Coventry
Coroner Area
Reports: 69
Earliest: Sep 2013
Latest: 7 Apr 2026
64% response rate (above 63% average).
Roman Barr
No Identified Response
2026-0197
3 Apr 2026
Asthma & Lung (for information)
Care Quality Commission
NHS England
+3 more
Emergency services related deaths (2019 onwards)
Concerns summary (AI summary)
The report identifies limited awareness of salbutamol overuse, inconsistent identification and follow-up of reliever overuse, ambulance handover delays affecting emergency availability, risks when families transport critically unwell patients, and unclear NHS Pathways triage wording.