Our son Leo passed away in a hospital, and for more than two and a half years, we've been grappling with unanswered questions. The initial conclusion of the hospital was that Leo's death was due to his congenital heart defect. However, they have since admitted that they missed an opportunity that could have potentially altered the tragic outcome.

This realization leaves us in a state of torment, as we wonder if Leo's death could have been prevented. What adds to our grief is the lack of seriousness with which our concerns have been treated by the coroner's office. In such heart-wrenching situations, families like ours need and deserve thorough investigations and clear explanations to find closure.

Shockingly, we are not alone in this struggle. Many families facing similar tragedies have encountered similar dismissals, where coroner's offices prioritize assumptions over comprehensive inquiries. It's not just about getting answers; it's about ensuring these preventable events don't happen again. Statistics from several child advocacy organizations highlight cases where initial medical or institutional conclusions were later found to be incorrect, showcasing the deep need for rigorous investigative processes by coroners.

To rectify this systemic failure, we propose a clearly defined procedure where coroners are required to revisit cases when new evidence or admissions of error surface. It's imperative to prioritize listening to the family members who often provide valuable insights and firsthand experiences that could shape the investigation.

Furthermore, there needs to be a transparent system in place for holding medical institutions accountable when they acknowledge their mistakes. Coroners should be equipped with the training and resources necessary to carry out these essential tasks, ensuring a level of competence that resonates with the gravity of such cases.

Our children deserve justice, and parents deserve peace of mind. Let's demand a change in coroner processes concerning the deaths of children in hospitals. Your signature can help ensure that each child's death is examined with the care and accountability it deserves, and that no family has to endure the agony of unaddressed concerns.

Please sign this petition to advocate for reforms in the procedures for investigating and handling children's deaths in hospitals. Together, we can push for a system that respects families, recognizes mistakes, and takes every necessary step to prevent further tragedies.