CHILD DEATH OVERVIEW PROCESSES SUMMARY SUMMARY

KEY QUESTION FOR CDOPS: Was it Preventable? Preventable death:Preventable death: “Those in which modifiable factors may have contributed to the death”.“Those in which modifiable factors may have contributed to the death”. These factors are defined as those which, by means of nationally or locally achievable interventions, could be modified to reduce the risk of future child deaths.These factors are defined as those which, by means of nationally or locally achievable interventions, could be modified to reduce the risk of future child deaths.

Working Together Ch 7 – Child Death Review Processes A rapid response by a group of key professionals who come together for the purpose of enquiring into and evaluating each unexpected death of a childA rapid response by a group of key professionals who come together for the purpose of enquiring into and evaluating each unexpected death of a child an overview of all child deaths up to the age of 18 years (excluding both those babies who are stillborn and planned terminations of pregnancy carried out within the law)an overview of all child deaths up to the age of 18 years (excluding both those babies who are stillborn and planned terminations of pregnancy carried out within the law)

Sudden unexpected Death of an Infant or Child Immediate Response Early Response Later Response Identifying contributory factors Establishing cause of death Support for Family

Categories of Childhood Deaths Neonatal – Under 28 days oldNeonatal – Under 28 days old Expected deaths from natural causesExpected deaths from natural causes Unexpected deaths from natural causesUnexpected deaths from natural causes Unexpected deaths that remain unexplainedUnexpected deaths that remain unexplained AccidentsAccidents HomicidesHomicides SuicidesSuicides

Child Death Overview Panel Death of an Infant or Child Standard bereavement care Interagency Rapid Response Child Protection / Criminal Investigation Death registration Information gathering Coroner’s Inquest Final Case Discussion Serious Case Review Expected Unexpected Suspicious?

Principles underlying the Overview of all Child Deaths 1.Every child’s death is a tragedy 2.Learning lessons 3.Joint agency working 4.Positive action to safeguard and promote the welfare of children

The Process of Child Death Overviews Death of an infant or child CDOP Administrator / Manager Child Death Overview Panel Local Safeguarding Children Board Next working day 3-6 months Notification Data Collection Data Collation Analysis Report / Recommendations Preventative Action Form A Form B Form C

Form A: Notification Case informationCase information - Details of referrer- Details of referrer - Basic identifying details of child- Basic identifying details of child - Details of the death- Details of the death - Family members- Family members - Details of notification- Details of notification Case ManagementCase Management - Agency contacts- Agency contacts - Details of case management- Details of case management

Form B: Agency Report  A – Identifying and reporting details  B – Summary of case  C – The child  D – Parenting capacity  E – Family and environment  F – Service provision

Form B: Supplementary Forms  B2 Road traffic accidentsB7 Substance misuse  B3 DrowningB8 Apparent homicide  B4 Fire / BurnsB9 Apparent suicide  B5 PoisoningB10 SUDI  B6 Other non-intentional injuryB11 Post-mortem findings

Involving Families Information leafletInformation leaflet Letter to parentsLetter to parents - Informing of process- Informing of process - Opportunities to contribute- Opportunities to contribute - Process for feedback- Process for feedback

Form C: Analysis Proforma  Cause of death and case summary  Four domains, factors graded 0 – III The childThe child Parenting capacityParenting capacity Family and environmentFamily and environment Service provisionService provision Categorisation of deathCategorisation of death PreventabilityPreventability Issues Identified; learning points; recommendationsIssues Identified; learning points; recommendations Action specific to the caseAction specific to the case