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Stephen Dulling, 69, was admitted to the hospital’s Acute Medical Unit in August last year. Advertisement Advertisement He was living with Parkinson’s Disease and dementia, and had problems with his swallowing. But staff did not change his dietary needs in light of his condition, and he wasn’t given a food chart for them to keep track of what he was eating.

Did you know with a Digital subscription to Yorkshire Post, you can get access to all of our premium content, as well as benefiting from fewer ads, loyalty rewards and much more. Three days later on September 2, he went into cardiac arrest after choking on his breakfast. He died on September 4 at the hospital.



Advertisement Advertisement Area coroner Catherine Cundy has written to the hospital demanding it sets out how they will prevent future deaths like Mr Dulling’s. She wrote: “During the course of the investigation my inquiries revealed matters giving rise to concern. In my opinion there is a risk that future deaths could occur unless action is taken.

“I heard evidence of a number of omissions and lapses in the care afforded Mr Dulling by registered nurses during his admission to York District Hospital.” Advertisement Advertisement Ms Cundy said Mr Dulling’s wife had not been asked about his dietary needs by hospital staff, that it was recorded that he could eat a normal diet, and that there had been no assessment or escalation of Mr Dulling’s refusal of intravenous fluids. She also said there was Evi.

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