Andrew Tizard-Varcoe

“The evidence shows that Mr [name redacted] overall treatment for the ear infections between April 2021 and May 2022 was provided across three different health trusts and hospitals, Musgrove Park in Taunton, North Devon District Hospital in Barnstable and Exeter Hospital; it is acknowledged that this was as a consequence of Mr [name redacted] vascular disease (being treated at Musgrove Park) and the locations of specialist doctors. Whilst being treated at Musgrove Park for a vascular problem, Mr”

“In addition, the evidence revealed that there were three occasions when Mr [name redacted] was not followed up as an outpatient in a timely manner (August 2021, November 2021 and February 2022). On one occasion Mr [name redacted] possibly ran out of antibiotic medication and on another Mr [name redacted] was discharged without antibiotic medication. The lack of timely follow up appointments resulted in reduced monitoring and assessment and a poor understanding of the effectiveness of treatment and the”

“In addition, on the 1 November 2021, Mr [name redacted] was discharged from the Royal and Devon Hospital without a prescription for oral antibiotics despite advice from microbiologists to do so; the evidence showed that this was a clinical decision made by a junior ear nose and throat doctor against an improving clinical picture. The discharge was overseen by a consultant from a different specialism due to Mr [name redacted] health needs at the time. Evidence at the inquest from the responsible”