A coroner has ruled a "series of failures" contributed to the death of a newborn.
Little Charlie Jermyn died at just 29-hours-old last May after contracting sepsis following his birth at home in Penryn.
After a three day-long inquest the coroner recorded the conclusion Charlie had died of natural causes contributed to by a sequence of failures in the healthcare system during the first 24 hours of his life.
On the day of his birth, mum Hayley Jermyn had been sent home hours earlier by the Royal Cornwall Hospital, who said she was not ready.
But the inquest heard had the pair been admitted to hospital, signs of the illness would have been spotted.
Dr James Gray said antibiotics would have been given and Charlie would probably have survived.
In a statement given by the family's solicitor, Tim Goldburn, they said they believed they had been "let down by significant system failures".
They said the hospital had failed to train and equip their midwives to recognised "red flag" signs of sepsis.
The inquest at Truro heard that when the family did as they were advised, and sought help from an out of hours helpline, their call was handled by an unqualified maternity support worker.
The couple said they hope "some good" will come from Charlie's death.