Quote Originally Posted by lardy View Post
It says that if one of the doctors had spotted the second fracture then there would have been an investigation and likely averted the tragedy.

However, I'd prefer to give 100% of the blame to the guy that actually did it rather than people here and there along the way.
The warning signs were there. He lied to a health visitor that one injury was address by a GP. This wasn't checked, even though the HV was with the same GP. A doctor also missed a 2nd fracture, which would have invoked a different response.