A three-year-old heart patient died after a new NHS computer system "failed" to schedule him for a vital hospital scan - leading to a delay in his treatment, a coroner has ruled.
Samuel Starr, who was born with a congenital cardiac defect, underwent surgery not long after his birth in 2010 and made a good recovery.
However, medics said he would still need regular tests to check on his progress at Bath's Royal United Hospital.
But a delay came after a new computer system, called Cerner Millennium, was rolled out and Samuel did not have a crucial scan for 20 months after his first major operation.
When he finally had the appointment, doctors found Samuel needed open heart surgery. During the procedure, Samuel suffered a stroke.
Further complications followed and he died in the arms of his devastated parents, Catherine Holley and Paul Starr, a month later.
Avon Coroner Maria Voisin today, recording a narrative conclusion, ruled the booking system meant Samuel was not seen and did not receive treatment.
More top news
PM announces funding will be made available for a memorial dedicated to the victims of last week’s terrorist attack in Tunisia
Mother of the gunman in the Tunisia beach terror attack said her son once refused to kill a mouse because he "couldn't kill anything".
A man who was blasted three times during the Tunisian beach massacre said he shielded his fiancee and told her: "I'm going to die."