A Health Service Journal study has identified ten more reports from Forensic Medicine published since 2015, highlighting issues with the Pathway protocols used by the 111 service and most ambulance trusts.
Two-year-old Robert Hogg was brought to Stoke Mandeville Hospital in Buckinghamshire with a fever and cold, but subsequently discharged. His mother rang the bell as he became increasingly sluggish and pale, but answering machines made him another hospital appointment. While the family waited, the child stopped responding and died in April 2014, despite attempts to revive it.
An investigation by the South Central Ambulance Service raised concern that the Pathway algorithm did not detect cases of very sick children, a medical examiner said.
In three other cases, health officials had raised concerns from the forensic doctors, but these were not addressed in their reports.
Caragh Melling (37) and Barbara Patterson (67) both died after answering machines failed to recognize "agonistic breathing" ̵