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Fred Pring died while ambulances queued outside Wrexham hospital Fred Pring died while ambulances queued outside Wrexham hospital
(35 minutes later)
While a man lay dying at home waiting for paramedics, an ambulance was outside a hospital for nearly fire hours dropping off a patient, an inquest has heard. While a man lay dying at home waiting for paramedics, an ambulance was outside a hospital for nearly five hours until it could drop off a patient, an inquest has heard.
Despite a fully-staffed ambulance service, Fred Ping, 74, from Mynydd Isa, Flintshire, died 42 minutes after his wife had first called 999. Despite a fully-staffed ambulance service, Fred Pring, 74, from Mynydd Isa, Flintshire, died 42 minutes after his wife had first called 999.
She had rung four times but there was not an ambulance available.She had rung four times but there was not an ambulance available.
Mr Pring was categorised as a lower priority, the inquest in Ruthin heard.Mr Pring was categorised as a lower priority, the inquest in Ruthin heard.
He died in March 2013 at his home, had been receiving treatment for chronic obstructive pulmonary disease.He died in March 2013 at his home, had been receiving treatment for chronic obstructive pulmonary disease.
On Friday, Gill Fleming, from the Welsh Ambulance Service, said on the day Mr Pring died there were seven ambulances and one rapid response vehicle to cover Flintshire and Wrexham. On Friday, Gill Pleming, from the Welsh Ambulance Service, said on the day Mr Pring died there were seven ambulances and one rapid response vehicle to cover Flintshire and Wrexham.
But, she said, at the time of Mrs Pring's first call, there were no ambulances available.But, she said, at the time of Mrs Pring's first call, there were no ambulances available.
Coroner John Gittins asked: "Presumably the caller isn't told that? They're not told 'Sorry, we haven't got one available'?"Coroner John Gittins asked: "Presumably the caller isn't told that? They're not told 'Sorry, we haven't got one available'?"
Miss Fleming replied: "No." Miss Pleming replied: "No."
The court was told one ambulance had spent nearly five hours (287 minutes) waiting at Wrexham Maelor Hospital to drop off a patient.The court was told one ambulance had spent nearly five hours (287 minutes) waiting at Wrexham Maelor Hospital to drop off a patient.
Another ambulance had been at the same hospital for more than an hour and a half.Another ambulance had been at the same hospital for more than an hour and a half.
"In a nutshell, six vehicles waiting to transfer patients into Wrexham Maelor Hospital, three waiting to transfer patients into Glan Clwyd - all experiencing delays significantly beyond the 15 minute target handover," the coroner said."In a nutshell, six vehicles waiting to transfer patients into Wrexham Maelor Hospital, three waiting to transfer patients into Glan Clwyd - all experiencing delays significantly beyond the 15 minute target handover," the coroner said.
'Red two''Red two'
Mr Pring's case had been classified by the ambulance service as 'red two', which is a lower priority than 'red one', which means an immediate threat to life. Mr Pring's case had been classified by the ambulance service as 'red two', which is a lower priority than 'red one' which means an immediate threat to life, but Miss Pleming said the aim was to arrive within eight minutes for either classification.
Mr Gittins asked whether the call would be upgraded to a higher priority if there was a delay in sending an ambulance.Mr Gittins asked whether the call would be upgraded to a higher priority if there was a delay in sending an ambulance.
"No," Miss Fleming replied. "No," Miss Pleming replied.
Mr Gittins said: "The truth of the system is that members of the public could cause chaos - if you want to get an ambulance there, you just tell them that he's dead."
Earlier a Home Office pathologist said it was extremely difficult to answer whether Mr Pring's life would have been saved if an ambulance had arrived sooner.Earlier a Home Office pathologist said it was extremely difficult to answer whether Mr Pring's life would have been saved if an ambulance had arrived sooner.
Dr Brian Rogers said the cause of death was heart disease and chronic lung disease.Dr Brian Rogers said the cause of death was heart disease and chronic lung disease.
He told the inquest his already compromised arteries struggled to cope with added pressure from weakened lungs. He told the inquest Mr Pring's already compromised arteries struggled to cope with added pressure from weakened lungs.
'Too late''Too late'
"His heart had been failing, he had chest pain because his heart was struggling and his lungs weren't functioning properly," Dr Rogers said."His heart had been failing, he had chest pain because his heart was struggling and his lungs weren't functioning properly," Dr Rogers said.
"Whether or not earlier intervention would have altered the outcome is impossible to say from the pathology evidence. It's possible it would, it's possible it wouldn't.""Whether or not earlier intervention would have altered the outcome is impossible to say from the pathology evidence. It's possible it would, it's possible it wouldn't."
But Mr Pring's cardiologist told the hearing on Thursday if the ambulance had arrived after the first 999 he would have survived.But Mr Pring's cardiologist told the hearing on Thursday if the ambulance had arrived after the first 999 he would have survived.
The consultant told the coroner he would have expected the ambulance to have arrived in six minutes.The consultant told the coroner he would have expected the ambulance to have arrived in six minutes.
Mr Pring's widow Joyce called 999 three times for an ambulance for her husband but was told the service was "very busy" in her area.Mr Pring's widow Joyce called 999 three times for an ambulance for her husband but was told the service was "very busy" in her area.
She called a fourth time to say they were "too late" and that her husband had passed away.She called a fourth time to say they were "too late" and that her husband had passed away.