The death of Dartford mother Sian Hollands was due to the failures of doctors at Darent Valley Hospital, an inquest has ruled.

Sian Hollands, from Priory Hill, died on November 15, 2015, from a pulmonary embolism, a blockage in the blood vessel that carries blood from the heart to the lungs, after being discharged only hours before.

She was taken to hospital the day before where, according to her family, she was “judged, labelled and ignored” by the doctors.

Speaking at the conclusion of the inquest today, April 10, 512 days after 25-year-old Sian died, the coroner at Gravesend Town Hall judged that her death was due to doctor failures.

MORE: Dartford mum who died in hospital might be alive if doctor had 'turned the page', inquest told

In the coroner's final statement, the inquest heard: "The death of Sian Hollands was due to the failures of the doctors at Darent Valley Hospital to examine, diagnose and treat her for pulmonary embolism following her admission to hospital.

"Had they done so, on the balance of probability she would not have died."

Sian, a mother-of-three, was a recovering heroin addict who, according to her family, was finally turning her life around before she was taken to hospital complaining of chest pain, difficulty breathing and abdominal pain.

The doctors judged her symptoms to be of one suffering from drug withdrawal and failed to consider an alternative diagnosis until it was too late.

MORE: Dartford woman, Sian Hollands, dies in Darent Valley Hospital after misdiagnosis

A teary-eyed family, including Sian's daughters wearing t-shirts with 'Justice for mummy' emblazoned on the front, emerged from the town hall clutching the piece of paper with the coroner’s final statement printed on it

Ebony-Rae Hollands, Sian's sister, said: “My sister was one of a kind, I can’t believe it has come down to four lines on a piece of paper to describe why she is not here.

“It was the failures of the doctors but it doesn’t bring Sian back and it doesn’t make our family whole again.”

The inquest heard that Sian was suffering from pulmonary embolism when she was in the ambulance on the way to the hospital, but the ambulance notes never made their way to the doctors at Darent Valley.

The nurses had kept notes of Sian’s symptoms and had handed them to the doctors, but the doctors had failed to take them into account.

Dr Kamran Khan, who discharged Ms Hollands, said that if he had been aware of the notes taken by overnight nurses and ambulance staff that she was suffering from a shortness of breath and chest pains, which are symptoms of pulmonary embolism, he would not have discharged her.

However, the inquest heard that nurses had told him of her shortness of breath and chest pain, despite his claims that he was never made aware of these symptoms.

MORE: Dartford mum Sian Hollands was discharged from Darent Valley Hospital hours before she died as the hospital 'needed the bed space'

During the inquest on March 31, it emerged that Dr Khan had taken his own notes at 10.30am on the day Sian died on the back of a page of notes an overnight nurse had made of her symptoms.

His notes were discovered during the lunch break of the inquest by Dr Angela Feazey, a doctor from the Tunbridge Wells Hospital, who was called in as an expert on accident and emergency hospitals.

Before then, the legal representatives of Sian’s family only had photocopies of both sets of notes and therefore hadn’t realised Dr Khan had definitely held the all-important details of Sian’s symptoms until then.

When he was recalled to give evidence, Dr. Khan admitted that “with a simple turning of the page, Sian Hollands would have still been alive”.

The coroner ruled the failure to treat Sian was due to “systematic failures in the hospital” and that they “made serious errors in the diagnosis of her medical condition”.

A statement on behalf of the family said: “The family has had to fight every step of the way to reach this point and they are grateful for the extent to which the circumstances of Sian’s death have been investigated.

“The family would like to thank the staff who came forward and gave evidence and told the truth. They would also like to thank Dr Angela Feazy.

“The family has listened to the very difficult evidence that emerged during the inquest. They are shocked and devastated by the failings that have been brought to light.

“Darent Valley Hospital has now established Project Sian and the family will continue to support the changes being implemented.

“Sian was a loved young woman in her prime who leaves behind three young children who struggle every day without their mummy. The family hopes that no other family will have to walk in their shoes.”

Sian’s children now live with her mother, Nicola Smith. Nicola confirmed that the family will now be pursuing legal action against the doctors involved.

The Gravesham and Dartford NHS Trust have been contacted for a comment.