Safeguarding Practice Reviews

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.

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.

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.

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.

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.

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.

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.

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.