ambulance NHS Trust); that does not assign responsibility.
PFD Monitor interpretation
Failure to provide Emergency Care Assistants and Emergency Medical Technicians with attendance at Immediate Life Support courses
Wider context from the report
“6. Whether ECA’s and EMT’s should be provided with additional training and instruction on the full operation and interpretation of ECG machines and whether they should attend the Trust’s ILS Courses. ”
Open source report
Source evidence
How this individual concern was interpreted
PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Hempsons (solicitors for East of England Ambulance NHS Trust); that does not assign responsibility.
PFD Monitor interpretation
Failure to ensure clinicians with current ALS training attend transfers after activation of the Primary Percutaneous Coronary Intervention protocol
Wider context from the report
“4. Whether the Trusts paramedics, or only those with current ALS training should be mandated to attend all transfers post-activation of the Trusts Primary Percutaneous Coronary Intervention protocol ( Eo PPCI), as stipulated in that protocol. ”
Open source report
Source evidence
How this individual concern was interpreted
PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Hempsons (solicitors for East of England Ambulance NHS Trust); that does not assign responsibility.
PFD Monitor interpretation
Failure of ambulance crews to inform community referrers of their life-support training scope
Wider context from the report
“(3) Whether at the point of community referral (patient’s home, GP surgery or elsewhere) the referring individual or team are made aware by the ambulance crew of the scope of their training(i.e. BLS, ILS or ALS) to ensure an informed and optimal decision on transfer is taken. ”
Open source report
Source evidence
How this individual concern was interpreted
PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Hempsons (solicitors for East of England Ambulance NHS Trust); that does not assign responsibility.
PFD Monitor interpretation
Lack of specific guidance for contact and continuing dialogue with relatives after next of kin details are established
Wider context from the report
“7. Whether contact with and continuing dialogue with relatives should be the subject of specific guidance once next of kin details have been established, ”
Open source report
Source evidence
How this individual concern was interpreted
PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Hempsons (solicitors for East of England Ambulance NHS Trust); that does not assign responsibility.
PFD Monitor interpretation
Failure to assess Emergency Care Assistants and Emergency Medical Technicians at intervals for compliance with life-support standards and scope of practice
Wider context from the report
“(1) Whether the Trust’s Emergency Care Assistants (ECA) and Emergency Medical Technicians (EMT) are assessed at intervals to ensure compliance with Basic Life Support(BLS) and Immediate Life Support (ILS) standards and scope of practice. ”
Open source report
Source evidence
How this individual concern was interpreted
PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Hempsons (solicitors for East of England Ambulance NHS Trust); that does not assign responsibility.
PFD Monitor interpretation
Failure to ensure ALS-trained clinicians attend Code Red ambulance transfers for patients with acute coronary syndrome
Wider context from the report
“(2) Whether the Trust’s paramedics or otherwise only those with Advanced Life Support (ALS) training should be mandated to attend all Code Red ambulance transfers of patients diagnosed with acute coronary syndrome(ACS) ”
Open source report

Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026

Reports, concerns and published responses

Reports over time

Concerns raised8

Failure of Emergency Care Assistant and Emergency Medical Technician crews to adhere to the EoE PPCI protocol after PPCI referral

Lack of training and instruction for Emergency Care Assistants and Emergency Medical Technicians in ECG machine operation and interpretation

Failure to provide Emergency Care Assistants and Emergency Medical Technicians with attendance at Immediate Life Support courses

Failure to ensure clinicians with current ALS training attend transfers after activation of the Primary Percutaneous Coronary Intervention protocol

Failure of ambulance crews to inform community referrers of their life-support training scope

Lack of specific guidance for contact and continuing dialogue with relatives after next of kin details are established

Failure to assess Emergency Care Assistants and Emergency Medical Technicians at intervals for compliance with life-support standards and scope of practice

Failure to ensure ALS-trained clinicians attend Code Red ambulance transfers for patients with acute coronary syndrome