Approximately a month later, an anaesthetist indicated that his breathing tube could be removed and that plans could be made for him to come home.
Unfortunately, at this stage his tracheostomy tube became blocked and there was significant delay in clearing the blockage. He suffered a cardiac arrest and severe neurological damage. He never regained consciousness.
Paul McNeil was instructed by Baroness Nicholson to represent the family at the inquest.
The Coroner pronounced a verdict of “misadventure”. It became clear that the staff in the private hospital were not adequately trained and that the anaesthetic clinicians were sited at the local NHS hospital 10-15 minutes away.
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