Recipient name withheld

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First report 19 Feb 2021•Latest report 19 Feb 2021

Reports, concerns and published responses

Reports over time

Reports naming this recipient by issue year.

* 2026 is projected from reports observed to 7 Sep 2026.

Reports
1

Naming this recipient

Published responses
0%

Found for named reports

Concerns addressed
0

Across all linked responses

Stated actions
0

Described in responses

Concerns and recipient responses

Statements from Recipient name withheld linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Brighton and Hove

    AI-generated summary

    Lisa CODLING · 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

    Lisa Codling, aged 49, took an overdose of paracetamol on 5 September 2020 after an emotionally charged encounter, and her death was confirmed by paramedics that evening. The principal concern was that the ambulance took 3 hours and 10 minutes to arrive; the inquest found that earlier arrival might have allowed ICU treatment that could have changed the outcome.

    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 Recipient name withheld; that does not assign responsibility.

    PFD Monitor interpretation

    Delays in ambulance response to acute overdose emergencies

    Wider context from the report

    “(1) In her email of 12th October 2020 ████████ gave (in response to my question) her reply as to why South East Coast Ambulance Service would not be conducting a Serious Incident Report. The penultimate point stated “clinicians advise that paracetamol will not kill a patient within a 3 hour timeframe although a paracetamol overdose should still be considered in time sensitive emergency.” In this case of acute overdose the ambulance service took 3 hours and 10 minutes to arrive. Too late for Ms. Codling. ”
    Open source report
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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