The family of a Bolton grandmother have raised concerns about the care she received at hospital. 

Nayana Kasan was 66 years old when she died at Royal Bolton Hospital last December. 

Mrs Kasan fell ill following a trip to her native India and deteriorated on a family holiday in Scarborough, before being admitted to the local hospital. 

A possible diagnosis of cancer was suggested and she was told to return home, where she could receive a biopsy at Royal Bolton Hospital. 

Upon arrival back in Bolton, her condition worsened until the point she was admitted into hospital at the end of November. 

Mrs Kasan's condition continued to deteriorate until she died on December 4. 

Now, her family have raised concerns about the lack of information from doctors and her treatment. 

Her daughter, Cheryl Kasan, told an inquest into her mother's death of her family's concerns. 

She said: "Throughout the whole process, she was getting progressively worse and we never knew what anyone was treating her for. 

"There was no accountability, we were just being passed on from one department, to another department, to another. 

"And through it all, we were watching someone disappear in front of us." 

Coroner Bronia Hartley said: "You spoke about no one taking accountability, are you talking about someone taking ownership of your mum's case, to make sure there was communication and follow up." 

Cheryl said: "Absolutely. For us as a family, we all found out what she died of after she died." 

She told the inquest about her mother. 

It heard how Mrs Kasan was born in India, attending school there and obtaining a degree in biomedical science. 

In 1976 she got married and her and her husband lived together in the UK, first in Leicester before moving to Bolton. 

The pair ultimately became very successful together.  

In August 2023, Mrs Kasan took a trip to India to visit family and take care of some property she had there. 

Upon her return in September, Cheryl and the family noticed that she seemed particularly exhausted. 

She said: "She felt really bloated, very much around the stomach area. With her colitis, we thought it could possibly be to do with that." 

Mrs Kasan suffered with ulcerative colitis and was immunosuppressed due to the medication she had to take. 

She then went on a family holiday to Scarborough in late October despite still "not being right". 

On October 31, she "came down with a fever" and had to be taken to Scarborough General Hospital. 

Doctors reviewed Mrs Kasan and she was given a CT scan, but they could not diagnose what was causing her illness, although there was a potential of cancer and a biopsy was proposed. 

The doctors at Scarborough made the choice to transfer her to Bolton as biopsies were not available there. 

Appointments at Royal Bolton Hospital followed as her health deteriorated further. 

A biopsy appointment was scheduled for November 22, but the family were not told via any letters, phone calls or via the NHS app, according to Cheryl - she had to ring the hospital to find out. 

On November 22 she took Mrs Kasan to the hospital but was told the appointment had been cancelled - hospital emails read out at the hearing said that the "patient had refused the date due to being unwell". 

Cheryl said that none of the family, including her mum, knew anything about anyone cancelling the appointment. 

It was rescheduled for November 29. Upon arriving that day, doctors "wanted to push the biopsy back" due to a high temperature. 

She was moved to the gynaecological ward and admitted to the hospital. On December 1 Mrs Kasan was taken for a biopsy and an MRI scan. 

Cheryl told the inquest how "just before the biopsy" a doctor told her that her mum might have tuberculosis, which she said was the first time anyone had mentioned that. 

Over the next couple of days her health deteriorated further, being unable to give a sputum sample because she couldn't produce enough, and with her legs swelling up. 

On December 4, Cheryl and her brother Kevin Kasan were called to the hospital urgently to see their mother. She suffered a heart attack and was pronounced dead that day. 

The statement of Kevin Kasan was read out to the inquest. He said: "She was so compassionate towards us, we came first and she worked so hard to make sure myself and Cheryl had the best lives possible. 

"She enjoyed cooking for all the family, we would go around to hers and my dad's regularly for food." 

He added: "It was a shock to us all. I miss having her around. 

"The grandchildren have lost their grandmother and what memories they would have made together. 

"It is sad to me that they have lost part of their Indian heritage as well." 

The inquest continues.