According to the inquiry, a paramedic was at a meeting when she had the opportunity to assist a dying motorcycle father of five who died after waiting for treatment for 54 minutes.

Even though it’s unclear when Ms. Hall was requested to come to the site, the inquest heard that she might have been the first responder on the scene if she had arrived at 12.40 p.m.

When 999 call operators received enough information about the situation to think about sending a CLT.

The court was informed that she might have asked for the assistance of an air ambulance and would have arrived between 1 and 1.13 p.m.