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Andrew Cox, senior coroner for Cornwall, said ambulance delays in the case of Mr Reedman and two others, David Morganti and Winnie Barnes-Weeks, were either the cause or a contributing factor in their deaths.

Mr Reedman, from Norfolk, started feeling unwell on the evening of 26 June and his wife, Jill, dialled 999.

Guy Davies, assistant coroner for Cornwall, said the delay in the ambulance reaching Mr Reedman directly led to the delay in treatment starting at hospital, which could have saved his life.

Tony Reedman, 54, died four days after suffering a stroke while on holiday in Cornwall in June 2021.

He credits fellow Chicago reedman Roscoe Mitchell and a comment he once made to him: “Don’t play on the 1!”