The coroner has sent copies of the report to Ms Fairweather-Purkis’ family, the Department of Health, NHS bosses, the North East Ambulance Service and the North Tees and Hartlepool NHS Foundation Trust.
Mr Appleton outlined his concerns, saying: “There is insufficient Ambulance Service availability/resource to enable ambulances to attend to patients in a timely manner and in accordance with relevant target attendance times.
Teesside and Hartlepool Coroner Paul Appleton has written a Prevention of Future Deaths report, saying that more ambulance crews are needed to decrease wait times.
Mr Appleton found that a call to the 111 service was made at 10.14pm on September 30 2022 and an ambulance should have got to her within two hours.
Following an inquest which concluded earlier this month, Mr Appleton concluded: “Diana died due to multi-organ failure secondary to urosepsis.