CHSCB SCRs Fergus Smith, Independent Reviewer, CAE Child M: - PowerPoint PPT Presentation

CHSCB SCRs Fergus Smith, Independent Reviewer, CAE

Child ‘M’: Serious Case Review Purpose of Seminar • Remind Participants of Events & Issues Emerging • Encourage Multi-Agency Debate • Maximise Understanding & Acceptance of Opportunities for Organisational Learning Trigger: bi-lateral fractured femurs of 13 month + facial bruising

Child ‘M’: Serious Case Review Case History: Summary (1) • Mother Experienced Domestic Abuse in Early 2014 • Sib. 1 (< 3 years old in 2014 ) very obese – Mother Denying • Father of Child M on ‘Licenced Release’ • Child M born in May 2015 – Maternal Rejection of her Health Visitor

Child ‘M’: Serious Case Review Case History: Summary (2) • 1st Potential Non-Accidental Injuries: (Child M 3 weeks old) in August 2015 – Not Substantiated • Arrest of Mother (Assault ) & Father (Drugs) • ‘Team Around Family’ Service • 2nd Potential Non-Accidental Injuries: (Child M 6 months old)

Child ‘M’: Serious Case Review Case History: Summary (3) • Children Made Subject of Protection Plans (November 2015) • Further Domestic Abuse – Mother Denying Intimate Relationship • Child M by April 2016 Obese / ? Engagement with Parenting Support • ? Supervision of Father’s Access to Child M

Child ‘M’: Serious Case Review Conclusions / Systemic Vulnerabilities • Avoidant Behaviour & Disguised Compliance • Scope for More Professional Curiosity & Challenge • Some ‘Professional Optimism’

Child ‘M’: Serious Case Review Organisational Learning • Appreciation of Child Protection-related expectations in GP Practices & Probation Service • Improved Use of Documentation in Paediatric Department • Clearer Shared View Across the Network of Options in cases of Non / Episodically Co-operative Individuals • Consideration by Children’s Social Care of All Relevant Contributors

Child ‘M’: Serious Case Review Recommendations • City & Hackney Safeguarding Children Board (CHSCB) • Clinical Commissioning Group (CCG) • Homerton Hospital Paediatric Dept. • National Probation Service • Hackney Children’s Social Care

Child ‘N&O’: Serious Case Review Case History: Summary (1) • Unremarkable Ante-natal Care / Mother a Good Attender • No Reports or Evidence of Domestic Abuse • Father Less ‘Visible’ in Records • Linguistic Barriers Recognised Trigger: fatal & non-fatal assault by father on 16 month old twins

Child ‘N&O’: Serious Case Review Case History: Summary (2) • Post-natal Exploration of ? Domestic Abuse Constrained by Circumstances • Some Observation of Maternal Anxiety • Routine GP Presentations & 1 Year Developmental Review (father’s ‘visibility’) • Family’s Move to Hackney (March 1st 2017)

Child ‘N&O’: Serious Case Review Case History: Summary (3) • Monday March 13th: Employer’s Alert of Health Visiting Service & a Paternal Referral to Children’s Social Care FAST • Response: Checks (Tues); Phone Contact with Mother (Wed & Fri) • Assaults Occurred Late Saturday 18th (some confusion with Ambulance Responses)

Child ‘N&O’: Serious Case Review Challenges Faced by Practitioners • Capturing Significance of Fathers • Appreciating Linguistic / Cultural Barriers to Communication e.g. of domestic abuse • Factors Impacting on Responses (perceived risk/s + what if allegation had been from mother / NSPCC?)

Child ‘N&O’: Serious Case Review Conclusion / Systemic Vulnerabilities? • Trigger Event Unpredictable but…… • Risk of Marginalising Fathers • Challenge of Linguistic / Cultural Barriers

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