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
The first British boxer to win an Olympic gold medal beat Andre Dirrell in Boston last night to fight his way into the history books.
Louis Walsh reignites the flames of his row with by claiming she would refuse to be an X Factor judge if Nicole Scherzinger returns.
Ex Army chief calls on Government to "think the previously unthinkable" and consider sending ground troops to combat Islamic State.