Source · Prevention of Future Deaths

Shaun Parks

Ref: 2023-0538 Date: 20 Dec 2023 Coroner: Katy Dickinson Area: South Yorkshire (Western) 56-day deadline: 14 Feb 2024 est. (estimated from the report date) Responses identified: 0 of 2 0 responses identified · 2 indexed addressees

AI-generated concerns summaryThe coroner noted the ambulance response time of 3 hours and 18 minutes likely affected the outcome. This was exacerbated by insufficient Emergency Medical Dispatchers, staffing levels below demand, and significant delays in offloading patients at hospitals.

Emergency services related deaths (2019 onwards)

Coroner's concerns AI summary

The coroner noted the ambulance response time of 3 hours and 18 minutes likely affected the outcome. This was exacerbated by insufficient Emergency Medical Dispatchers, staffing levels below demand, and significant delays in offloading patients at hospitals.
View full coroner's concerns
(1) The ambulance response time of 3 hours and 18 minutes has likely affected the outcome.

(2) There were insufficient Emergency Medical Dispatcher's available to meet the forecasted demand. Staffing at YAS was below the requirement to meet the expected demand.

(3) There was a significant delay in offloading patients at hospitals, which tied up resources and meant they were unable to respond to emergency calls.

Report sections

Investigation and inquest
On 25 May 2023 I commenced an investigation into the death of Shaun PARKS. The investigation concluded at the end of the inquest on 15 December 2023. The conclusion of the inquest was that Mr Parks died on 13 December 2022 at the Northern General Hospital in Sheffield, there was a significant delay in Mr Parks receiving treatment and this may have affected the outcome. His medical cause of death was recorded as: 1a Myocardial infarction (stented) 1b Ischaemic heart disease.
Circumstances of the death
Mr Parks attended Doncaster Royal Infirmary's Emergency Department on 12 December 2022 at roughly midnight, Mr Park's waited in the emergency department for approximately 1-1.30 hours until an ECG was carried out and showed Mr Parks to be suffering a heart attack. Mr Parks was moved to the resuscitation area of the department and an interfacility transfer request to the Northern General Hospital's primary percutaneous coronary intervention (PPCI) centre was made by a nurse at the hospital to Yorkshire Ambulance Service (YAS). It was confirmed by YAS that the category 2 blue light ambulance was booked at 3.06am on 13 December 2022, the ambulance should have taken at the latest 40 minutes to arrive, YAS confirmed the ambulance was categorised correctly as a category 2. The ambulance arrived at Doncaster Royal Infirmary at 06.29 hours and left scene to transfer to Sheffield's Northern General

Hospital's PPCI 06.44 and arrived at 07.15. Mr Parks deteriorated during his time at Doncaster Royal Infirmary and his procedure at Sheffield's PPCI unit commenced at 08.45. Mr Parks sadly died during the procedure at 10.17. There was a delay in the ambulance arriving to collect Mr Parks of 3 hours 18 minutes and 41 seconds.
Copies sent to
  • Yorkshire Ambulance Service, Brindley Way, Wakefield, WF2 0XG
  • Doncaster Royal Infirmary, Thorne Rd, Doncaster DN2 5LT
  • Sheffield Teaching Hospitals, Herries Road, Sheffield S5 7AU

Similar PFD reports Shared signals

Responses identified

2 responses not yet linked

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 14 Feb 2024 (estimated from the report date).

Sent to

  • Department of Health and Social Care
  • West Yorkshire Integrated Care System

Source links

Data: judiciary.uk.