"Several agencies, including Oxford Health NHS Foundation Trust and Buckinghamshire Council social services, had contact with Fern in the months before her death, but the coroner said it was probably the case that no one agency had a complete understanding of Fern’s needs"
She was failed by the people that were supposed to help her.
"No communication plan had been put in place and the coroner said the manner in which the adoption plans were communicated to her also contributed to her death.
The plans were emailed to her partner by his solicitor and when Fern was told, she had no physical professional support around her to help her cope with the distress this caused."
Heartbreaking. Who knows how we would react reading that email? I can't be 100% certain I wouldn't have done the same as Fern in that situation. Her poor baby.