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Child death reviews

When a child dies in any circumstances, it is important for parents and families to understand what has happened and whether there are any lessons to be learned.

The responsibility for ensuring child death reviews are carried out is held by ‘child death review partners,’ who are the local authority for that area and any clinical commissioning groups operating in the local authority area (Hull City Council and Hull CCG).

Child death review partners must make arrangements to review all deaths of children normally resident in the local area and, if they consider it appropriate, for any non-resident child who has died in their area. Child death review partners must make arrangements for the analysis of information from all deaths reviewed.  

The purpose of a review and or analysis is to identify any matters relating to the death, or deaths, that are relevant to the welfare of children in the area or to public health and safety, and to consider whether action should be taken in relation to any matters identified. If child death review partners find action should be taken by a person or organisation, they must inform them.

Hull Child Death Overview Panel (CDOP)

Hull CDOP is committed to reviewing every child death in order to identify whether there are any learning opportunities to influence better outcomes for children and young people at both local and national level. The CDOP also influence actions that can be taken to reduce the number of child deaths in the future, as well as improving services to families and carers.  A plan for local arrangements has been published and partners are in the process of developing local processes to meet their statutory responsibilities.

The government has produced guidance which sets out the full process that follows the death of a child who is normally resident in England.

It builds on the statutory requirements set out in ‘Working together to safeguard children’ and clarifies how individual professionals and organisations across all sectors involved in the child death review should contribute to reviews.  The guidance sets out the process in order to –

  • improve the experience of bereaved families, and professionals involved in caring for children
  • ensure that information from the child death review process is systematically captured in every case to enable learning to prevent future deaths

Source: Child Death Review statutory and Operational Guidance (England), September 2018

Statutory guidance can be found on the GOV.UK website

National template forms

Forms to help child death overview panels (CDOPs) assess the causes of a child’s death as part of the child death review process.

Access the GOV.UK website for the forms (link opens in a new window)

NHS guidance for the bereaved

NHS England has issued guidance for the bereaved, ‘When a child dies: a guide for parents and carers’, setting out the steps that follow the death of a child. The leaflet can be downloaded here

Collation of information

Hull CDOP will collate local information and contribute to a regional report on patterns and trends in child deaths, any lessons learnt and actions taken, and on the effectiveness of the wider Child Death Review process. The collation and sharing of the learning from reviews will be analysed on a larger scale leading to greater information and advice for parents/carers. This is managed by the National Child Mortality Database which is handled through the use of the standardised forms.

How to notify us about a child death in Hull

You can notify us about a child death in the Hull area by –

  • calling us on 01482 379 090 (option 4)
  • completing the notification form –

Joint Agency Response training 2020

For on-call professionals from all sectors of health services, police and children’s social care and other professionals involved in the immediate medical or investigative response to a death, or may be required to provide information about your involvement with the child and family and/or provide help and support to a family after a child’s death.

How to reduce the risk of SIDS

The Lullaby Trust’s safer sleep advice gives simple steps for how you can sleep your baby to reduce the risk of sudden infant death syndrome (SIDS) which is commonly known as cot death. It can give you the peace of mind to enjoy this special time. Their advice is based on strong scientific evidence and should be followed for all sleep periods, not just at night.

Further information is available on the Lullaby Trust website

Safer sleep training

Local training is available for professionals. Find out more about the training including dates by downloading the document below.