Emergency services related deaths

PFD Category
Reports: 252 Areas: 59 Earliest: Jan 2016 Latest: 10 Mar 2026

85% response rate (above 62% average). 50% of classified responses show concrete action taken. Reports rose 21% from 38 (2023) to 46 (2024).

Response Status
Responded 214 No Response 3 Historic 31 Pending 4
AI Classification
Action Taken 50%
Action Planned 29%
Noted 14%
Disputed 7%
Based on 122 classified responses
Reports by Quarter
Clear
PFD Reports
31 results
Mildred Clark
Historic (No Identified Response)
2019-0127 25 Apr 2019 Kent (North-East)
East Kent University Hospitals NHS England South East Coast Ambulance Service
Concerns summary A paramedic was inappropriately instructed to perform an untrained hernia reduction, causing pain, when the patient should have been transferred to hospital for a suspected strangulated hernia, possibly due to pressure to avoid admissions.
Terrence Smith
Historic (No Identified Response)
2019-0095 21 Feb 2019 Surrey
College of Policing Joint Royal Colleges Ambulance Liaison … Mitie +4 more
Concerns summary The ambulance call handling system failed to recognize Excitatory Delirium, conflicting guidance for call handlers caused confusion, and training packages contained potentially misleading information, impacting emergency response.
Madeline Staples
Historic (No Identified Response)
2019-0041 11 Feb 2019 North Wales (East and Central)
Welsh Ambulance Services NHS Trust Betsi Cadwaladr University Health Board
Concerns summary Persistent, unacceptable delays in patient handovers at emergency departments continue to result in long ambulance waits and unavailable resources, despite previous warnings, placing patients' lives at ongoing risk.
Gareth Bickerstaff
Historic (No Identified Response)
2019-0029 25 Jan 2019 Manchester (North)
Joint Royal Colleges Ambulance Liaison …
Concerns summary Dangerous discrepancies exist between national and local ambulance guidance on the 15-minute timeframe for resuscitation, creating ambiguity and potential misinterpretation regarding when cardiac arrest officially begins.
Gail Bailey
Historic (No Identified Response)
2019-0027 23 Jan 2019 Lincolnshire
United Lincolnshire Hospitals NHS Trust
Concerns summary A critical communication breakdown occurred between paramedics pre-alerting the hospital and the hospital's readiness for a critically ill patient, raising significant concerns for future emergency admissions.
Mark Harris
Historic (No Identified Response)
2019-0023 17 Jan 2019 Suffolk
Emergency Operation Centre Norwich Melbourne Ambulance Station
Concerns summary Police received incorrect name spelling and unclear instructions for a welfare check, indicating critical communication failures and a lack of agreed protocols between ambulance and police services.