1. Pre mobile infants Compilation of themes arising from recent SCR and Management Reviews

2. 2 Serious Case Reviews Four weeks old Seven weeks old

3. Management Review Five months old

4. Vulnerability Indicators- Parents Young parents Formerly in care Substance abuse Mental Health Limited support network Learning difficulty

5. Vulnerability Indicators- Parents Previous child removed for adoption Violence and petty criminality Wider family violence Non-co-operation with services

6. Agency involvement Universal services 2 previous MASH referrals Previous social care involvement Child protection plan pre birth Public Law Outline

7. Agency Involvement Police Multi Agency Risk Assessment Conference (MARAC) Mother refusal to engage with Perinatal Mental Health Team and Children’s Centre Devon Docs, GP, Health Visitor, Minor Injuries Unit, Emergency Department

8. Common to all three Pre mobile babies Physical injuries Living at home BUT All had vulnerability indicators

9. Themes Voice and experience of the unborn baby or baby Analysis and planning Information sharing

10. Themes Parental needs superseding the needs of the unborn or baby Parental lack of engagement or disguised compliance Professional curiosity and avoid overly optimistic planning

11. Actions What can you change in your practice TODAY? What can your organisation do differently? How can you make this happen?