This Extended Child Practice Review was commissioned by the Chair of the North Wales Safeguarding Children’s Board in September 2015. This review was undertaken following the tragic death of an 11 year old child following a severe asthma attack in Denbighshire. This happened in June 2015.
The Extended Child Practice Review Report was sent to Welsh Government in March 2017 and, under the regulations, the Welsh Government Safeguarding Team can draw in other parts of the Welsh Government and Inspectorates Group as appropriate in any further action is needed. No further actions was needed.
The independent reviewers identified areas of good practice from Local Authority Social Services such as having a clear record of compliance with statutory visits and regular core groups and that child protection plans were routinely reviewed highlighting areas of progress. There is strong evidence of good practice in BCUHB in the management of the child’s asthma and close communication between all health professionals. In respect of Education, there is evidence they worked well with their multi-agency colleagues, demonstrated good attendance the child protection meetings and made appropriate referrals when concerns were identified
The review highlighted the need for ensuring the voice of the child is heard and where appropriate children and young people should be given opportunities to contribute directly to decision making and to assessments of need and risk and this should be documented. It was also highlighted that concern regarding medication not be used were not shared within the final review conference and this was clearly fundamental to understanding the true picture in relation to medical need,
Medical representation at the final conference was highlighted as were issues with sharing of some information. The review also highlighted that whilst staff were aware of what certain assessment measured these were not completed in line with case conference recommendations. The Public Law Outcome processes were also raised as an issue as were issues regarding disguised compliance
An action plan has been formulated and is being monitored by the North Wales Safeguarding Children’s Board to ensure that reflection and learning has taken place across all agencies that worked with this family
You will find the report in the CPR Section of the Website
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