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Eight years after a toddler died at the hands of his mother's boyfriend in Southland, a coroner has finally issued the official findings in the case.
There are no surprises - four state agencies have already admitted failing the boy.
But there is stark evidence of just how badly Child Youth and Family, now Oranga Tamariki, did.
Phil Pennington went to the inquest hearings over a year ago, and is looking at the findings which were released on Friday.
Pennington spoke to Corin Dann.