York coroner Donald Coverdale said, “From November 3 until the day of the operation, no Fragmin was given to Mr. Newbold. If he had been admitted to a consultant vascular surgeon's care from day one, it is clear that Fragmin would have been prescribed. Fragmin reduces the risk of DVT, but does not eliminate it. It is impossible to say whether Mr. Newbold would have suffered this DVT if he had received the Fragmin.„ He recorded a verdict of death by misadventure.