Source · Prevention of Future Deaths
James Sutton
Ref: 2014-0090
Date: 24 Feb 2014
Coroner: Andrew Walker
Area: London (North)
Responses identified: 0 / 1
View PDF
The London Ambulance Service failed to automatically link multiple risk factors—a 5-foot fall, patient age over 50, and anti-clotting medication—to trigger an 8-minute emergency response.
Date
24 Feb 2014
56-day deadline
21 Apr 2014 est.
Responses identified
0 of 1
Coroner's concerns
The London Ambulance Service failed to automatically link multiple risk factors—a 5-foot fall, patient age over 50, and anti-clotting medication—to trigger an 8-minute emergency response.
View full coroner's concerns
_ (1) The fact that Mr Sutton had fallen as little as 5 feet; that he was over 50 years old and that he was taking anti-clotting medications, (Clopidogrel) , were not iinked automatically by the London Ambulance Service to result in a response within 8 minutes_
Report sections
Circumstances of the death
On the 1th 2013 Graham James Sutton fell 5 feet from a ladder and struck his head on concrete whilst cutting a hedge: Mr Sutton was able to get up and took himself to bed. Mr Sutton was then taken by ambulance to hospital before being transferred to a Trauma Centre where despite treatment he died.
Action should be taken
30th July
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
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
Similar PFD reports
Related inquiry recommendations
Report details
- Reference
- 2014-0090
- Date of report
- 24 February 2014
- Coroner
- Andrew Walker
- Coroner area
- London (North)
Responses identified
Responses identified
0 of 1
1 response not yet linked
Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 21 Apr 2014 (estimated).
Sent to
- Department of Health and Social Care