The York Coroner has now recorded a verdict on the death of Mr Cartwright – 25 November 2014.
The Narrative Conclusion delivered by Senior Coroner, Mr M D Oakley reads: The deceased was admitted to Harrogate District Hospital, Accident and Emergency Department on the early hours of 27 June 2008 with breathing difficulties.
Initially was stabilised, but, due to misunderstanding that E N T Consultants did not attend Harrogate Hospital out of hours, a decision was made to transfer him to York which resulted in him stopping to breathe for possibly six or more minutes and thereby he suffered consequent Hypoxic Brain Injury.
Dr David Scullion, Medical Director at Harrogate and District NHS Foundation Trust, said: The Trust is grateful that the Coroner has now been able to look into this tragic case in detail. We accept the findings of the Coroner and acknowledge his conclusions.
On behalf of the Trust and its Board of Directors I would like to offer my sincere condolences and apologies to the family of Mr Cartwright. I can assure them that lessons have been learned from this case.