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The coroner has recorded a narrative verdict at the inquest into the death of a four-month-old baby from Bristol.
Lacey-Marie Poton's mother Emma Norley said she believes more could have been done to save her daughter, and that changes need to be made.
Lacey-Marie was born with a complex heart condition and died in July 2013 after surgery at the Bristol Children's Hospital. In an emotional account of the events, Emma Norley told the hearing she thought her child was too sick to be sent home.
The hospital has responded to the verdict, reiterating that Lacey-Marie's condition was thoroughly assessed before she was discharged from hospital.
The ambulance service also responded, apologising for where the standards had fallen short.
An inquest has heard an emotional account from the mother of a four-month-old baby who lost her life at Bristol Children's hospital.
Lacey-Marie Poton was born with a complex heart condition and had 3 operations at Bristol. Her mother Emma Norley, who's from Fishponds, told the inquest this morning she felt her baby was too sick to be sent home.
The mother of a baby girl who died after heart surgery at Bristol Children's Hospital has spoken of her anguish ahead of today's inquest into her daughter's death.
Four-month-old Lacey-Marie Poton suffered a cardiac arrest after she was discharged from hospital in July 2013.
Her mother Emma Norley, who's from Bristol, hopes the two-day inquest will shed light on her unanswered questions.
Katie Rowlett reports:
Latest ITV News reports
Inquest into death of Lacey-Marie Poton is the seventh to take place into the care of child heart patients at Bristol Children's Hospital.