Three members of staff have been given a written warning over the child abuse of a Haringey toddler who died last year.

A Serious Case Review was commissioned by Haringey's Local Safeguarding Children Board after the death of Baby P at the hands of his family in August, 2007.

The findings, which were published today, find fault with the work of Dr Sabah Al-Zayyat, a consultant paediatrician working for Great Ormond Street Hospital.

Two Haringey social workers and a Haringey Council lawyer have also been given written warnings.

But Dr Al-Zayyat emerged as the scapegoat of the review as it was revealed the Saudi Arabian trained doctor should have diagnosed the abuse.

She saw Baby P on August 1 at St Ann's Hospital, Tottenham, where she was a locum consultant paediatrician. She allegedly failed to miss his broken back because she did not carry out a full examination of the 17-month-old, despite him being on the Child Protection Register.

Dr Jane Collins, chief executive of Great Ormond Street, said today: "Our considered view based on the evidence of the independent review was that Dr Al-Zayyat should have entertained the possibility that [Baby P] suffered non-accidental injuries and should have taken appropriate action on that day.

"Whether that would have made a difference, we will never know.

"Dr Al-Zayyat's contract was not renewed by Great Ormond Street and she is currently appealing that."

Dr Al-Zayyat has now had her medical licence restricted by the General Medical Council while a complaint against her is investigated. For privacy reasons no details of this complaint can be released.

But the conditions mean all Dr Al-Zayyat’s work must be supervised by a consultant and she can only work for the NHS as a middle-grade paediatrician. She is also forbidden from taking up any further locum positions of less than three months.

These restrictions are imposed for 18 months or until a Fitness to Practice Hearing, at a date to be decided.

A GMC spokesman said: “This doctor is not facing a formal allegation. This is an ongoing investigation. The Interim Order Panel has the power to suspend or restrict a doctor’s practice while an investigation is ongoing.”

Dr Collins also revealed two Haringey social workers and a Haringey Council lawyer had been given written warnings "over the speed with which actions had been made".

However no employees at the London hospital or at the council have been sacked as a result.

Chair of Haringey's Safeguarding Children Board and director of children's services, Sharon Shoesmith, refused to apologise to Baby P's father for his death but did admit the council had made mistakes.

She said today: "This is a very tragic case of a young life cut tragically short and all our thoughts are with the child's father.

"All the signs were that we were dealing with a mother with poor parenting skills.

"It is very easy with hindsight for people to ask why things happened but the independent review is very clear there was only one thing that could have changed what we have seen and that was the medical examination two days before he died."

Dr Collins added: "A child needlessly died at the hands of his family. We as an organisation did not prevent his death.

"The very sad fact is that you cannot stop people who are determined to kill children.

"Obviously there are things that could have been done better. We did not get it right and we have to accept it and take the responsibility for that.

"I cannot begin to tell you the shock and horror there has been across Haringey."