The tragic death of a six-year-old girl following a catologue of "basic failures" in her care has led to "sweeping changes", at a hospital trust.
Tragic Coco Bradford lost her life after "several opportunities" were missed by doctors and consultants to help her, an inquest heard.
This included failing to order basic blood and stool samples or offering her a simple course of intravenous fluids to rehydrate her.
The tot, who had autism, was even 'blamed' by medical staff for being uncooperative.
Coco, 6, died from multiple organ failure on July 31, 2017, caused by an aggressive form of Hemolytic Uremic Syndrome (HUS), a rare kidney condition, as a result of bacteria e coli 0157.
She’d been transferred to Bristol Children’s Hospital from the Royal Cornwall Hospital in Truro, where she had spent several days.
Parents Rachel and Luke Bradford brought Coco to hospital on July 24, 2017, as their daughter had been vomiting, had diarrhoea and had spotted blood in her stool.
They were sent home from the emergency department after being told she likely had Gastroenteritis but Coco’s condition did not improve, so they returned her to hospital less than a day later.
An inquest into Coco’s death heard that doctors felt her condition was not serious, despite the family pleading for more to be done.
Coco’s condition continued to worsen as she remained at Royal Cornwall Hospital for three days. She was moved to Bristol Children's Hospital on July 28, but sadly died a few days later.