Monica Lewis-Hinds

PFD Report Historic (No Identified Response) Ref: 2016-0133
Date of Report 6 April 2016
Coroner Selena Lynch
Coroner Area London (South)
Response Deadline ✓ from report 6 June 2016
Community health care and emergency services related deaths
Judiciary.uk Report PDF
No published response · Over 2 years old
Sent To
Response Status
Responses 0 of 1
56-Day Deadline 6 Jun 2016
Over 2 years old — no identified published response
About PFD responses

Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.

Source: Courts and Tribunals Judiciary

Coroner's Concerns
_ _ The protocol used by the London Ambulance Service to triage calls includes a question about the_type of fit,but the question is not posed by the call handler to the caller, and the section is only completed if the caller offers the information. In view of the potential consequences for the patient, this part of the protocol may require amendment, so that the question is pre-emptively in all cases_
Action Should Be Taken
In my opinion action should be taken to prevent future deaths and believe you have the power to take such action_
Report Sections
Circumstances of the Death
Ms Lewis-Hinds suffered from poorly controlled epilepsy. An ambulance was requested to attend her home just after midnight on 16th January 2015 as she had suffered seizure The seizure was atypical, something which raises the priority of the call to Red 2 ( response time of 8 minutes). The type of seizure was not ascertained by the call handler, resulting in a delayed response. It was not possible to ascertain whether the delay caused or contributed to the fatal outcome
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.