Neath and Port Talbot Watchdog (NPTW)

The fight for justice against corruption is never easy. It never has been and never will be. It exacts a toll on our self, our families, our friends, and especially our children. In the end, I believe, as in many individual cases, the price we pay is well worth holding on to our dignity. Free Tommy Robinson
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Child H aged 4 months

Nottingham Social Services
Case Review 2015

 Death of a 4-month-old girl in December 2012. Child H died of unknown causes but had a number of injuries which were thought to be non-accidental.

Background: the family was known to a number of agencies due to the serious domestic abuse the mother had experienced with her previous partner, who was the father of Child H and her sibling. Mother had a history of mental health problems, abusive relationships and alcohol misuse.

Learning: identifies learning, including: holding a common assessment framework (CAF) meeting earlier would have helped clarify concerns, responsibilities and what needed to change and professionals should consider the impact of historic experiences of domestic violence.

Recommendations: share the learning from the review and commission a multi-agency case file audit of children subject to a common assessment framework (CAF) where domestic abuse is an issue.

Model: uses the Significant Incident Learning Process (SILP) to review the case.

Read the overview report