Three-year-old Archie Donald died at the Royal Hospital for Children at the Queen Elizabeth University Hospital Campus, Glasgow on 20 November 2019.

Sheriff Millar’s determination concluded that his death might realistically have been avoided had an abnormal blood test result been identified and acted upon earlier.

The determination found defects in systems of working, including failures to follow relevant clinical guidance and Archie’s care plan, missed blood test results, and the absence of a post-clinic multidisciplinary review.

Procurator fiscal Andy Shanks said: “The sheriff’s determination is detailed and notes a reasonable precaution that could have been taken to avoid Archie Donald’s death.

“The FAI followed a thorough and comprehensive investigation by the procurator fiscal who ensured that the full facts and circumstances of Archie’s death were presented in evidence.

“Archie’s family have been provided with a copy of the sheriff’s determination and our thoughts are with them at this time.”