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Report results use published report text and related indexed information, ranked for relevance.

Data updated 7 September 2026

Concerns

  1. Delays in ambulance attendance

    118 reports 66 recipients

  2. Unreliable ambulance stand-down decisions

    3 reports 4 recipients

See all concern results (+68)

Reports

Matched using report evidence

  1. Sophie HINDMARSH · Prevention of Future Deaths report

    29 Apr 2024 South Yorkshire (Western) Department of Health and Social Care, NHS West Yorkshire Integrated Care Board

    Related indexed information The ambulance service was called at 0245 on 21 July 2022 and the call was coded as a Category 2 at 0251 call requiring a response within 40 minutes. The ambulance finally arrived at 0731 on 21 July 2022, 4 hours and 46 minutes after the call. There was a significant delay in offloading patients at hospitals which tied up ambulance resource on that.

  2. Ronald William Bennett · Prevention of Future Deaths report

    5 Apr 2017 Brighton and Hove University Hospitals Sussex NHS Foundation Trust, South East Coast Ambulance Service NHS Foundation Trust

    Related indexed information (1) There are serious delays in ambulance crews arriving at the scene of an incident as a consequence of ambulance crews being delayed at the Accident and Emergency department as they are unable to handover patients within the national standard for hospital handovers at A and E of 30 minutes. I heard evidence that on the 20 February 2016, out of.

  3. Graham Whiteley · Prevention of Future Deaths report

    30 Jan 2025 Somerset South Western Ambulance Service NHS Foundation Trust

    Related indexed information c) The excessive number of incidents awaiting allocation was caused by delays in handing over the care of patients from ambulance crews to the four main acute hospitals within the Bravo area (Musgrove Park Hospital, Weston General Ho... d) The handover delays meant that there were over 84 hours of ambulance time lost to handovers. g) The evidence.

  4. Geoffrey Gordon Fuller · Prevention of Future Deaths report

    18 Jun 2026 Cornwall and Isles of Scilly Royal Cornwall Hospitals NHS Trust, Department of Health and Social Care

    Coroner's concerns …in 2022 and 2023 by SWAST and the Healthcare Safety Investigation Branch (HSIB) found a direct link between ambulance delays and inadequate social care provision. The court noted the SWAST systems report which found… “…..there is a direct…

  5. Nicola Emma OWENS · Prevention of Future Deaths report

    31 Jan 2025 Liverpool and the Wirral Department of Health and Social Care, NHS England

    Related indexed information The delay in an ambulance attending patients due to the unavailability of ambulances. A significant factor contributing to the handover delays in hospitals being the backlog of pat... On 07 October 2024 I commenced an investigation into the death of Nicola Emma OWENS aged 40. Backlog of patients fit for discharge awaiting social care packages.

See all report results (+407)

Recipients

  1. Advanced Medical Priority Dispatch System (AMPDS)

    1 report Latest 27 Jan 2022

  2. London Ambulance Service NHS Trust

    NHS trust

    33 reports Latest 5 Jun 2026

  3. East of England Ambulance Service NHS Trust

    NHS trust

    22 reports Latest 18 Mar 2026

  4. East Midlands Ambulance Service NHS Trust

    NHS trust

    31 reports Latest 6 Jan 2026

  5. South East Coast Ambulance Service NHS Foundation Trust

    NHS trust

    24 reports Latest 16 Jun 2026

  6. North West Ambulance Service NHS Trust

    NHS trust

    30 reports Latest 10 Jun 2026

See all recipient results (+43)