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- Neglect strategy | Croydon Safeguarding
Croydon's multi-agency approach to identifying, preventing, and responding to child neglect, with key indicators and practice guidance. Croydon Neglect Strategy The Croydon Safeguarding Children Partnership (CSCP) is committed to protecting children and young people from neglect and ensuring they have the opportunity to thrive. Neglect is the most common form of child abuse in the UK, and its impact can be profound and long-lasting. Our strategy focuses on early identification, effective intervention, and collaborative working to safeguard children and support families. Southwest London (SWL) Neglect Strategy The SWL Neglect Strategy represents a collaborative effort across Croydon, Kingston and Richmond, Merton, and Wandsworth Safeguarding Children Partnerships to address child neglect. This strategy emphasises: A child-centred approach, ensuring the voice of the child is heard in all decisions. Early intervention and prevention, focusing on identifying risks and providing support before neglect escalates. Multi-agency collaboration, bringing together professionals from health, education, social care, and other sectors to safeguard children effectively. Download Neglect Strategy here In addition to the Neglect Strategy, we encourage practitioners to read the Safeguarding Practice Reviews related to neglect. These reviews offer valuable insights into recognising and responding to neglect, highlighting real-life learning to inform and improve multi-agency practice. To support this, we’ve developed a series of 7-Minute Briefings to accompany the full reviews—concise, accessible resources that highlight key learning points and offer practical guidance. Ben (2022)– 7-Minute Briefing | Read the full review This review examines the tragic death of a two-year-old boy, highlighting systemic challenges in identifying and addressing neglect in early childhood. Ben's mother, a young first-time parent with a history of adverse childhood experiences and low-level depression, struggled to engage with support services. Carl & Max (2022) – 7-Minute Briefing | Read the full review This review examines the tragic case of Carl, a 16-year-old who was fatally stabbed. The review highlights how chronic neglect—manifested through repeated homelessness, unstable housing, and prolonged absence from education—significantly impacted Carl's wellbeing and development. These materials are designed to help practitioners reflect on their own practice and drive better outcomes for children at risk of neglect. Child Wellbeing Tool The CSCP Child Wellbeing Tool is designed to support practitioners in assessing and addressing the needs of children and young people across Croydon. This tool aligns with the Southwest London (SWL) Neglect Strategy and provides a structured, evidence-based approach to identifying and responding to concerns about child neglect. The Child Wellbeing Tool focuses on four key areas of a child’s life: The tool is designed to complement existing frameworks, such as the Graded Care Profile 2 (GCP2), and should be used alongside it when neglect is suspected or identified. It supports practitioners in making consistent, child-centred decisions and provides clear guidance on next steps based on the level of need identified. What difference will the tool make? Improve Early Identification: Help practitioners identify concerns about neglect and other wellbeing issues at an early stage, enabling timely intervention. Standardise Assessments: Provide a consistent, evidence-based framework for assessing children’s needs across agencies. Enhance Collaboration: Support multi-agency working by providing a shared language and approach to safeguarding. Empower Practitioners: Offer clear guidance on next steps, ensuring children and families receive the right support at the right time. Focus on the Child’s Voice: Ensure the child’s experiences and needs are central to all assessments and interventions. The SWL Neglect Strategy and CSCP Child Wellbeing Tool is designed for all professionals working with children and families, including: Social workers Health visitors School staff (e.g., teachers, designated safeguarding leads) Early years practitioners Police and housing officers Voluntary and community sector workers It is particularly useful for practitioners who: Have concerns about a child’s wellbeing. Need to assess the level of support required for a child or family. Are involved in multi-agency safeguarding work. Next Steps If you have concerns about a child’s wellbeing or suspect neglect: If you are a not a licensed GCP2 practitioner, use the CSCP Child Wellbeing Tool to assess the child’s needs and determine the level of support required. If you are a licensed GCP2 practitioner, use the GCP2 Tool for a detailed assessment of care quality where neglect is suspected. Contact MASH Consultation Line for advice and support, call 0208 726 6000, Option 1. If a referral to Children's Social Care or Early Help is required, please complete a Multi-agency Referral Form For non-urgent support needs refer families to the Croydon Early Help directory for information of voluntary, community and faith organisations who can also offer support some advice. Access CSCP Reviews and briefings for additional guidance on specific aspects of neglect. Further Reading and Resources Strengthen Your Safeguarding Practice – Book Now The NSPCC Graded Care Profile 2 Watch this short video to hear directly from professionals about the impact of GCP2: Watch here Frequently Asked Questions NSPCC - GCP2 Background Become a licensed GCP2 Practitioner London Safeguarding Children Procedures - Neglect Click here to view guidance Neglect strategy Reviews CSCP Child Wellbeing tool Further reading and resources Download Tool CSCP Child Wellbeing Tool CSCP Child Wellbeing Tool - Part A.docx CSCP Child Wellbeing Tool - Part B.xlsx Become a GCP2 licensed practitioner Book the eLearning course
- Seeing the whole child | Croydon Safeguarding
Learn from safeguarding case reviews where young people died by suicide. Explore risk factors, warning signs, and prevention strategies to protect vulnerable adolescents. Seeing the Whole Child: Learning from practice The CSCP has drawn critical learning from a series of Case of Concern reviews, an innovative process developed to examine complex cases that fall below the statutory review threshold but still offer significant opportunities for system-wide improvement. The cases of Cassie, Carlos, and Camille reveal key learning about the importance of centering the child’s voice, applying professional curiosity, and strengthening multi-agency coordination. This thematic study highlights cross-cutting issues and promotes reflective supervision, encouraging practitioners to embed these insights into everyday safeguarding practice. Each case offers a distinct lens into the risks and responsibilities of multi-agency work. Together, they form a critical thematic learning opportunity. Cross-Cutting Reflections: Strengthening Systems by Centring the Child A review of the Cassie, Carlos, and Camille cases identifies consistent patterns that expose systemic vulnerabilities. These are not isolated failings but indicators of broader practice challenges requiring collective ownership and deliberate change. 1. Centring the Child’s Voice Is Not Optional Across all cases, the child's perspective was either diminished, misinterpreted, or deprioritised in favour of procedural, legal, or operational constraints. A child-centred approach must go beyond statutory compliance, it requires: Actively seeking the child's voice, especially during transitions or crisis points Understanding behaviour as communication, particularly where verbal expression is limited or trust is fractured Embedding mechanisms for children to participate in planning decisions, and not just be recipients of them 2. Professional Curiosity Requires Depth, Not Just Compliance Curiosity is not simply asking more questions, it is about asking the right questions and being open to answers that challenge professional assumptions. These cases demonstrate that: Risk is often hidden behind procedural conformity; a plan being in place does not mean it is effective Biases—such as adultification and criminalisation, undermine safeguarding by reframing vulnerability as culpability Curiosity must extend to peers and other professionals, checking assumptions across the network, not just within individual assessments 3. Escalation and Decision-Making Must Be Process-Led, Not Person-Dependent Inconsistent escalation routes, reliance on informal relationships, and lack of clarity in roles contributed to drift and risk exposure in each case. Improvements are needed in: Clarifying escalation protocols and thresholds across agencies, particularly for non-statutory but high-risk cases Ensuring decision-making processes are transparent, auditable, and collaborative Using formal structures (e.g. case of concern process, strategy meetings) to generate system-wide solutions, not just single-agency actions 4. Placement Sufficiency and Suitability Must Be Understood as a Safeguarding Issue The shortage of regulated placements and delays in mental health access are not logistical issues alone, they are safeguarding concerns that have direct consequences for children's safety and wellbeing. Professionals must: Continue to escalate placement barriers through appropriate strategic channels Advocate persistently for placements that meet therapeutic and relational needs, not just beds that are available Monitor the impact of unsuitable arrangements as active risk, not just as temporary compromises Cassie: System Drift, Missed Protocols and Emotional Safety Cassie, a vulnerable child with mental health needs, remained in A&E for over two weeks due to the absence of a coordinated discharge and placement plan. Despite the existence of inter-agency protocols, their inconsistent application delayed care and led to further harm when Cassie later self-harmed and required secure accommodation. Learning Themes: Child’s voice was secondary to systems-focused discussions around process, placement, and risk ownership Failure to escalate proportionately, with decisions relying on relationships rather than structured processes Mental health interventions were not prioritised early enough, delaying access to essential care Why Read the Full Briefing: Cassie’s case underscores the importance of professional vigilance in managing escalation, monitoring care pathways, and ensuring the child’s emotional safety is never sidelined by procedural complexity. Cassie: 7 minute briefing Carlos: Discharge Failures and Dual Victimhood Carlos sustained injuries after being attacked by a group of young people, but was discharged from hospital into police custody shortly after surgery. His mother was not informed, and he was interviewed under general anaesthetic recovery, with a scheme-allocated adult instead of a family member. Learning Themes: Unconscious bias: Carlos’s identity as a child was overshadowed by his perceived criminality Lack of joined-up communication meant agreed safety plans were not followed Insufficient safeguarding lens during critical transition points such as discharge and police procedures Why Read the Full Briefing: Carlos’s case demonstrates how safeguarding can fail when children are viewed through a deficit lens, and how professional curiosity is needed to challenge assumptions and see the whole child. Carlos: 7 minute briefing Camille: Placement Breakdown, Crisis Response and Unseen Harm Camille was placed in emergency accommodation due to an urgent lack of suitable placements. The environment failed to meet her complex needs, resulting in multiple police callouts and hospital admissions. The case prompted questions about national placement sufficiency and local agency coordination. Learning Themes: Her voice became lost amidst urgency and structural limitations Systemic strain on placements left professionals to make difficult compromises Reactive rather than trauma-informed response, escalating Camille’s vulnerabilities Camille’s case illustrates the importance of building resilient systems that prevent short-term placement decisions from compounding trauma. It also highlights the importance of listening to the child, even under crisis conditions. Further Resources and Tools Practitioners are encouraged to revisit: CSCP Escalation and Resolution Policy CSCP Multi-Agency Practice Guidance Reflective Supervision Prompts: Embedding Learning into Practice These prompts are designed to support reflective dialogue during supervision, team debriefs, and case audits. They move beyond task completion to explore the quality, intent, and impact of professional interventions Voice of the Child How have we ensured the child’s voice is represented in this case? What are we hearing from the child—not just through their words, but through their behaviour and circumstances? Have we made space for the child to contribute meaningfully to decisions affecting them? Professional Curiosity What assumptions are we making about this child, and where have they come from? Have we explored all alternative explanations for what we are seeing or being told? What do we know, what are we inferring, and what do we need to test or challenge? Decision-making and Escalation Are the decisions being made grounded in process and evidence, or shaped by informal dynamics? Have we escalated this concern through the right channels, at the right time? Do all partners understand and agree the plan—and is it being implemented with accountability? Placement and Planning Is this placement in the child’s best interests, or is it the only available option? How is the child experiencing this placement, and have we reviewed their safety, wellbeing, and sense of belonging? Are we advocating robustly enough when the system is not meeting the child’s needs? System-wide Practice What does this case tell us about wider practice issues in our service or partnership? Are there recurring themes from other cases that this situation reflects? How are we capturing learning and applying it to improve systemic responses, not just individual casework?
- Information sharing | Croydon Safeguarding
Guidance on safe and effective information sharing in safeguarding. Understand legal frameworks, consent, and best practices to protect vulnerable individuals. Information Sharing and Professional Curiosity Effective safeguarding relies on timely information sharing and a culture of professional curiosity. These principles are vital for identifying risks, protecting children, and ensuring coordinated multi-agency responses. The following findings have been drawn from a series of local safeguarding briefings that highlight the importance of professional curiosity, accurate information sharing, and clear multi-agency roles in keeping children safe. Cross-Cutting Themes Professional Curiosity: Safeguarding requires practitioners to question, explore, and remain alert to the child’s voice—especially in complex family environments. Information Sharing: Delays, gaps, or failure to share information contributed to missed opportunities across all reviewed cases. Clear Roles and Escalation: Clarity of roles, thresholds, and escalation routes are essential to prevent drift and diffusion of responsibility. Cumulative Harm: Professionals must be able to identify risks that build up over time, even when each incident in isolation seems low-level. Accuracy in Referral Information: Across the cases, referral forms often lacked key details, historical context, or an analysis of risk. This contributed to decisions being made on partial or overly optimistic views of the child’s situation. Accurate, detailed, and balanced information in referrals is essential for effective decision-making. Professionals should ensure that referrals reflect the full scope of concerns, including known history, existing support, and any professional disagreements. Learning from CSCP Reviews Effective safeguarding hinges on timely, accurate, and purposeful information sharing. The CSCP has drawn key learning from a series of local reviews and briefings to support improved professional practice. This includes findings from the cases of Carlos, Cassie, Emily & Jack, and the CSCP’s updated information sharing guidance. 1. The Importance of Professional Curiosity In both the Cassie and Emily & Jack cases, insufficient professional curiosity contributed to missed opportunities for early intervention. Practitioners must ask probing, respectful questions, remain open-minded, and seek to understand the child’s lived experience beyond what is initially presented. 2. Proactive and Timely Information Sharing In the Carlos case, delayed and partial sharing of concerns led to fragmented responses and missed early warning signs. Effective safeguarding relies on all professionals understanding when and how to share information—even when a full picture isn’t yet formed. 3. Importance of Multi-Agency Collaboration The reviews reinforced that no single agency holds the full picture. In Cassie’s case, vital indicators were held across different services and never triangulated. Regular multi-agency meetings and clear escalation protocols can help unify understanding and decision-making. 4. Accuracy in Capturing and Communicating Concerns The CSCP’s 2024 guidance highlights the need for precise, evidence-based documentation during referrals. Inaccurate or vague descriptions can downplay risk or hinder appropriate thresholds being met. Clearly articulating concerns—using specific language and examples—is essential for enabling the right safeguarding response. To learn more about these cases: find a review or download a briefing Good Practice in Action A police officer attending a domestic incident involving a teenager showed professional curiosity when noticing discrepancies in family members’ accounts. The officer checked internal records and found a pattern of low-level concerns previously reported by other agencies. Rather than closing the incident as isolated, the officer flagged it through a Multi-Agency Safeguarding Hub (MASH) referral. This led to a coordinated response, with joint visits by social care and police, ultimately uncovering coercive control and neglect. The officer’s initiative in questioning, documenting clearly, and seeking a multi-agency view ensured the child’s voice was heard and appropriate support was provided. Learning and Moving Forward Develop shared language and tools to improve consistency across referrals and assessments. Strengthen practitioner confidence in making referrals, especially in cases of cumulative harm or when evidence is unclear, but concerns persist. Embed reflective supervision and training focused on professional curiosity and information sharing. Promote a culture of challenge where practitioners are supported to question decisions respectfully and raise concerns when systems are not responsive. Reinforce accurate recording practices, ensuring every professional is accountable for the quality of their written communications. Further Resources 7-minute briefing: Information Sharing Department for Education guidance: Information sharing London multi-agency safeguarding data sharing agreement Multi-agency information protocol
- 7-minute briefings | Croydon Safeguarding
Access quick, easy-to-read 7-minute briefings on key safeguarding topics. Ideal for busy practitioners needing bite-sized learning and updates. আমাদের টিম আমি একটা অনুচ্ছেদ। এখানে ক্লিক করে নিজের লেখা যোগ করুন এবং আমাকে এডিট করুন। এটা সহজ। শুধু "Edit Text" এ ক্লিক করুন অথবা আপনার নিজস্ব কন্টেন্ট যোগ করতে এবং ফন্টে পরিবর্তন করতে আমাকে ডাবল ক্লিক করুন। আপনার পৃষ্ঠায় যেকোনো জায়গায় আমাকে টেনে আনতে দ্বিধা করবেন না। আমি আপনার জন্য একটি দুর্দান্ত জায়গা যেখানে আপনি গল্প বলতে পারেন এবং আপনার ব্যবহারকারীদের আপনার সম্পর্কে আরও কিছু জানাতে পারেন। Case of Concern: Camille Camille’s case reveals major gaps in urgent placements, communication, and legal processes, after unsuitable emergency housing led to police involvement and hospital admissions. ১১ ডিসেম্বর, ২০২৫ Published: Read review National Review: John Smyth QC The CSCP Independent Scrutineer reviewed the Church of England's safeguarding practices to ensure robust protection for vulnerable individuals. ৮ এপ্রিল, ২০২৫ Published: Read review National Referral Mechanism The document provides information on the National Referral Mechanism (NRM) in the UK for identifying and supporting victims of modern slavery. ২১ নভেম্বর, ২০২৪ Published: Read review LCSPR: Serious Youth Violence This briefing summarises the thematic review which examined the cases of seven children/young people who were involved in the killings of three other children in 2021. The review highlights the voices of the affected families, practitioners, and community members. ২৬ জানুয়ারী, ২০২৪ Published: Read review Information Sharing Guidance for practitioners and organisations in understanding how to share personal information lawfully and appropriately, ensuring compliance with the Data Protection Act 2018 and UK GDPR. ২৪ আগস্ট, ২০২৩ Published: Read review LCSPR: Carl & Max This briefing examines the tragic case of 16-year-old Carl, who was fatally stabbed, and highlights issues such as homelessness, neglect, and a disrupted education. ২৫ ফেব্রুয়ারী, ২০২২ Published: Read review LCSPR: Vulnerable Adolescents In the summer of 2017, three Croydon teenage boys known to social services lost their lives. The CSCP agreed to conduct a thematic review that would determine whether there were any patterns in the children’s experiences. ১৪ ফেব্রুয়ারী, ২০১৯ Published: Read review Case of Concern: Christine This briefing draws on learning from an Appreciative Inquiry review into the experiences of “Christine”, a young person who became vulnerable following her primary carer’s imprisonment at the age of 14. ১৭ অক্টোবর, ২০২৫ Published: Read review Case of Concern: Carlos Our latest briefing outlines the case of a 15-year-old young person with a complex history, highlighting the importance of learning from timely, coordinated safeguarding responses. ৭ এপ্রিল, ২০২৫ Published: Read review Right Care, Right Person This briefing serves as a resource for safeguarding partners, local authorities, and police officers involved in Right Care Right Person for children. ১৯ জুলাই, ২০২৪ Published: Read review LCSPR: Chloe 'Chloe,' a 17-year-old who experienced early trauma and entered statutory care in her early teens, tragically lost her life. The inquest concluded her death was an accident, finding no clear intent to take her own life. ২০ অক্টোবর, ২০২৩ Published: Read review LCSPR: Jake The review of 17-year-old Jake’s case highlights challenges, including late entry to care, placement instability, and mental health concerns. Emphasising the need for earlier support and better responses to dual diagnosis. ২১ জুলাই, ২০২৩ Published: Read review LCSPR: Ben This review highlights lessons in engaging vulnerable young parents, mainly when domestic abuse is a concern. The missed opportunities to support the mother and her child, Ben, led to tragic outcomes. ২১ জানুয়ারী, ২০২২ Published: Read review Leadership, Trust & Accountability This briefing is intended for trustees, board members, senior leaders, and individuals in positions of trust. It also supports those who may have concerns about the behaviour or suitability of individuals in trusted roles. ৯ মে, ২০২৫ Published: Read review Case of Concern: Cassie This briefing reflects on a case about a child who experienced multiple incidents requiring intervention and highlighting the need for improved agency coordination. ২০ ডিসেম্বর, ২০২৪ Published: Read review LCSPR: Baby Eva Baby Eva, four months old, was hospitalised with a fracture; scans revealed multiple injuries of different ages. The review stresses the need for proactive risk assessment before and after birth. ৭ এপ্রিল, ২০২৪ Published: Read review Rapid Review: Intra-Familial CSA This briefing summarises key findings from a rapid review into a case of intra-familial child sexual abuse, highlighting areas for professional reflection and opportunities to strengthen safeguarding responses. ২৪ আগস্ট, ২০২৩ Published: Read review Unexplained Deaths (under 1s) This briefing explores recommendations from case reviews, emphasising the need for robust safeguarding practices and multi-agency collaboration to prevent future tragedies. ২১ জুলাই, ২০২২ Published: Read review LCSPR: Emily & Jack Following a tragic incident where a three-month-old baby girl, referred to as 'Emily', was killed by her mother, a serious case review was conducted and identified the need for improvements in local agency information sharing. ২১ জুন, ২০২০ Published: Read review
- FOI Requests | Croydon Safeguarding Children Partnership
Find information on how to submit a Freedom of Information (FOI) request to the CSCP and access previously published data and responses. FOI Requests The Freedom of Information Act 2000 (FOI) provides the public with a general right of access to information held by public bodies, such as local government, the police, the NHS, and state schools. The Croydon Safeguarding Children Partnership (CSCP) is a statutory partnership established under the Children Act 2004 and is not a public authority for the FOI. It is therefore exempt from the duty to provide information under the FOI. Section 3 of the FOI provides that: (2) For this Act, information is held by a public authority if— (a) it is held by the authority, otherwise than on behalf of another person, or (b) another person holds it on behalf of the authority. A FOI request may be made directly to partner agencies of the CSCP. Where a CSCP partner which is deemed to be a public authority under the FOI holds information for its own purposes, then it does so otherwise than on behalf of another person and the information held will be subject to the FOI. However, partners in possession of CSCP minutes, documents, reports etc. are holding this information on behalf of ‘another person’ (the CSCP) and it is therefore not liable to disclosure under a FOI request. Details of how to access information from a public body can be found on the Information Commissioner’s website at https://ico.org.uk/your-data-matters/officialinformation
- Child Death Reviews | Croydon Safeguarding
SPRs are commissioned when a child dies or is seriously harmed, identifying ways to strengthen safeguarding. Explore local and national lessons to improve policy and practice. What happens when a child dies We understand that reporting the death of a child is an incredibly difficult and sensitive task. The following guidance aims to provide the important steps to help ensure the right support and learning can follow. If you are a professional needing to report a child’s death, please complete the eCDOP form using the link below, so that the appropriate agencies are notified and the necessary review processes can begin. Please remember, it is a statutory requirement to notify CDOP of all child deaths from birth up to their 18th birthday. If multiple agencies are involved, please liaise to agree which one will submit the notification. However, unless you know someone else has already done so, please notify CDOP with as much information as possible. Note: Only complete a notification form if you are registering a death for the first time. Complete eCDOP form here Once submitted, a coordinator will contact all professionals and agencies who were involved with the child or family. Those identified will be sent a reporting form to complete and return as soon as possible to support the review process. If abuse or neglect is suspected as a possible cause of death, the Child Death SPOC will inform the Head of Safeguarding for Children and Business Manager of CSCP who will then log a Serious Incident Notification . Child Death Reviews The Child Death Review process applies to all children, defined by the Children Act 1989 as individuals under 18 years of age. A review should be conducted for every child death, regardless of the cause. This includes the death of any live-born baby for whom a death certificate has been issued. Croydon is part of the Southwest London Child Death Overview Panel (SWL CDOP), which also includes the boroughs of Sutton, Merton, Wandsworth, Richmond, and Kingston. All child deaths of Croydon residents will be reviewed by Croydon / SWL CDOP. Prior to review at the SWL CDOP, there will have been a Joint Agency Response (JAR) meeting IF the JAR criteria are met. This must be held within 5 working days of a child’s death. The Joint Agency Response meeting is chaired by the Designated Doctor for Child Death Reviews. Joint Agency Response (JAR) criteria are set out in Working Together 2023 . A JAR is required if a child’s death: is or could be due to external causes is sudden and there is no immediately apparent cause (including sudden unexpected death in infancy/childhood) occurs in custody, or where the child was detained under the Mental Health Act occurs where the initial circumstances raise any suspicions that the death may not have been natural occurs in the case of a stillbirth where no healthcare professional was in attendance. All child deaths will be subject of a Child Death Review Meeting (CDRM). The CDRM is chaired by a Consultant Paediatrician from Croydon University Hospital. This is the multi-professional meeting that takes place prior to the child death review partners review (SWL CDOP). At the meeting, all matters relating to an individual child’s death are discussed by professionals involved with the case. Learning from cases will be published in an annual report this data is also shared with the National Child Mortality Database. eCDOP form child death review process What professionals need to complete Professionals who receive a reporting form are asked to review their agency’s case records for the child or family members. Any information known to them or their organisation should be included on the form. If certain details are not available, please make a note of this on the form, rather than leaving any sections blank. Supporting guides Please read the following useful guides to learn more: eCDOP B Report Form User Guide (PDF, 463KB) Child Death Reporting Form Flowchart (PDF, 107KB) when-a-child-dies-leaflet-NCMD.pdf For further detailed information about child death reviews read the child death review statutory and operational guidance. Croydon SPOC for Child Deaths contact details Email: CDOPCroydon@croydon.gov.uk Resources Southwest London CDOP Annual Report 2023-24 Samaritans Bereavement Support Lullaby Trust National Child Mortality Database (NCMD) Guidance cdop resources
- Local safeguarding practice reviews | Croydon Safeguarding
Explore Croydon’s Local Safeguarding Children Practice Reviews (LSCPRs), analysing key cases to improve child and adult safeguarding. Learn from findings and recommendations. আমাদের টিম আমি একটা অনুচ্ছেদ। এখানে ক্লিক করে নিজের লেখা যোগ করুন এবং আমাকে এডিট করুন। এটা সহজ। শুধু "Edit Text" এ ক্লিক করুন অথবা আপনার নিজস্ব কন্টেন্ট যোগ করতে এবং ফন্টে পরিবর্তন করতে আমাকে ডাবল ক্লিক করুন। আপনার পৃষ্ঠায় যেকোনো জায়গায় আমাকে টেনে আনতে দ্বিধা করবেন না। আমি আপনার জন্য একটি দুর্দান্ত জায়গা যেখানে আপনি গল্প বলতে পারেন এবং আপনার ব্যবহারকারীদের আপনার সম্পর্কে আরও কিছু জানাতে পারেন। Baby Eva This review examines the case of Baby Eva, a four-month-old who was found to have multiple fractures of different ages. It highlights missed opportunities to recognise risk factors within her family history and emphasises the importance of early and ongoing risk assessments before and after birth. Published ২৪ এপ্রিল, ২০২৪ Read review Jake This Child Safeguarding Practice Review (CSPR) looks into the tragic case of 'Jake', a 17-year-old child who took his life just before he turned 18. Examining his needs and the involvement of various services, it reflects on legal, policy, and research aspects, drawing from the expertise of multi-agency safeguarding professionals. Published ১৯ মে, ২০২৩ Read review Emily and Jack Following a tragic incident where a three-month-old baby girl, referred to as 'Emily', was killed by her mother, a serious case review was conducted by the Croydon Safeguarding Children Board. The review identified the need for improvements in local agency information sharing. Published ২৩ অক্টোবর, ২০২০ Read review Serious Youth Violence The CSCP publishes a thematic review that sets out key principles to reduce the risk of children and young people becoming involved with serious youth violence. Additional resources are also available on our dedicated page. Published ৭ ফেব্রুয়ারী, ২০২৪ Read review Carl and Max This review examines the case of 'Carl', who was 16 when he was fatally stabbed. It revealed how he faced homelessness, unstable housing, and 2 years of no schooling. The family's forced moves disrupted support services, pushing Carl towards criminal activities and gang-related dangers. Published ২৫ মার্চ, ২০২২ Read review Vulnerable Adolescents In the summer of 2017, three Croydon teenage boys known to social services lost their lives. The CSCP agreed to conduct a thematic review that would determine whether there were any patterns in the children’s experiences. The intention was to learn from the children’s experiences to inform future service provisions. Published ২২ ফেব্রুয়ারী, ২০১৯ Read review Chloe This review explores the life and tragic death of 'Chloe', a 17-year-old who died in a state of mental crisis. Although the inquest returned an ‘accident’ verdict, Chloe’s experiences highlight the long-term impact of trauma, abuse, and exploitation. The review reflects on her journey through care and the multi-agency support she received. Published ৩০ অক্টোবর, ২০২৩ Read review Ben This review highlights lessons in engaging vulnerable young parents, particularly when domestic abuse is a concern. The missed opportunities to support the mother and her child, 'Ben', led to tragic outcomes. The importance of a multi-agency child protection approach and identifying potential risks is also emphasised. Published ৪ মার্চ, ২০২২ Read review
- CSCP Toolkit for parents and caregivers | Croydon Safeguarding
Practical advice and resources to help parents and caregivers support children's safety, wellbeing, and development.
- What happens when a child dies | Croydon Safeguarding
Information on the procedures followed when a child dies, including review processes and support for families and professionals. What happens when a child dies We understand that reporting the death of a child is an incredibly difficult and sensitive task. Thank you for taking this important step to help ensure the right support and learning can follow. If you are a professional needing to report a child’s death, please complete the eCDOP form so that the appropriate agencies are notified and the necessary review processes can begin. Once submitted, a coordinator will contact all professionals and agencies who were involved with the child or family. Those identified will be sent a reporting form to complete and return as soon as possible to support the review process. If abuse or neglect is suspected as a possible cause of death, the Child Death SPOC will inform the Head of Safeguarding for Children and Business Manager of CSCP who will then log a Serious Incident Notification . Child Death Reviews The Child Death Review process applies to all children, defined by the Children Act 1989 as individuals under 18 years of age. A review should be conducted for every child death, regardless of the cause. This includes the death of any live-born baby for whom a death certificate has been issued. Croydon is part of the Southwest London Child Death Overview Panel (SWL CDOP), which also includes the boroughs of Sutton, Merton, Wandsworth, Richmond, and Kingston. All child deaths of Croydon residents will be reviewed by Croydon / SWL CDOP. Prior to review at the SWL CDOP, there will have been a Joint Agency Response (JAR) meeting IF the JAR criteria is met. This must be held within 5 working days of a child’s death. The Joint Agency Response meeting is chaired by the Designated Doctor for Child Death Reviews. Joint Agency Response (JAR) criteria are set out in Working Together 2023 . A JAR is required if a child’s death: is or could be due to external causes is sudden and there is no immediately apparent cause (including sudden unexpected death in infancy/childhood) occurs in custody, or where the child was detained under the Mental Health Act occurs where the initial circumstances raise any suspicions that the death may not have been natural occurs in the case of a stillbirth where no healthcare professional was in attendance. All child deaths will be subject of a Child Death Review Meeting (CDRM). The CDRM is chaired by a Consultant Paediatrician from Croydon University Hospital. This is the multi-professional meeting that takes place prior to the child death review partners review (SWL CDOP). At the meeting, all matters relating to an individual child’s death are discussed by professionals involved with the case. Learning from cases will be published in an annual report this data is also shared with the National Child Mortality Database. Child Death Reviews The CDOP Process Guidance for professionals What professionals need to complete Professionals who receive a reporting form are asked to review their agency’s case records for the child or family members. Any information known to them or their organisation should be included on the form. If certain details are not available, please make a note of this on the form, rather than leaving any sections blank. Supporting guides Please read the following useful guides: eCDOP B Report Form User Guide (PDF, 463KB) Child Death Reporting Form Flowchart (PDF, 107KB) For further detailed information about child death reviews read the child death review statutory and operational guidance . Croydon SPOC for Child Deaths contact details Email: CDOPCroydon@croydon.gov.uk Resources South West London CDOP Annual Report 2023-24 Samaritans Bereavement Support Lullaby Trust National Child Mortality Database (NCMD) Guidance


