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Death or Serious Injury to a Child (Looked After, and Child in Need or Care Leaver Up to and Including the Age of 24)

Scope of this chapter

This procedure outlines the steps to be taken in the event of the death of or serious injury to a child living in the community (where there are suspicions of abuse or neglect) and the death of/serious injury to any Looked After Child (whether or not the abuse or neglect is known or suspected).

These steps are in addition any Rapid Review or Child Safeguarding Practice Review which may be commissioned and the work of the Child Death Overview Panel.

This procedure uses the expression Designated Manager (Death or Serious Injury to a Child). This Designated Manager must also be notified in circumstances where there is a serious injury to a child.

Amendment

In July 2024, this chapter was updated in line with Working Together to Safeguard Children. New Section 3, Death of a Care Leaver Up to and Including the Age of 24 was added.

July 22, 2024

Local authorities in England must notify the national Child Safeguarding Practice Review Panel (the Panel) within 5 working days of becoming aware of a serious incident.

Serious incidents which should be reported are those where the local authority knows or suspects that a child has been abused or neglected and:

  • The child dies (including suspected suicide) or is seriously harmed in the local authority's area;
  • While normally resident in the local authority's area, the child dies or is seriously harmed outside England;
  • The process for reporting a serious incident to the Panel via the Child Safeguarding Incident Notification System is set out in the following: Report A Serious Child Safeguarding Incident (GOV.UK). The Panel will share all notifications with Ofsted and the DfE.

The following tasks are also required:

The child's social worker or, if not previously known to Children's Social Care, the duty worker receiving the information will:

  1. Immediately inform their line manager;
  2. Obtain as much information as possible on the circumstances surrounding the cause of death/serious injury and pass this to the line manager.

The line manager will immediately inform the Designated Manager (Death or Serious Injury to a Child) by telephone and provide follow up information in writing as soon as possible afterwards.

The Designated Manager (Death or Serious Injury to a Child) will:

  1. Inform the Director of Children's Services, who will notify local authority members as necessary;
  2. Ascertain as full details as possible from the Police and any other source;
  3. Request their administrative staff to check Children's Services records on the child and family and print out any information held;
  4. Collect any files held on the child and family and secure them in the correct office location;
  5. Arrange to inform relevant agencies about the death/serious injury and remind them to secure their files;
  6. Arrange to consider the circumstances of the death/serious injury, in accordance with the Blackburn with Darwen, Blackpool and Lancashire Children's Safeguarding Assurance Partnership (CSAP), including the need to hold a Rapid Review meeting and, where a child has died, a referral to the Child Death Overview Panel.

Local authorities should use the Child Safeguarding Incident Notification System to notify the Panel. The Panel will share all notifications with Ofsted and the DfE. The Designated Manager (Death or Serious Injury to a Child) is responsible for the completion of the online notification. The form requires details of the child, family, involved agencies and of the incident.

A copy of the completed form should be downloaded and saved.

In urgent situations, the Assistant Director or Director of Children's Services should telephone Ofsted on 0300 123 1231 and then complete the form.

Where a Child Safeguarding Practice Review is to be held, this must be conducted in accordance with Chapter 4: Working Together to Safeguard Children and the Blackburn with Darwen, Blackpool and Lancashire Children's Safeguarding Assurance Partnership (CSAP). The Head of Safeguarding will determine the most appropriate person to represent children's services on the review panel and who will be responsible for preparing information for submission to the panel. The review will be undertaken by an Independent Reviewer appointed by the Safeguarding Partners. They will use a systems methodology, although the exact model will vary according to the circumstances of each case. It is likely that each agency will be required to submit a chronology of their involvement and that there will be a practitioner event in which those practitioners who directly worked with the family come together to reflect on their experiences. The objective of the review is to prevent or reduce the risk of recurrence of similar incidents. They are not conducted to hold individuals, organisations or agencies to account, as there are other processes for that purpose, including through employment law and disciplinary procedures, professional regulation and, in exceptional cases, criminal proceedings.  The reviewer should draw conclusions and make recommendations for future action as a result of any lessons learned. Recommendations may be for the multi-agency system or individual agencies. The final report, other than in exceptional circumstances, will be published.

Where information comes to notice of the death of or serious injury to a child in care, the following tasks are required:

The child's social worker will:

  1. Immediately inform their line manager;
  2. Notify the parent(s) immediately and in person, if possible;
  3. In the event of a child's death, discuss with the parent(s) and reach agreement regarding the arrangements for the funeral (in the event of sudden, unexplained deaths arrangements for the funeral may need to be delayed);
  4. In the event of a serious injury to the child, arrange with the parent(s) to visit the child in hospital;
  5. Obtain as much information as possible on the circumstances surrounding the cause of death/serious injury and pass this to their line manager; and
  6. Discuss with the line manager any necessary expenditure including reasonable travel expenses to assist the family in attending the funeral or visiting the child in hospital where it appears there is financial hardship;
  7. Where the child was in a long term foster placement, discuss with the line manager any possible conflict between the carers and the parents regarding arrangements for the child's funeral.

The line manager will:

  1. Immediately inform the Designated Manager (Death of a Child) by telephone and provide follow up information in writing as soon as possible afterwards;
  2. Advise Legal Services initially by telephone, then confirm details in writing; and
  3. Contact the Insurance Section of the Finance Department, initially by telephone and then in writing.

The Designated Manager (Death or Serious Injury to a Child) will:

  1. Inform the Director of Children's Services, who will notify Members as necessary;
  2. Ensure that the parents' wishes concerning the funeral are discussed (by the social worker or the team manager), that any possible conflict with the wishes of the carers are also ascertained and addressed, and that any appropriate associated costs are met;
  3. Notify the Safeguarding Partners under the Blackburn with Darwen, Blackpool and Lancashire Children's Safeguarding Assurance Partnership (CSAP) Procedures, including consideration of the need to hold a Rapid Review;
  4. Additionally, whenever a child who is Looked After dies, the local authority must inform the national Child Safeguarding Practice Review Panel within 5 days using the Child Safeguarding Incident Notification System. The Panel, will share all notifications with Ofsted and the DfE. The local authority must also notify the Secretary of State and Ofsted when a child who is Looked After has died, whether or not abuse or neglect is known or suspected.

In the event of a Child Safeguarding Practice Review being required, the steps outlined above will apply.

Working Together to Safeguard Children provides that the local authority should also notify the Secretary of State for Education and Ofsted of the death of a care leaver up to and including the age of 24. This should be notified via the Child Safeguarding Online Notification System. The death of a care leaver does not require a rapid review or local child safeguarding practice review. However, safeguarding partners must consider whether the criteria for a serious incident have been met and respond accordingly, in the event the deceased care leaver was under the age of 18. If local partners think that learning can be gained from the death of a looked after child or care leaver in circumstances where those criteria do not apply, they may wish to undertake a local child safeguarding practice review.

During the implementation of this procedure consideration must be given to the needs of those staff and carers involved in the case.

The impact of a child death on social workers/team/manager/carers needs to be addressed in terms of:

  • The need for counselling for those involved;
  • The manner in which such support is offered;
  • The provision of access to legal and professional advice about the ongoing conduct of the case;
  • The provision of a clear explanation of the process of a Child Safeguarding Practice Review;
  • Support for staff in the event of Police investigation/interviews;
  • The need to inform and keep informed any relevant Trades Unions;
  • The need for team debriefing whilst observing confidentiality. This must be discussed with the Service Manager;
  • The need to acknowledge that a child death can impact on the productivity of any team and its ability to function; and the need to agree strategies to manage workloads.

Last Updated: July 22, 2024

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