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And you think that was partly due to the care . Yes, definitely. How would you characterise the care . Negligent. Inhumane. While the trust says decisions about tracheostomies are not made solely by neurosurgeons, one expert with 35 Years Experience has another view. In your opinion, was this death avoidable . Yes. And why do you say that . If he had been assessed on a daily basis, and people had |tested his swallowing on a dailyi basis they would have picked up impaired swallowing rapidly. The responsibility for protecting the patients airway must lie with the operating surgeon, who must assess whether. Theres been a compromise of swallowing ability. And as soon as theres any suspicion of that, i you must get a tracheostomy done immediately to protect the patients lung. University hospital sussex told us they offer their deepest condolences and added, our Front Line Teams strive to give patients the best possible care. The coroner did not raise concerns regarding the care that mr cole