A 93-year-old great-gran was forced to wait "in agony" on the floor for more than nine hours for an ambulance to arrive at her home after breaking her leg.
Beryl Murray was "writhing in pain" said her family who detailed how they watched on as her "colour was changing" during the wait for medical help at her home in Birmingham.
Her right leg had given way while she was moving from her walker into a stairlift on Tuesday afternoon (March 22), and she was able to reach for her careline alarm, which notified the ambulance service at 5.22pm.
Her son Stephen, 68, and his wife Wendy, 64, also received the alert and drove 70 miles from their home in Stonesfield, Oxfordshire to help her.
But paramedics didn't arrive until 2.33am the following morning - more than nine hours after the initial report, which was filed as a "category two" call.
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West Midlands Ambulance Service said the setback was down to "hospital handover delays" but the Murray family has called the wait time "totally unacceptable" and said "something has to change" to prevent a tragedy.
Daughter-in-law Wendy said: "It was nine hours of her writhing in pain, it was awful to watch. My husband was very distressed seeing his mum like that. It's totally unreasonable that someone of 93 and in that level of pain should have to endure that for such a long period of time.
"She lives on her own and we live in Oxford so we drove straight there when we got the call. Thankfully a neighbour was able to get to her before us, but she couldn't move her leg at all, she was in agony.
"When we called the ambulance to find out how long they would be, we were warned it could take up to six hours because they were so busy. We called back a few times but it was after 2.30am by the time the ambulance arrived, which is just totally unacceptable.
"We just tried to make her as comfortable as possible until the ambulance turned up. She was complaining of pain in her lower back so we didn't dare move her.
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"Her colour was changing so we were getting really worried. She just kept saying 'I'm in so much pain' and 'my leg is hurting so much'.
"We found out from the hospital the next day she had broken her leg, which was a big shock. That made it even worse, knowing the level of pain she must have been in for that long.
"Above all, something has to change. People could lose their lives if it doesn't."
A week on from her fall and Beryl remains in Sandwell Hospital, waiting for an operation on her leg.
West Midlands Ambulance Service has issued an apology to Beryl and her family, citing "severe pressure" facing the NHS. They said the patient's condition had not worsened when follow-up calls were received.
An ambulance service spokeswoman said: "We would like to apologise to Ms Murray and her family for the time it took to reach her. The whole of the NHS remains under severe pressure and unfortunately, hospital handover delays mean some patients are waiting far longer for an ambulance to come to them than we would want.
“A paramedic in our control room contacted the patient to check on her condition. The paramedic would have upgraded the call had her condition changed.
“We continue to work with local partners to find ways to reduce the delays so that our crews can respond more quickly. Our staff and volunteers continue to work tirelessly to respond as soon as we can.”