Following publication of the serious case review into the death of Daniel Pelka, the Parliamentary Under Secretary of State for Children and Families wrote to the Chair of Coventry Safeguarding Children Board on 16th September 2013 requesting a deeper analysis of the reasons why practice failures had occurred.
This deeper analysis was asked to look specifically (but not exclusively) into:
- Why was basic information not recorded properly both within and between agencies
- Why was information needed to protect Daniel not shared between the relevant agencies
- Why did four separate assessments by children's social care all fail to identify the risk to Daniel and what was the oversight of those decisions?
This report is not intended to repeat the findings of the original serious case review but sets out to seek to explain in more detail why specific practice failures occurred at that time.