Health Ombudsman Julie Mellor has described Sam Morrish's death as a tragic case. She says the 3-year-old was failed by four organisations, and tough recommendations will follow.
She has apologised to the family, and will be meeting them to apologise in person and discuss the case.
More top news
Poultry farmers across the West Country have been told they must follow strict rules to stop the spread of bird flu.
The area near Taunton and Bridgwater, specifically the TA7 postcode is the worst in the county, according to the research by Which?.
Devon MP Sarah Wollaston wants to introduce a law giving police more powers to intervene over stalking. It's welcomed by campaigners