- Darryl Johnson, 52, from Sandy, Bedfordshire, died from an untreated pulmonary thrombo-embolism after an ambulance was dispatched to the wrong address.
- Johnson had called emergency services complaining of breathing problems and feeling faint, symptoms consistent with his eventual cause of death.
- An ambulance was sent to 27a Market Square instead of Johnson's correct address, 27b Market Square, despite him providing the right details.
- Coroner Emma Witting ruled that Johnson might have been found alive if the ambulance had been sent to the correct address over 15 hours earlier.
- Ms Witting raised concerns that the East of England Ambulance Services Trust's address database, supplied by Ordnance Survey, is not always accurate or up to date.
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