|St George's Blamed For Dehydration Death|
Man phoned police as he was so desperate for water
A coroner has ruled that 22 year old Kane Gorny was the victim of a 'cascade' of medical failures that led to his death in 2009.
Kane Gorny was suffering from diabetes and had also undergone treatment for a brain tumour. He had become increasingly distressed after he was deprived of vital medication he needed to retain his fluids, and had been sedated.
Dr Radcliffe said the case was marked by "simple incompetence" in her damning assessment of the care Mr Gorny received at St George's.