Father-of-three, 67, died just five hours after being seen by paramedics as ambulance crew misdiagnosed horror disease

Published on September 21, 2025 at 07:21 PM
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A FATHER-of-three was left to die five hours after an ambulance crew was called and paramedics misdiagnosed his horror disease.

Steve Holbrook-Siston, 67, started developing the disease after he caught Covid-19 in October 2021, a few days after receiving a third booster jab.

Steve Holbrook-Sishton, a man wearing sunglasses and a pink shirt, sits at an outdoor cafe with pink umbrellas decorating the street.Steve Holbrook-Sishton, 67, died in the early morning of October 31, 2021 Steve Holbrook-Sishton with his family in a garden.He leaves behind three children and his wife of 35-years, Jan Holbrook, 70 Steve Holbrook-Sishton with his wife Jan and daughter Maddy.Jan called for an ambulance when his husband’s symptoms of sepsis became vital Portrait of Steve Holbrook-Sishton, a man with glasses and a beard, wearing a striped shirt.He could have survived if he was taken to the hospital within two hours

The former teacher and college tutor was showing vital signs of .

First, and , and about a week later, confusion and poor urine output.

So his wife Jan Holbrook, 70, called the on the evening of October 30.

They told her an would arrive within two and a half hours from the time she called.

But an ambulance crew did not arrive until three hours later, at 2.10am.

When they finally got there and carried out an hour of inspections, did not suspect Steve had sepsis.

She said: “I knew something wasn’t right but when the first ambulance crew left, I don’t think Steve had been fully assessed and we weren’t given any advice.

After they left, the beloved father’s condition and breathing worsened into the morning, so his wife called 999 again.

This was around 5.30am.

The call was reportedly triaged as , which usually has an average response time of 18 minutes.

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But the ambulance took more than two hours.

At around 6.25, Jan called the emergency crews again to report Steve was gasping for breath and unresponsive.

They were too late.

Steve passed away by the time the second ambulance crew arrived at 7.40am.

“When the second crew finally arrived I just said ‘you’re too late, he’s already dead,” Jan said.

“That moment will stay with me forever.

“Steve was a loving husband, an incredible dad, and the kindest soul you could ever meet.

“He was the unique presence that held our family together.

The father-of-three lived with his wife of 35 years in Storrington,

“Watching him slip away, knowing something was horribly wrong but feeling powerless, was the most terrible experience of my life.

Steve Holbrook-Sishton with his daughter Maddy, who is seated in a wheelchair, holding a cake with a "35" candle on it.Steve was a ‘loving husband, an incredible dad, and the kindest soul you could ever meet’ Steve Holbrook-Sishton with his daughter Maddy, who is in a wheelchair.Lawyers have been recruited to investigate the care that was given to Steve in the lead up to his death

“The pain of losing Steve remains as raw now approaching four years on as it did the day he died.

“The hardest thing to try and come to terms with is knowing that he might still be here if he’d received the care he needed and deserved.”

Steve leaves behind three children, Maddy, 39, who has , Alex, 37, and Marcus, 30.

Following his death, Jan has recruited lawyers to investigate the care that was given to Steve.

It comes after admitted a breach of duty in connection with the 67-year-old’s death.

They admitted Steve could have survived if taken to hospital and received appropriate care within two hours.

Chief exectuvie of the , Simon Welder, apologised in a letter to Jan for the “mismanagement” of her husband’s care.

He wrote: “Words cannot express how deeply sorry we are.

“This is not the standard of care the Trust strive to provide and I am truly sorry for the Trust’s failings.”

Irwin Mitchell lawyers and the Ambulance Trust are now working towards a settlement for Steve’s loved ones.

The expert medical negligence layer representing Jan, Laura Hayes-Payne, said: “The admitted failings in Steve’s care are deeply concerning and highlight the devastating consequences of when sepsis isn’t recognised.

“We and Jan firmly believe that Steve’s symptoms should have prompted an urgent admission to hospital, and once there, he would have received the life-saving treatment he needed.

“While we welcome the Ambulance Trust’s admission and apology, it’s vital that lessons are learned from Steve’s case to ensure other families don’t suffer like Jan and her family have.

“Sepsis is a medical emergency and early detection is vital to saving lives.”

include slurred speech, confusion, extreme shivering and muscle pain, passing no urine in a day, severe breathlessness and mottled or discoloured skin.

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