The 62-year-old brother of the Duchess of Cornwall is in a New York hospital with a serious head injury after a fall in the city.
The Daily Mirror reports that Mr Shand had been attending a charity auction at Sotherby's in New York on the night of the fall. He was later at an after party for the event, when he stepped outside for a cigarette and slipped and hit his head on the pavement.
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She met with the families of children who must stay near the hospital.