Child Death Overview Panel (CDOP) – information for all
Since 1 April 2008 Local Safeguarding Children Boards (LSCBs) have been required to review the deaths of all children who normally reside in their area (excluding stillbirths and legal terminations of pregnancy). The regulations are outlined in Working Together to Safeguard Children and the CDOP statutory and operational guidance.
The purpose of the child death review process is to collect and analyse information about the death of each child who normally resides in Manchester with a view to identifying any matters of concern or risk factors affecting the health, safety, or welfare of children, or any wider public health concerns.
Data is collected from all known agencies that may hold information on each child using Department for Education data collection forms.
Child Death Overview Panel (CDOP)
The CDOP also collect and analyse the information about all deaths of children and young people, regardless of the infant’s gestation, up to 18 years of age (excluding legal terminations of pregnancy and stillbirths) within the area. From this information, CDOP can identify patterns or trends and take action to prevent some similar deaths in the future.
The aims of the child death overview process are:
- to learn from all child deaths, enabling changes which prevent future deaths;
- to standardise the way in which each death is reviewed;
- to ensure that families are offered bereavement services.
Manchester Reducing Infant Mortality Strategy
Infant mortality is a sensitive measure of the overall health of a population. It reflects the apparent association between the causes of infant mortality and other factors that are likely to influence the health status of whole populations,such as their economic development, general living conditions, social well-being, rates of illness and the quality of the environment.
The Manchester Joint Strategic Needs Assessment (JSNA) 2015/16 on Infant Mortality provides information about local rates and trends of infant mortality and comparisons against national rates and trends.
In March 2019 the Manchester Reducing Infant Mortality Strategy 2019/24 was published on the MCC website at www.manchester.gov.uk/reducing_infant_mortality_strategy
This strategy was developed to support the reduction in rates of infant mortality in Manchester; it is a collaboration between services and communities – recognising that everyone has a role to play.
The Child Death Review Process
The Regulations relating to child death reviews
Child death review partners are local authorities and any clinical commissioning groups for the local area as set out in the Children Act 2004 as amended by the Children and Social Work Act 2017.
The statutory responsibilities for child death review partners and how the boundaries for child death review partners should be decided locally are set out in Working Together and the CDOP statutory and operational guidance.
To notify the CDOP of the death of a child
All representatives from each key agency will be asked to complete as much of an agency report form, sent by the local Child Death Overview Panel (CDOP) as they are able, drawing on a review of the agency records and discussions with individual practitioners. Some aspects of the form are specific to individual agencies but all should be able to prepare summaries of relevant information available to them.
Forms to help child death overview panels (CDOPs) assess the causes of a child’s death as part of the child death review process can be downloaded from the government website at www.gov.uk/child-death-reviews-forms-for-reporting-child-deaths
Once all investigations have concluded and agency reports are received, the local CDOP officer will collate the information onto one form for eventual consideration at the local Child Death Overview Panel. All information will be anonymised when completing the Form C.
Local information is collected and a CDOP Annual Report is submitted to the LSCB. The local Child Death Overview Panel must consider what lessons might be learned and whether they can make any local, regional or national recommendations to improve practice. These recommendations must be shared with the Local Safeguarding Children Board to inform health trusts, children’s services and police, as well as specialist agencies (such as the fire services, or traffic authorities) as appropriate. Local information is collected and an annual report is submitted to the LSCB.
How does the review happen?
Information about a child and the circumstances surrounding his or her death is collected and summarised into a short report from records held by hospitals, local health services, schools, police, children’s social care services and any other involved agencies.
A local Child Death Overview Panel of doctors, other health specialists and child care professionals must consider the report to be clear about:
- What caused the child’s death
- Whether, if the death was unexpected, there was an appropriate rapid response
- What additional training or resources might be needed to provide an effective inter-agency response
- Any public health issues
- What support and treatment (if any) was offered to the child and their family.
The local Child Death Overview Panel must consider what lessons might be learned and whether they can make any recommendations to improve practice. These recommendations must be shared with the local health trusts, children’s services and police, as well as specialist agencies (such as the fire services, or traffic authorities) as appropriate.
Manchester Child Death Overview Panel (CDOP)
To contact the MSCB CDOP Officer – see our Business Unit page
Manchester CDOP Newsletters
Published annual CDOP and SUDC reports
The Manchester CDOP annual reports are published by the MSCB:
- Manchester CDOP Annual Report 2017/18 (published November 2018)
- Manchester CDOP Annual Report 2016/17 (published Nov 2017)
Four CDOPs cover all of Greater Manchester – all collect data in a common format to allow sharing of information in order to build a picture of emerging themes and patterns across the sub-region. The findings from child deaths is used to inform local strategic planning on how to best safeguard and reduce harm in children and to promote better outcomes for our children in the future. Data is also returned annually to the DfE to inform the national picture.
The Annual reports of the four Greater Manchester CDOPs (previously uploaded onto the GM Safeguarding Partnership website) are published below:
- GM CDOP Annual Report 2017/18 (published November 2018)
- GM SUDC Rapid Response Annual Report 2017/18
- North West CDOP Annual Report 2017/18
- GM CDOP Annual Report 2016/17 (published December 2017)
Information and data from local CDOPs is collated to produce a National Report on themes and trends identified across England on Child Deaths.
The national reports can be found on the government website at www.gov.uk.
In the first instance please contact the MSCB CDOP Co-ordinator – see our Business Unit page
Tele: 0161 234 1537
Manchester Child Death Overview Panel
Manchester Safeguarding Boards
Manchester City Council
4th Floor, Town Hall Extension
Albert Square, P.O Box 532
Contact details of the person responsible for dealing with child death notifications in every child death overview panel (CDOP) in England can be found on the website at www.gov.uk.
Her Majesty’s Coroner
A useful government guide to coroner services and investigations can be found at www.gov.uk/guide-to-coroner-services-and-coroner-investigations
Downloads available on this page: