Ambulance delays reduced the chances of survival for a baby girl from Norfolk, a coroner concluded today.
Three-month-old Bella Hellings died at hospital after she suffered a fit and stopped breathing at her home in Thetford.
Paramedics had taken 26 minutes - more than three times longer than national targets dictate - to arrive at the house after a "catalogue of catastrophes".
Today Norfolk coroner William Armstrong recorded a narrative verdict that the baby died from congenital heart disease after delays in medical assistance which reduced the prospects of her survival.
He said: "By anyone's standard this was a grave emergency - what happened here was a long, long way from the eight-minute response target."
More top news
A hospital in Suffolk is launching a new multi-million pound electronic record system in the hope it will help improve patient care.
It will be a breezy morning but largely dry with some brightness. Rain will sweep in from the west during the afternoon. Highs of 16 deg C.
Becoming cloudier and breezier into the evening, with a little light rain at times. It will be much milder than of late. Lows of 7 deg C.