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The evidence from psychiatrists commissioned by both the defence and the prosecution all pointed the same way - Sharkey's mental illness meant she had a partial defence to murder.

"They need psychiatrists to help them. My sister's a teacher and tried to work with the children, but it's not enough."

Experts also say there is a lack of continuity of care from GPs through to psychiatrists.

Survivors who do not choose to be medically assessed by a psychiatrist will receive lower payments.

A health trust is investigating claims a child psychiatrist may have charged patients for NHS appointments.