Coroner expresses concerns over end of shift policy

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A Rapid Response Paramedic who was based just three minutes from the road where a 14-year-old boy lay dying was not sent out because of a controversial “end of shift policy.”

Lucas Pollard and a 15-year-old boy who had been riding pillion on an electric dirt bike had to wait an extra 15 minutes before an ambulance arrived at the crash scene in Leighton Buzzard, Beds.

The teenager’s family and friends only discovered on Thursday, January 18, 2024, that an East of England Ambulance’s Rapid Response vehicle was based in the town after questions by the coroner at an inquest in Ampthill.

Assistant coroner for Bedfordshire and Luton, Dr Sean Cummings said he found it “extraordinary” that the vehicle was just three minutes away≥

Dr Cummings said he would be issuing a prevention of future deaths report in relation to the rigid application of the end of shift policy and communication gaps between the ambulance trust’s critical care desk and ambulance dispatchers.

He said he was surprised he was not given the information that the rapid response vehicle had been only three minutes in a report the ambulance trust had prepared for the hearing. He said: “I am not immediately accepting there was not a deliberate attempt to mislead the court.”

The inquest heard that Lucas, from Leighton Buzzard, had been been given the electric Sur-Ron dirt bike the day before after his mother Marie had won it in a raffle.

He was riding that bike at 1 o’clock in the morning on June 1, 2923, with the 15-year-old friend riding pillion. The bike went at speed down Old Road in Linslade before wobbling at a mini roundabout and crashing. Lucas struck a street sign and suffered multiple injuries.

A neighbour heard the crash and dialled 999 at 1.33am in the morning.

David Grover, of the East of England Ambulance Service, who compiled the report for the coroner, said the ambulance trust’s end of shift policy had been introduced for staff well-being. They would only be called out in the last 30 minutes of their shift in particular circumstances such as cardiac arrest or maternity.

He said an ambulance was despatched from Luton. The inquest heard the 999 call was made at 1.33am with the crew arriving at the scene at 1.51am. The Rapid Response Vehicle was three minutes away.

Dr David Kirby from the Luton and Dunstable hospital said Lucas arrived at the hospital at 2.37am and was pronounced dead at 3.11am.

The doctor said he had suffered so many severe unsurvivable injuries that he would most likely have died even if the crash had happened outside the hospital. He had suffered massive damage to his chest, lung, liver, spleen and pelvic area as well as internal bleeding. The 15-year-old pillion passenger survived.

“Even if he had been with us earlier it might have made a difference, but I still don’t think it would have prevented his death,” he said.

The coroner concluded that Lucas’ injuries were so catastrophic he would not have survived. He concluded that the teenager died following a road traffic collision.

After the hearing Lucas’s dad Lee said: “It was a total shock to hear today that the rapid response vehicle was in the town. The report by the ambulance did not mention where it was. They should have said it was three minutes away. The coroner was as shocked as we were. We are pleased the coroner has taken it on board. He is going to push for change and maybe their policy can be rewritten.”

Lucas’ sister Chloe, 25, said: “I understand why they have the (end of shift) policy, but when they knew the seriousness of the case and that they potentially were going to need an air ambulance they should. If the rapid response had gone there the assessment of what was needed could have taken place earlier.”

In a tribute Chloe said: “Lucas was so young and full of life and taken away from us so quickly and so soon. “She said he always had so much time from his friends and family and had the most contagious laugh and smile. She described him as always and caring, kind and thoughtful as well as cheeky.”

JANUARY 2024 LINKS TO THE PAPERS
BEDS BOROUGH BULLETIN
https://digital.magmgr.com/Preview/Index/2696083#page/1

BEDS COUNTY BULLETIN
https://digital.magmgr.com/Preview/Index/2696119#page/1

KEMPSTON CALLING
https://digital.magmgr.com/Preview/Index/2696127#page/1

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