Found dead with mother to save ‘missed opportunity’

A disabled teenage girl could be saved if an ambulance participated in her dying mother’s 999 calls – both of them were found dead in their house, a coroner concluded.

Nottingham Coronor Court heard Alphonsin Djiako Leuga, 47, and 18 -year -old Lorin Chulla Was dead for some time Before he was found in a house in Redford on 21 May 2024.

It was believed that Alphonsin died in February, while Loren – Joe was Down syndrome and depended on her mother “completely” – died weeks later from malnutrition and dehydration.

On Friday, assistant coroner Amanda Bawle said that the authorities “recalled opportunities” to raise concerns around the pair.

An inquiry about his deaths starting on Monday, Alphonsin asked for an ambulance on 2 February, stating that he was cold and could not move forward, but no one participated.

Pathologist Dr. Stuart Hamilton said he could die on 2 February when he had called 999.

Alphonsin was admitted to the city hospital on 26 January with a low respiratory tract infection and required blood transfusion due to low iron levels.

He was asked to stay in the hospital, despite, he was “practically discharged” on 28 January to return to his daughter “.

On 2 February, Alphonsin asked for an ambulance on 999, listening to the inquiry.

He told a call handler that he needed help for himself and his daughter.

“I feel cold and I can’t move forward,” she told the call handler.

In a transcript read in the inquiry, the call handler asked several times what the language Alphonsin spoke and whether it needs a interpreter.

Despite not answering those questions, he gave his address and asked for an ambulance again.

“Will you send an ambulance? Please, please,” were the last words on the phone before the call was finished.

Kelly Sheldon, director of Quality at the East Midlands Ambulance Service, said that the service “fully accepts” the findings of the coroner.

He said: “I am really sorry that we did not respond because we will take alphonsin Jioko and Loren Cholla should alphonsin. Our deepest sensation remains with his family.

“After our internal investigation, we changed our policies, processes and training to ensure that it does not happen in the future.”

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