The Coroners Court of Victoria has released a long-awaited report exposing missed opportunities by child protection services that could have helped prevent the death of four infants between 2015 and 2017.
The deaths were the subject of a filicide cluster inquest by the coroner, which last month found systemic failures in Victoria’s child protection system.
The report, submitted to the inquest in 2023 by Principal Commissioner for Children and Young People Liana Buchanan, had been withheld from the public.
