A three-year-old boy died from a treatable condition due to a string of errors by NHS workers, a review has found.
Sam Morrish died after four separate health service organisations made repeated mistakes in his care, the Parliamentary Health Service Ombudsman (PHSO) said.
Sam died of severe sepsis in December 2010 following a "catalogue of errors" by the Cricketfield GP Surgery, by NHS Direct, by the out-of-hours service Devon Doctors Ltd and by the South Devon Healthcare NHS Foundation Trust.
Failures included inadequate assessment of the toddler, not recognising that he was vomiting blood and a three-hour delay before he received antibiotics at hospital.
Dr Graham Lockerbie, speaking on behalf of the local NHS, said it is "determined to ensure that the lessons really have been learnt" following the findings.
More top news
Paul Burrell, the former butler to Princess Diana, will enter the Celebrity Big Brother house tonight as part of a new task.
Simon Cowell has the Overs category while Cheryl Fernandez-Versini will be mentoring the Groups.
The author of the new James Bond novel has apologised after he said that British actor Idris Elba is "too street" to play the spy.