On the 9h October 2012 opened an inquest touching the death of Liam Martin Coleman, 57 years old. The investigation concluded at the end of the inquest on the 12"h May 2014_ The conclusion of the inquest was "Narrative the medical case of death was Ia Acute Left Ventricular failure 1b Coronary and Hypertensive Heart Disease and Chronic Obstructive Pulmonary Disease 2 Morbid Obesity _

On the 3r October 2012 Liam Martin Coleman at 2.25 hrs in the morning Liam Martin Coleman collapsed at his home A call was through to the London Ambulance Service at 2.49 hrs_ A second call was put through to the London Ambulance Service at 03.00 hrs_ Following the second call a Fast Response Unit was despatched arriving at 3.20 hrs with the crew at Mr Coleman's side by 3.22 hrs. An ambulance was despatched at 3.18 hrs arriving at 3.28hrs with the crew at Mr Coleman's side by 3.29hrs_ A further ambulance was despatched when it became available at 3.44 hrs arriving at 3.49hrs with the crew at Mr Coleman's side by 03.49 hrs. London Ambulance Staff provided advanced life support until at 4.43 when London Ambulance Staff confirmed that Mr Coleman had died Information from the London Ambulance Service at the inquest indicated that ambulance availability was around 75% of the planned hours including any unstaffed vehicles and vehicles that were out of service. The service average for the year 2012 to 2013 was 80%. In these particular circumstances the did not_ on the balance of probability, more than minimally or trivially contribute to Mr Coleman's death: put hrs delay

Her Majesty's Coroner for the Northern District of Greater London (Harrow; Brent;, Barnet;, Haringey and Enfield)

In my opinion action should be taken to prevent future deaths and believe you [ANDIOR your organisation] have the power to take such action: