Serious case review executive summary: December 2008 - Child A
Child A died of natural causes in October 2007. There was no definite conclusion that abuse or neglect were contributory factors in the death. However, agencies had been involved with A’s family in the period prior to the death. Family circumstances included adverse physical conditions of the home; the failure to attend health appointments; the serious incidents of domestic violence; and the fact that both child A’s parents had been subject to Probation Orders in the period prior to her death.
There were also concerns about agency practice in regard to compliance with safeguarding procedures. In particular there was concern in the period preceding A’s death, at the lack of a section 47 enquiry, an accompanying core assessment, and a lack of consideration of either support to the family or an initial child protection conference. It was agreed that a Serious Care Review should be carried out.