East Midlands Ambulance Service NHS Trust
PFD Addressee
Reports: 28
Earliest: Aug 2013
Latest: 6 Jan 2026
89% 2-year response rate (above 83% average). 56% of classified responses show concrete action taken.
PFD Reports
28 resultsGeorge Boulton
Partially Responded
2015-0255
6 Jul 2015
Leicester City and Leicestershire South
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
Delays in emergency stroke care arose from the GP failing to escalate, a bed bureau lacking emergency re-routing, and ambulance services not classifying a stroke as an immediate emergency, risking critical treatment windows.
Noted
(AI summary)
East Midlands Ambulance Service acknowledges the coroner's concerns and explains their current processes for urgent patient transfers. NHS England describes a broader review of urgent and emergency care and the establishment of urgent and emergency care networks.
Sally Perrons
All Responded
2014-0158
9 Apr 2014
Nottinghamshire
Community health care and emergency services related deaths
Concerns summary (AI summary)
No specific concerns were detailed in the provided text for summarization.
Action Planned
(AI summary)
The National Ambulance Sector will require the use of either a digital ETC02 monitoring device or full waveform capnography for every intubation with immediate effect. Waveform capnography will be considered the gold standard and the sector is committed to having this in place on every responding vehicle crewed by a paramedic by July 2017.
Lucy Hannah Rose Bailey
All Responded
2013-0176
6 Aug 2013
Rutland & North Leicestershire
Community health care and emergency services related deaths
Concerns summary (AI summary)
Concerns were raised regarding the adherence to or adequacy of guidelines for managing dystocia, which was identified as a known hazard.
Action Taken
(AI summary)
The South Central Ambulance Service has updated its clinical practice guidance on the management of shoulder dystocia, incorporating advice from specialists in obstetrics and midwifery, and issued it to Medical Directors of Ambulance Trusts across the UK.