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“Only a year before, the CQC had been warned by another inquiry into baby deaths at Morecambe Bay NHS Trust that it needed to take a tougher approach.”

“The fourth death, (Baby E) in August 2015, was unexpected and therefore reviewed at a serious incident panel meeting attended by the medical director and director of nursing - but it was treated as a formality.”

“Should alarm bells have started ringing as early as June 2015 when three babies died in quick succession – the same number of deaths within two weeks that the unit would normally expect in a year?”

“- Published Four people have been arrested on suspicion of murder after a baby was found dead while camping with her family in Staffordshire.”

“The pair fled with the baby, who is so small she does not yet have a name.”

“He said Gartshore had a history of childhood trauma, mental health problems, overdoses and self-harm, but argued that she had provided appropriate care to her baby up until the night of her death.”