Sunderland have parted company with their club doctor, Dr Ishtiaq Rehman, in the wake of the Patrick van Aanholt saga.
Press Association Sport understands head of medical services Dr Rehman has resigned from his post as part of an ongoing review of staffing as new manager David Moyes attempts to build for a better future at the Stadium of Light.
However, his departure comes just days after Moyes was left stunned at having to withdraw 26-year-old Dutch full-back Van Aanholt from his team to face Tottenham at White Hart Lane on September 18 on the advice of a cardiac specialist.
The Scot later expressed his frustration at the timing of the news, which he received barely 30 minutes before kick-off, in the belief it had come from the Football Association’s Consensus Panel, a claim swiftly denied by the governing body.
It later emerged that the Black Cats had consulted an independent specialist who by coincidence sits on the FA panel over a potential problem with tests carried out earlier that week, and questions were asked over communication within the club.
Dr Rehman’s departure follows that of assistant academy director Danny Philpott last week.