約翰爵士說，最初指揮曼徹斯特競技場爆炸案應對工作的警察督察 "很快就因必須承擔的任務數量而不堪重負"，這導致應對工作的 "有效性受到直接影響"。
約翰爵士說，證據是 "決定性的"，22名受害者中的20人不可能在薩爾曼-阿貝迪的 "謀殺行為 "中倖存下來，但約翰-阿特金森的傷勢是可以倖存的，"如果他得到了他應該得到的護理和治療"。
Sir John said the police inspector in initial command of the Manchester Arena bombing response "quickly became overburdened by the number of tasks he had to undertake" and it led to a "direct impact on the effectiveness" of the response.
Fire crews took more than two hours to attend
There were not enough paramedics
North West Ambulance Service (NWAS) did not deploy ambulances to the scene until nearly 30 minutes after the blast and there was only one paramedic at the scene for the first 40 minutes after the explosion.
Sir John said more paramedics in the City Room would likely have identified the need for urgent treatment and/or evacuation, while more ambulances at the scene would also have meant quicker care.
- There could have been more survivors
Sir John said the evidence was "conclusive" there was no possibility that 20 of the 22 victims could have survived the "murderous actions" of Salman Abedi, but John Atkinson's injuries were survivable "had he received the care and treatment he should have".
The company's then medical provider ETUK (Emergency Training UK Ltd), comprised mainly of first aiders, did not have "enough staff with necessary clinical qualifications, skills and experience on duty" on the night of the attack.
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