Woman, 93, died of pneumonia after 14-hour ambulance wait lying on floor.
Coroner highlights hold-ups in transferring patients as she issues second call for action from Welsh government.
Marjorie Michael, 93, fell at the residential home in Pontypool, Wales, where she lived on Sept 4 2023.
Carers were advised by the emergency services not to move her because it could worsen any injuries. But it took 14 hours for an ambulance to arrive at Plas-Y-Garn Residential Home, the inquest heard.
Now Caroline Saunders, the Gwent coroner, has raised concerns that attempts to improve wait times are “undermined” by ambulances being held up at hospitals as patients cannot be transferred.
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