THE bosses of a holiday park where a toddler died after choking on a piece of sausage have said they have implemented a coroner’s recommendations.

Two-year-old James Manning, who had enlarged tonsils and had suffered "dozens of choking incidents" prior to his death, choked on the piece of sausage while at Butlin’s in Bognor with his family in June 2018.

Despite getting CPR and first aid the piece of sausage could not be dislodged and it took paramedics seven to eight minutes to remove the piece of food by using a laryngoscope and Magill forceps.

James suffered a seven-to-eight-minute cardiac arrest causing a hypoxic ischaemic brain injury, caused by lack of oxygen to the brain.

He was stabilised and taken to Southampton General Hospital where, despite treatment in intensive care, his life support was withdrawn and he died on June 20, 2018, two weeks after the incident.

Assistant coroner Karen Harrold ruled in conclusion at James’s inquest in March 2021 that his death was accidental, but that the youngster had been “let down” due to “red flags” being missed in regard to his enlarged tonsils.

In a prevention of future deaths report, which was published last week, Ms Harrold raised several concerns to the NHS and Butlin's.

Read more: 'Action must be taken' after toddler died choking on sausage at holiday park

To Butlin’s, these included a recommendation to develop a national system for managing health and safety across its sites.

Ms Harrold also expressed “deep concern” about whether there was a “sufficiently robust” incident investigation and reporting system in place so that “lessons could be learned” and then shared with staff.

A spokesman for Butlin’s said that although Bourne Leisure, which incorporates Butlin's, had not been found culpable by the coroner, voluntary measures had been implemented since James’s death.

"James's death was a tragedy and our thoughts remain with his family and friends,” he said.

“The safety and wellbeing of our guests is always our priority, and we can confirm the recommendations from last year’s report have been implemented.”