The coroner at the inquest into the death of Kane Gorny, a patient who died of thirst in while hospital, has recorded a narrative verdict of dehydration by neglect. His parents say they are "devastated by the number of missed opportunities."
Neglect by medical staff led to a man dying of dehydration in a hospital bed, a coroner has ruled.
Medical staff at St George's Hospital in Tooting, south London, did not give Kane Gorny vital medication to help him retain fluids.
The 22-year-old, who was a keen sportsman, even phoned police from his hospital bed as he was so desperate for a glass of water, the inquest heard.
Deputy Coroner Dr Shirley Radcliffe told the hearing "a cascade of individual failures has lead to an incredibly tragic outcome".
She recorded a narrative verdict at Westminster Coroner's court and said Mr Gorny had died from dehydration contributed to by neglect.
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