Deaths following ambulance delays and poor 999 call responses are highlighted in a new study by Minh Alexander, former NHS psychiatrist and whistle-blower.
Minh Alexander has undertaken an analysis of Section 28 reports issued by coroners over the period from July 2013 to July 2017. Section 28 reports (also known as ‘Preventing Future Deaths’ reports) are written by the coroner after an inquest when it is felt that future deaths might occur in similar circumstances. The report is sent to the relevant organisation, such as an NHS Trust, who should reply to indicate how they will tackle the issue.
Over 50% of the Section 28 reports were prompted by concerns as to NHS levels of care.
As highlighted in The Times, this analysis has identified an increasing number of section 28 reports being sent to NHS Ambulance Trusts, with over 80 reports being published between July 2013 and July 2017. Concerns were expressed regarding the training of 999 call handlers and extended ambulance arrival times.
There was a recognition that the ambulance services are under significant pressure with insufficient resources.
As a result of the analysis, Minh Alexander also observed that significant numbers of Section 28 reports referred to a failure to provide a basic level of care for the elderly – skin care, falls prevention, safe medicines management.
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