Cumbria Crack

Publication of Child CH Serious Case Review

Today Cumbria Safeguarding Children Partnership has published the Serious Case Review report for Child CH.

Child CH was 14-years-old and died in 2018.

The learning identified from this review is in relation to:

  • Children who are placed or in hospital outside of their home area
  • Risk assessment and planning to manage self harming behaviour
  • Practice and planning with children who are exposed to or at risk of exploitation
  • Providing therapeutic input to a child who does not have a stable home

A range of different agencies played a role in Child CH’s care and are referenced in the report. This is because Child CH had placements in three different Local Authority areas.

Gill Rigg, Independent Chair of Cumbria Safeguarding Children Partnership, said: “On behalf of Cumbria Safeguarding Children Partnership and our partner agencies I would like to express our condolences to Child CH’s friends and family. This was a complex review given the number of agencies involved in Child CH’s care and protection. Indeed, the challenge this created for her care is one of the key themes in the report and something which all agencies involved are seeking to improve.

“The CSCP has carefully reviewed the findings from this comprehensive, independent report and sought assurances that agencies involved have taken action in respect of the issues the report highlights. We have also noted the significant good practice that the report identifies. The board will continue to monitor agency actions to ensure improvements outlined in the report are made.

“It will always be a challenge to support children with very complex needs like Child CH, but by reflecting on, and acting on, the findings of this report we can help make this kind of tragedy less likely.”

The report is published at:

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