A coroner has identified six key failings and several "shortcomings" in the care of a man who died within hours of being discharged from Stafford Hospital.
John Moore-Robinson, from Leicester, had suffered a ruptured spleen in a mountain biking accident - but doctors failed to spot it.
A retired consultant has told an inquest that the death of a man who was sent home from Stafford Hospital after a doctor failed to spot a ruptured spleen was "totally preventable".
Dr Ivan Phair was a consultant in A&E at Stafford Hospital in 2006, when John Moore-Robinson was brought in following a mountain bike accident on Cannock Chase.
He was discharged the same day and died at home.
In an earlier report on the death, Mr Phair said that the initial examination of John Moore-Robinson was "brief and incomplete".
Dr Girish Sharma was the Senior House Officer who conducted that examination.
Asked what more Dr Sharma should have done, Mr Phair said, "He should have put his stethoscope on and listened to the quality of the abdomen and the sound of the bowels."
"He hasn't written anything down to suggest that he has listened to whether or not the bowel sounds were absent or present."
West Midlands Weather: Windy on Sunday with showers and sunny spells
East Midlands Weather: Heavy rain over Derbyshire hills, drier and brighter elsewhere
The city’s spike in coronavirus cases has sparked a report that it may be the first UK location to be subjected to a district lockdown.