A trust involved in the care of murdered eight-year-old Anna Climbie is standing by the paediatrician who diagnosed the child with scabies and sent her home to her abusers.

A spokesperson for North West London Hospitals trust said there was no evidence that paediatrician Dr Ruby Schwartz had missed signs of abuse when she examined Anna at Central Middlesex Hospital in July 1999. 'The trust has held an internal inquiry into the decision taken by Dr Schwartz and decided her actions were proper in the circumstances.'

All the NHS organisations in Enfield and Haringey who came into contact with Anna have pledged to co-operate fully with the independent inquiry into the tragedy, announced by health secretary Alan Milburn.

The inquiry, led by former chief inspector of social services Lord Laming, will investigate health, housing, social services, local authority and police involvement across four London boroughs.

Mr Milburn said Anna was 'undoubtedly failed repeatedly by the child protection system' and that all necessary steps would be taken to ensure that 'such failures did not happen again'.

Anna Climbie died in February last year after enduring months of horrific abuse at the hands of her great aunt Marie-Therese Kouao and her boyfriend Carl Manning.