PFD report

Diane Greenslade · Prevention of Future Deaths report

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Issued 21 Dec 2018•Gwent

Report record

Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

View original report
Concerns
6

Raised in this report

Recipients
2

Named on the report

Responses found
2

Of 2 recipients

Stated actions
26

Described in responses

Recipients and published responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

Select any concern, action or position to view the source wording.

Concerns raised6

  1. Delays in medical intervention
  2. Failure to carry out a clinical assessment during initial call handling
    Part of recurring concern: Failure to conduct timely, appropriate clinical assessments
  3. Failure to escalate calls appropriately after unsuccessful contact
    Part of recurring concern: Failure to escalate welfare concerns after unsuccessful contactPart of recurring concern: Failure to take timely escalation action when safety thresholds are breached
Responses linked to these concerns

Each statement is shown once, even when linked to more than one concern.

Actions described in response An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.18

  1. Action

    Align staffing availability with local and time-of-day demand.

    Stated by Welsh Ambulance Services NHS TrustStatus unclearThe respondent did not make the status of this action clear when they made their response on 21 December 2018.
  2. Action

    Commence an all-Wales demand and capacity review to determine required operational capacity and future service demand.

    Stated by Welsh Ambulance Services NHS TrustStated plannedThe respondent said that this action was planned when they made their response on 21 December 2018.
  3. Action

    Reduce hospital handover duration to release staff for further responses.

    Stated by Welsh Ambulance Services NHS TrustStatus unclearThe respondent did not make the status of this action clear when they made their response on 21 December 2018.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.2

  1. Position

    Police attendance for ambulance 999 welfare checks is considered inappropriate because police officers lack training for clinical assessment.

    Stated by Welsh Ambulance Services NHS TrustNo action considered necessaryThe respondent said that no further action was needed.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Delays in medical intervention

Wider context from the report

“(5) The delay in medical intervention must have played a significant role in Mrs Greenslade’s death. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to carry out a clinical assessment during initial call handling

Wider context from the report

“(1) The initial call was categorised Green 3 without any contact being made with Mrs Greenslade or her family and without any clinical assessment. ”

Is this part of a recurring concern?

Yes — Failure to conduct timely, appropriate clinical assessments.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to escalate calls appropriately after unsuccessful contact

Wider context from the report

“(2) After failing to make contact, no consideration was given to either upgrading the call category or to contacting the Police to ask them to carry out a welfare check. ”

Is this part of a recurring concern?

Yes — Failure to escalate welfare concerns after unsuccessful contact; Failure to take timely escalation action when safety thresholds are breached.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to make contact with callers or their families

Wider context from the report

“(1) The initial call was categorised Green 3 without any contact being made with Mrs Greenslade or her family and without any clinical assessment. ”

Is this part of a recurring concern?

Yes — Failure to reliably telephone patients when follow-up or assessment requires it.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Unavailability of nearby rapid response vehicles for calls outside red and amber 1 categories

Wider context from the report

“(4) A rapid response vehicle had been based only eight minutes away from Mrs Greenslade’s home since at least 6.30 and had not responded to any calls as it was ring fenced for red and amber 1 calls. ”

Is this part of a recurring concern?

Yes — Delays in ambulance attendance; Insufficient ambulance service capacity for emergency calls.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Excessive delays at hospitals

Wider context from the report

“(3) Demand for ambulances was high compounded by excessive delays at hospitals. ”

Is this part of a recurring concern?

Yes — Delays in ambulance-to-hospital patient handover.

Open source report

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Align staffing availability with local and time-of-day demand.

Verbatim wording from the response

“• Aligning production against demand both locally and time of day. This means ensuring we have the right levels of staff availability to meet the demand with which we are faced”

Source location

2018-0401-Response-by-Welsh-Ambulance-Services
Page 2 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Commence an all-Wales demand and capacity review to determine required operational capacity and future service demand.

Verbatim wording from the response

“3. Demand for ambulances was high compounded by excessive delays at hospitals. Unfortunately, this was the case and often has a material impact on our ability to respond in a timely and reasonable way to calls that are not immediately life threatening. As set out in the accompanying action plan, we are shortly to commence an all Wales demand and capacity review to establish exactly what operational capacity is required to ensure we respond in the majority of cases within set waiting time and quality standards. This work will also assess current demand for services and what we can expect to see in the next five years.”

Source location

2018-0401-Response-by-Welsh-Ambulance-Services
Page 4 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Reduce hospital handover duration to release staff for further responses.

Verbatim wording from the response

“• Reducing the duration of handover to clear i.e. the time it takes for our staff to become available following the handover of a patient to another care provider, generally hospital staff”

Source location

2018-0401-Response-by-Welsh-Ambulance-Services
Page 2 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Develop a Memorandum of Understanding with police regarding the issue.

Verbatim wording from the response

“2. After failing to make contact, no consideration was given to either upgrading the call category or to contacting Police to ask them to carry out a welfare check. Whilst we have set out in this correspondence that we are reviewing our policies and procedures around establishing contact with a patient or caller at scene, we are of the view that it would not be appropriate to request police attendance to undertake welfare checks for 999 calls to the ambulance service, as police officers are not suitably trained to make a clinical assessment. However, we are working collaboratively with our Police Force colleagues to develop a Memorandum of Understanding regarding this issue.”

Source location

2018-0401-Response-by-Welsh-Ambulance-Services
Page 4 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Review policies and procedures for establishing contact with patients or callers at scene.

Verbatim wording from the response

“2. After failing to make contact, no consideration was given to either upgrading the call category or to contacting Police to ask them to carry out a welfare check. Whilst we have set out in this correspondence that we are reviewing our policies and procedures around establishing contact with a patient or caller at scene, we are of the view that it would not be appropriate to request police attendance to undertake welfare checks for 999 calls to the ambulance service, as police officers are not suitably trained to make a clinical assessment. However, we are working collaboratively with our Police Force colleagues to develop a Memorandum of Understanding regarding this issue.”

Source location

2018-0401-Response-by-Welsh-Ambulance-Services
Page 4 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Train relevant Clinical Contact Centre staff.

Verbatim wording from the response

“• Training of relevant Clinical Contact Centre staff”

Source location

2018-0401-Response-by-Welsh-Ambulance-Services
Page 2 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Recruit clinicians within Clinical Contact Centres.

Verbatim wording from the response

“• Recruitment of clinicians within the Clinical Contact Centre”

Source location

2018-0401-Response-by-Welsh-Ambulance-Services
Page 2 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Reduce conveyance where safe and provide appropriate care at home using advanced practitioners.

Verbatim wording from the response

“• Reducing conveyance where safe and appropriate, and providing care in the patient’s home utilising advanced practitioners”

Source location

2018-0401-Response-by-Welsh-Ambulance-Services
Page 2 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Adopt a more dynamic approach to managing rapid response vehicles within each health board area.

Verbatim wording from the response

“The Trust uses the Resource Escalation Action Plan or REAP to provide services during periods of increased demand or other NHS wide system pressures. The REAP is a UK agreed document used by all 13 NHS ambulance services, with some key actions and locally agreed operational tactics.”

Source location

2018-0401-Response-by-Welsh-Ambulance-Services
Page 3 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Open additional capacity to meet predicted demand and support ambulance release.

Verbatim wording from the response

“We have additional doctors in the Emergency Department and on our Assessment Units to ensure more timely assessment of patients, and we have opened additional capacity in order to meet the predicted demand. There are several other initiatives to support the winter pressures to reduce demand, and improve our flow in order to release ambulances.”

Source location

2018-0401-Response-by-University-Health-Board
Page 2 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Operate the Winter Resilience plan to manage winter demand and capacity pressures affecting ambulance release.

Verbatim wording from the response

“The Health Board has a Winter Resilience plan which is designed to manage the peaks of demand and capacity through the winter period when services are under significant pressure. The plan was developed with stakeholders and partners to ensure actions and initiatives described within the plan are shared, agreed and delivered in partnership. The plan is monitored by all stakeholders, including WAST, on a weekly basis and also reviewed and monitored by the Health Board’s Executive Team each week. There are several initiatives included in the plan which support the timely release of ambulances at the hospital. For example, we have practitioners reviewing the WAST calls waiting to attend the hospital to ensure patients are treated in the most appropriate setting. We will shortly be implementing clinical call handlers assessing GP calls for admission to hospital.”

Source location

2018-0401-Response-by-University-Health-Board
Page 2 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Have practitioners review WAST calls awaiting hospital attendance to direct patients to the most appropriate setting.

Verbatim wording from the response

“The Health Board has a Winter Resilience plan which is designed to manage the peaks of demand and capacity through the winter period when services are under significant pressure. The plan was developed with stakeholders and partners to ensure actions and initiatives described within the plan are shared, agreed and delivered in partnership. The plan is monitored by all stakeholders, including WAST, on a weekly basis and also reviewed and monitored by the Health Board’s Executive Team each week. There are several initiatives included in the plan which support the timely release of ambulances at the hospital. For example, we have practitioners reviewing the WAST calls waiting to attend the hospital to ensure patients are treated in the most appropriate setting. We will shortly be implementing clinical call handlers assessing GP calls for admission to hospital.”

Source location

2018-0401-Response-by-University-Health-Board
Page 2 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Implement clinical call handlers to assess GP calls for hospital admission.

Verbatim wording from the response

“The Health Board has a Winter Resilience plan which is designed to manage the peaks of demand and capacity through the winter period when services are under significant pressure. The plan was developed with stakeholders and partners to ensure actions and initiatives described within the plan are shared, agreed and delivered in partnership. The plan is monitored by all stakeholders, including WAST, on a weekly basis and also reviewed and monitored by the Health Board’s Executive Team each week. There are several initiatives included in the plan which support the timely release of ambulances at the hospital. For example, we have practitioners reviewing the WAST calls waiting to attend the hospital to ensure patients are treated in the most appropriate setting. We will shortly be implementing clinical call handlers assessing GP calls for admission to hospital.”

Source location

2018-0401-Response-by-University-Health-Board
Page 2 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Provide additional Emergency Department and Assessment Unit doctors to support timely patient assessment.

Verbatim wording from the response

“We have additional doctors in the Emergency Department and on our Assessment Units to ensure more timely assessment of patients, and we have opened additional capacity in order to meet the predicted demand. There are several other initiatives to support the winter pressures to reduce demand, and improve our flow in order to release ambulances.”

Source location

2018-0401-Response-by-University-Health-Board
Page 2 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Use the Red Release Protocol to identify an urgent patient move when an ambulance crew is needed for a red community call.

Verbatim wording from the response

“The Health Board also has a Red Release Protocol for response to WAST, for when a crew is required to attend a ‘red’ call in the community. The identification of a ‘red release’ bed is discussed and agreed at each operational site meeting and a patient is identified as the urgent next move from ED, should the need to respond to a red release is called.”

Source location

2018-0401-Response-by-University-Health-Board
Page 2 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Work with Welsh Ambulance Services Trust colleagues to improve hospital ambulance handover times.

Verbatim wording from the response

“The ability to release ambulance crews in order to respond to community calls is of paramount importance to Aneurin Bevan University Health Board (ABUHB) and we are working closely with our Welsh Ambulance Services Trust (WAST) colleagues to improve handover delays.”

Source location

2018-0401-Response-by-University-Health-Board
Page 1 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Use the Full Capacity Protocol to trigger patient moves that facilitate immediate ambulance handover.

Verbatim wording from the response

“The Health Board has a Full Capacity Protocol which lists a number of objectives to guide staff to trigger a list of actions, with the overall objective, to secure and maintain the safety of patients and staff within the ED and Assessment Units. This is to allow patient moves which facilitate the immediate handover of ambulances.”

Source location

2018-0401-Response-by-University-Health-Board
Page 2 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Use Emergency Department escalation protocols to manage delayed ambulance crews and create offloading capacity.

Verbatim wording from the response

“As a Health Board, we have reviewed and implemented a number of key processes which should, in turn, improve the timeliness of releasing crews at the hospital. The Health Board has identified escalation protocols which are used to guide staff within the Emergency Department (ED) in the operational procedures for receiving and offloading ambulances. These include escalation when 3 or more crews are delayed for greater than 30 minutes and limited capacity exists within the hospital to off load them.”

Source location

2018-0401-Response-by-University-Health-Board
Page 2 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Police attendance for ambulance 999 welfare checks is considered inappropriate because police officers lack training for clinical assessment.

Verbatim wording from the response

“2. After failing to make contact, no consideration was given to either upgrading the call category or to contacting Police to ask them to carry out a welfare check. Whilst we have set out in this correspondence that we are reviewing our policies and procedures around establishing contact with a patient or caller at scene, we are of the view that it would not be appropriate to request police attendance to undertake welfare checks for 999 calls to the ambulance service, as police officers are not suitably trained to make a clinical assessment. However, we are working collaboratively with our Police Force colleagues to develop a Memorandum of Understanding regarding this issue.”

Source location

2018-0401-Response-by-Welsh-Ambulance-Services
Page 4 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Rapid response vehicles are reserved for immediately life-threatening calls, so lower-priority calls may wait longer.

Verbatim wording from the response

“One of the aims of REAP is to ensure that we have a resource available for a cardiac arrest or other high priority RED calls. In order to ensure this, the Trust reserves rapid response units for RED calls in REAP level 3 and 4. Whilst this means that some lower priority calls may wait longer for a response, it does ensure that we are always able to respond immediately to RED calls. I would like to assure you that we have reviewed”

Source location

2018-0401-Response-by-Welsh-Ambulance-Services
Page 3 · response
Published 21 December 2018

Open published response

Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.8

  1. 1

    Introduce safe alternatives to responding at scene where appropriate.

    Stated by Welsh Ambulance Services NHS TrustStatus unclearThe respondent did not make the status of this action clear when they made their response on 21 December 2018.
  2. 2

    Explore Falls Assistant involvement for patients known to be alone and improve information shared by careline companies.

    Stated by Welsh Ambulance Services NHS TrustStated in progressThe respondent said that this action was in progress when they made their response on 21 December 2018.
  3. 3

    Continue strengthening out-of-hospital alternative pathways to improve care efficiency and resource use.

    Stated by Welsh Ambulance Services NHS TrustStated in progressThe respondent said that this action was in progress when they made their response on 21 December 2018.
  4. 4

    Introduce the Falls Framework and structured community falls response.

    Stated by Welsh Ambulance Services NHS TrustStated in progressThe respondent said that this action was in progress when they made their response on 21 December 2018.
  5. 5

    Engage in national collaboration to share the Falls Framework and improve falls responses.

    Stated by Welsh Ambulance Services NHS TrustStated in progressThe respondent said that this action was in progress when they made their response on 21 December 2018.
  6. 6

    Implement Falls Assistant roles across five health board areas.

    Stated by Welsh Ambulance Services NHS TrustStated completedThe respondent said that this action was complete when they made their response on 21 December 2018.
  7. 7

    Increase Community First Responders’ scope of practice.

    Stated by Welsh Ambulance Services NHS TrustStated in progressThe respondent said that this action was in progress when they made their response on 21 December 2018.
  8. 8

    Operate the Falls Response Service for complex or potentially injurious falls.

    Stated by Welsh Ambulance Services NHS TrustStated completedThe respondent said that this action was complete when they made their response on 21 December 2018.

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Introduce safe alternatives to responding at scene where appropriate.

Verbatim wording from the response

“• Introducing safe alternatives to responding to scene, where this is appropriate”

Source location

2018-0401-Response-by-Welsh-Ambulance-Services
Page 2 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Explore Falls Assistant involvement for patients known to be alone and improve information shared by careline companies.

Verbatim wording from the response

“In the interests of clarity, the Trust was not informed that Mrs Greenslade had fallen and the coding given to her call by MPDS did not identify her as a lady who had fallen and subsequently, therefore, the call was not considered for either a level 1 or level 2 response under the Falls Framework. One of the issues that the Trust is now exploring is the value that Falls Assistants can add to our responses when patients are known to be on their own, including engaging with careline companies to help improve the information shared with the Trust.”

Source location

2018-0401-Response-by-Welsh-Ambulance-Services
Page 3 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Continue strengthening out-of-hospital alternative pathways to improve care efficiency and resource use.

Verbatim wording from the response

“I would like to reassure you that the Welsh Ambulance Services NHS Trust and Aneurin Bevan University Health Board continue to work in collaboration to drive forward the improvements. We continue to strengthen out of hospital alternative pathways to improve efficiency and effectiveness of care for our patients and make best use of our resources.”

Source location

2018-0401-Response-by-Welsh-Ambulance-Services
Page 5 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Introduce the Falls Framework and structured community falls response.

Verbatim wording from the response

“In addition to the accompanying action plan, the Trust continues with other quality improvement initiatives designed to safely release resources to respond to patients in greatest need. This includes the introduction of our Falls Framework and increasing the scope of practice for our Community First Responders. I would like to share with you some details of the Trust’s Falls Framework and the recent development of a more structured response to people who have fallen in the community, as it is relevant to the circumstances surrounding the fall that Mrs Greenslade sadly experienced.”

Source location

2018-0401-Response-by-Welsh-Ambulance-Services
Page 2 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Engage in national collaboration to share the Falls Framework and improve falls responses.

Verbatim wording from the response

“The Trust is now engaging with UK Ambulance Services Project A, a national improvement collaboration to share the Falls Framework and Falls Response model and learn from peer organisations on how we can continue to improve our response to people who have fallen.”

Source location

2018-0401-Response-by-Welsh-Ambulance-Services
Page 3 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Implement Falls Assistant roles across five health board areas.

Verbatim wording from the response

“During the third quarter of 2018–19, the Trust, working in partnership with St John Ambulance Cymru Wales, has implemented the role of the Falls Assistant across five health boards:”

Source location

2018-0401-Response-by-Welsh-Ambulance-Services
Page 2 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Increase Community First Responders’ scope of practice.

Verbatim wording from the response

“In addition to the accompanying action plan, the Trust continues with other quality improvement initiatives designed to safely release resources to respond to patients in greatest need. This includes the introduction of our Falls Framework and increasing the scope of practice for our Community First Responders. I would like to share with you some details of the Trust’s Falls Framework and the recent development of a more structured response to people who have fallen in the community, as it is relevant to the circumstances surrounding the fall that Mrs Greenslade sadly experienced.”

Source location

2018-0401-Response-by-Welsh-Ambulance-Services
Page 2 · response
Published 21 December 2018

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Operate the Falls Response Service for complex or potentially injurious falls.

Verbatim wording from the response

“Level 2: Possible Injury Fall/Complexity- Falls Response Service”

Source location

2018-0401-Response-by-Welsh-Ambulance-Services
Page 3 · response
Published 21 December 2018

Open published response
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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026