Latest reports following release of the external report:

The Report's findings

The damning report into the treatment and subsequent death of Indya Trevelyan concluded the probability of her dying could have been “very considerably reduced.”

Mummy & Daddy's comments

Mr Trevelyan, 44, said: "We are pleased the enquiry has been so open and so thorough. There was a lot we suspected was the case to do with the medical handling of Indya but we were not qualified to question it ourselves – we've waited a long time for this day, and we're glad it's finally here.

"It is unbelievable how many things have gone wrong.

"If it was a one-off mistake we might be able to forgive it, but there are so many things that have gone wrong, I'm not sure we can.

The Hotpital Trust's comments

Brighton and Sussex University Hospital NHS Trust have apologised for shortcomings that could have lead to Indya Trevelyan's death.

Telegraph - 18th April 2009

An inquest last year recorded a verdict of medical misadventure but yesterday's findings by experts from Guy's and Great Ormond Street hospitals laid blame with the hospital trust and its procedures.

Specialists Gavin Morrison and Adrian Lloyd-Thomas said Brighton and Sussex University Hospital NHS Trust should assume "collective corporate responsibility" for shortcomings they found at the city's Royal Alexandra Children's Hospital.

They said the hospital's guidelines, policies and education material on the treatment of children were out of date or non-existent.

They were critical of consultant surgeon Anthony McGilligan for using sutures rather than ties to secure the breathing tube. Mr McGilligan said he chose sutures because he was concerned the tube might be dislodged when nurses replaced ties but, the experts said, ties were the established paediatric practice.

The report also highlighted a 12-hour delay in checking an X-ray which showed Indya was seriously ill. The resulting delay in her treatment also contributed to the tragedy.

The report said there was no guidance available to staff on the care of children with blocked airways, and staff were using outdated guidelines for resuscitating patients.

Earlier reports following the Inquest: