Baby A-Maya Tamerry was the subject of an emergency care order, but never actually taken away from her parents before she died of malnutrition.

Details of the findings from an internal probe at Child and Family Services sparked by its handling of the case have never been made public.

However, in a statement issued after the baby's parents had their manslaughter convictions quashed yesterday, department director Alfred Maybury revealed recommendations made after the investigation. They included:

- Broader information sharing with all parties involved with cases

- More conferences on cases between all agencies involved

- Work on the management of information

- Increased staff training to assist in identifying children that may be at a higher risk of abuse.

During the 2004 Tamerry trial, the jury was told the parents skipped weigh-in sessions with Government nurses after A-Maya's birth in May 2000 and failed to follow nutritional advice — something disputed by the defence. Paediatrician Dr. Alexander Barron reported the couple to Child and Family Services, which gained an emergency 28-day care order on May 30 2000 to remove the child from them.

The baby was never taken away. According to the case for the Crown, the baby had not seen a doctor in the seven months leading up to her death in March 2001. However, Mrs. Tamerrry denied that her child had been sick for weeks or months, telling the trial she did not see anything wrong until two days before she died.

Prosecutor Kulandra Ratneser told the jury in 2004 that a baby of ten months should weigh between 16 and 24 pounds. A-Maya weighed only eight pounds and three ounces when the autopsy was conducted after her death at that age.

A source close to the Tamerry case, who asked for their name not to be published, said the original trial had raised a number of questions.

"The social workers and Police and doctors did not follow up (on monitoring the care of the child). Having been on the radar, they (the family) were allowed to slip off the radar," he claimed.