police and alcohol and substance misuse. Overview report can be found at: 21 2016 Suffolk - Baby of a no concerns were identified need for some improvement infant deaths, D baby boy whilst the care of Baby D before in agencies’ delivery, sleeping behaviour co-sleeping with his or after his death. recording and coordination mother. Police A range of agencies had been of advice about safe sleeping working with the family due need for improved public arrested the parents, following to the increasingly challenging and professional awareness anonymous behaviour of Baby D’s of the issue of safe sleep. allegations of heavy Child P. consider introducing drinking and drug Mother had reported feeling consistent safe taking in the family overwhelmed by Child P’s assessment and recording home, but there was behaviour and a social work arrangements for health insufficient evidence assessment had taken place professionals; and no further action the day before Baby D’s carry out regular audits to death. evaluate the delivery and was taken. recording of safe advice. Overview report can be found at: 22 2016 05/14 Newcastle Death of a J was born prematurely with recording systems did not abused infants; – Child J baby girl, J, in suspected foetal alcohol include fit-for-purpose alcohol misuse; syndrome. A month before chronology templates, head injuries; May 2014. A confirmed her birth, she and her 3 making it harder for foetal alcohol she died of a head siblings were made the practitioners to understand a syndrome injury and further subject of child protection family's history; intergenerational tests concluded this plans for neglect. Family had a standardised and transmission of was likely to have history of: domestic abuse, contracts of expectation been as a result of alcohol abuse; animosity over were used too routinely and shaking. J's mother contact arrangements; without consequence in child and her partner were children's social care protection plans making involvement during mother's them ineffective at tackling convicted of causing or allowing her death and partner's childhoods; and deep-rooted, learned behaviour.
police and alcohol and substance misuse. Overview report can be found at: 21 2016 Suffolk - Baby D of a baby boy whilst co-sleeping with his mother. Police arrested the parents, following anonymous allegations of heavy drinking and drug taking in the family home, but there was insufficient evidence and no further action was taken. no concerns were identified the care of Baby D before or after his death. A range of agencies had been working with the family due to the increasingly challenging behaviour of Baby D’s Child P. Mother had reported feeling overwhelmed by Child P’s behaviour and a social work assessment had taken place the day before Baby D’s death. need for some improvement in agencies’ delivery, recording and coordination of advice about safe sleeping need for improved public and professional awareness of the issue of safe sleep. consider introducing consistent safe assessment and recording arrangements for health professionals; carry out regular audits to evaluate the delivery and recording of safe advice. infant deaths, sleeping behaviour Overview report can be found at: 22 2016 05/14 Newcastle – Child J Death of a baby girl, J, in May 2014. A confirmed she died of a head injury and further tests concluded this was likely to have been as a result of shaking. J's mother and her partner were convicted of causing or allowing her death J was born prematurely with suspected foetal alcohol syndrome. A month before her birth, she and her 3 siblings were made the subject of child protection plans for neglect. Family had a history of: domestic abuse, alcohol abuse; animosity over contact arrangements; children's social care involvement during mother's and partner's childhoods; and recording systems did not include fit-for-purpose chronology templates, making it harder for practitioners to understand a family's history; standardised and contracts of expectation were used too routinely and without consequence in child protection plans making them ineffective at tackling deep-rooted, learned behaviour. abused infants; alcohol misuse; head injuries; foetal alcohol syndrome intergenerational transmission of