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Castle Howard aristocrat Simon Howard died from excess insulin - coroner Castle Howard aristocrat Simon Howard died from excess insulin - coroner
(about 4 hours later)
Simon Howard ran the Castle Howard estate until 2015Simon Howard ran the Castle Howard estate until 2015
A disgraced aristocrat died days after being given excess insulin in hospital, an inquest has heard.A disgraced aristocrat died days after being given excess insulin in hospital, an inquest has heard.
Simon Howard, 66, died at York Hospital on 27 February 2022, with an inquest in Northallerton, North Yorkshire, told he had "unstable diabetes" and epilepsy. Simon Howard, 66, died at York Hospital on 27 February 2022. His inquest in Northallerton, North Yorkshire heard he had "unstable diabetes" and epilepsy.
In November 2021, Mr Howard - who ran Castle Howard from 1983 to 2015 - was found to have indecently assaulted a young girl in 1984. Hospital bosses have offered his family an apology.
He was declared unfit to stand trial due to a brain injury. Mr Howard - who ran Castle Howard from 1983 to 2015 - was found to have indecently assaulted a young girl in 1984 but was unfit to stand trial.
In November 2021 he received an absolute discharge at York Crown Court because he was declared unfit to stand trial due to a brain injury caused by a fall in 2020.
The stately home was designed by John Vanbrugh at the end of the 17th CenturyThe stately home was designed by John Vanbrugh at the end of the 17th Century
Mr Howard received an absolute discharge at York Crown Court after a jury found he indecently assaulted the girl in 1984. On 15 February 2022, Mr Howard, who was married to Rebecca, was taken to York Hospital following a suspected stroke.
On 15 February 2022, Mr Howard was taken to York Hospital after a suspected stroke and prescribed medicine containing 24 units of insulin in the morning and 30 in the evening before being discharged the next day. There he was prescribed medicine containing 24 units of insulin in the morning and 30 units of insulin in the evening before he was discharged from hospital the next day.
Mr Howard's personal assistant, Christine Sadler, who helped him with his medication, told the inquest that only weeks previously his usual dose at home had been 18 units in the morning and the same in the evening. Mr Howard's personal assistant, Christine Sadler, who helped him with his medication, told the inquest only weeks previously his usual dose at home had been 18 units in the morning and the same in the evening.
North Yorkshire assistant coroner Sarah Watson said it was "unclear" how the discrepancy in the amount of insulin prescribed came about, particularly as a phone call was made from the hospital to Ms Sadler to check with her.North Yorkshire assistant coroner Sarah Watson said it was "unclear" how the discrepancy in the amount of insulin prescribed came about, particularly as a phone call was made from the hospital to Ms Sadler to check with her.
When a member of the pharmacy team queried the amount, an unnamed doctor overruled her.When a member of the pharmacy team queried the amount, an unnamed doctor overruled her.
Father-of-two Mr Howard, a managing director of the firm running Castle Howard and who was married to Rebecca, was discharged and prescribed with the higher insulin dose. Mr Howard, a father-of-two and managing director of the firm running Castle Howard, was discharged and prescribed with the higher insulin dose.
He was found unconscious at home on 19 February after suffering hypoglycemic encephalopathy - extremely low blood sugar levels - and never recovered, dying in hospital on 27 February. He was found unconscious at home on 19 February after suffering hypoglycemic encephalopathy - extremely low blood sugar levels.
He never recovered and died in hospital.
'Brain damaged''Brain damaged'
The coroner gave a narrative conclusion, saying Mr Howard died "as a consequence of the recognised exacerbating effects of excess insulin administration on pre-existing naturally occurring disease, and brain injury following a fall". The coroner gave a narrative conclusion and said Mr Howard died "as a consequence of the recognised exacerbating effects of excess insulin administration on pre-existing naturally occurring disease, and brain injury following a fall".
The inquest was told Mr Howard was possibly "intoxicated" when he fell down the stairs at his home in 2020. He was found by his son, taken to hospital and left permanently brain damaged. The inquest was told Mr Howard was possibly "intoxicated" when he fell down the stairs at his home in 2020.
He was found by his son and taken to hospital but was left permanently brain damaged.
Mr Howard had been the custodian of Castle Howard - the backdrop to films and the hit TV shows Bridgerton and Brideshead Revisited.Mr Howard had been the custodian of Castle Howard - the backdrop to films and the hit TV shows Bridgerton and Brideshead Revisited.
But, after a family disagreement, he moved out of the stately home and was living nearby in Welham Hall in Malton. Castle Howard was designed in 1699 and remains a private residence, having been in the hands of the Howard family for more than 300 years.
Following a family disagreement, Mr Howard moved out of the stately home and lived nearby in Welham Hall in Malton.
After the inquest, his family said they were grateful to the coroner for answering questions they had about Mr Howard's death.After the inquest, his family said they were grateful to the coroner for answering questions they had about Mr Howard's death.
They added: "Simon was far from being a well man. He suffered traumatic brain injuries from a fall downstairs at home in early 2020, he had recently had a suspected stroke and was struggling to manage his Type 1 diabetes. They added: "Simon was far from being a well man.
"He suffered traumatic brain injuries from a fall downstairs at home in early 2020, he had recently had a suspected stroke and was struggling to manage his Type 1 diabetes.
"But when he was admitted to hospital, none of us imagined that he wouldn't be coming home.""But when he was admitted to hospital, none of us imagined that he wouldn't be coming home."
Castle Howard was designed in 1699 and is still a private residence, having been in the hands of the Howard family for more than 300 years. Speaking after the inquest, a spokesman for York and Scarborough Teaching Hospitals NHS Foundation Trust said they "sincerely" regretted Mr Howard's death and apologised "unreservedly" to his family.
They said all such incidents were investigated to ensure similar events did not happen again.
"This investigation resulted in significant learning and important changes, with new guidance and protocols for all staff in our hospitals, which have since been implemented."
Follow BBC Yorkshire on Facebook, Twitter and Instagram. Send your story ideas to yorkslincs.news@bbc.co.uk.Follow BBC Yorkshire on Facebook, Twitter and Instagram. Send your story ideas to yorkslincs.news@bbc.co.uk.
Related TopicsRelated Topics
NorthallertonNorthallerton
Castle HowardCastle Howard
Listed buildingsListed buildings
YorkYork
DiabetesDiabetes