article_snippet.sent: A coroner has today ruled that doctors and social services in charge of looking after Ms Oettinger, made five 'significant' failures in the months before Ms Oettinger and Ms Oettinger young son lay in the path of a train in March 2012.
article_snippet.sent: A coroner has ruled that doctors and social services in charge of looking after Ms Oettinger, made five 'significant' failures.
article_snippet.sent: But at the end of a three day inquest into their deathsdoctors and social services in charge of looking after Ms Oettinger, made five 'significant' failures , coroner Selena Lynch  coroner Selena Lynch  
article_snippet.sent: coroner Selena Lynch  identified five separate failures by doctors and nurses at the South London and Maudsley NHS Foundation Trust and Croydon child protection services, who first came into contact with Ms Oettinger in late 2012.
article_snippet.sent: The Coroner has heard that there were serious shortcomings in care at the Croydon Mood Anxiety and Personality Disorder Team (MAP) which was managed by the South London & Maudsley NHS Foundation Trust. '
article_snippet.sent: there were serious shortcomings in care at the Croydon Mood Anxiety and Personality Disorder Team (MAP) which was managed by the South London & Maudsley NHS Foundation Trust permeated through from community psychiatric nurse to consultant level.