Baby Q died in November 2018 after being thrown into the Tweed River in northern NSW by her father.
NSW Deputy State Coroner Harriet Grahame said the nine-month-old girl, known as Baby Q, "fell through the cracks" despite being known to child protection services in three states.READ MORE:The baby died after being thrown in the river and was found washed up on a Gold Coast beach.
"While I accept that no single person had all the relevant information indicating the extent of the escalating risk involved, various people who had interacted with the family throughout 2018 should have understood that Baby Q was a child in urgent need of protection." The father was found not guilty of murder in 2020 on the grounds of mental illness following a judge-alone trial.
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