His Solicitor, Tim Beasley of Levenes Solicitors is calling for a full investigation into how basic medical care of a vulnerable child was neglected with tragic consequences. “There are some disturbing features of this case, not least because previous coroners have highlighted failings after 2 previous “Prevention of Future Deaths” reports and concerns raised by the coroner in previous cases in 2016 and 2017. The performance of the hospital appears to have deteriorated, rather than improved after those deaths. Typically, hospitals make statements that they will learn the lessons after these sorts of cases, but in this case they clearly did not. The management of the hospital trust has serious questions to answer”

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