Now Mr and Mrs Charnock are calling for the reconsideration of criminal charges against two nurses who treated him – triage nurse Stephanie Keelan and nurse practitioner Paul O’Brien.

Cheshire Police spoke to Mr O’Brien at the time but prosecutors decided there was not enough evidence for a realistic prospect of conviction against any individual.

The Crown Prosecution Service said it would carefully consider any communication it received from Matthew Charnock’s family.

The nursing regulator said it would review its decision not to take any disciplinary proceedings against the two nurses.

The Nursing and Midwifery Council told North West Tonight: “We made the decision not to investigate Mr O’Brien and Ms Keelan further – based on the information available to us at the time.

“We are aware of the coroner’s recent findings and will consider whether those findings mean we need to take regulatory action.”

Whiston Hospital said “a thorough investigation” had been carried out following Mr Charnock’s death and its findings shared with his family.

“Lessons have been learned and robust action taken to ensure a tragic incident like this does not happen again,” the hospital’s statement added.

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