Feb 26

Serious Case Review Published

Croydon Safeguarding Children Board (CSCB) is today (Monday 26 February) publishing the Serious Case Review (SCR) of Joe which was commissioned by the CSCB in July 2016.

Joe was known to services in Croydon since before he was born, when he became subject to a Child Protection (CP) Plan. He remained on a CP Plan until January 2016 when he was two years and five months old. Following this he continued to receive support from local services through a Child in Need Plan.

In June 2016, aged two years and 11 months, Joe lived in temporary accommodation with his mother. On the day of the incident he was found home alone and suffering from life-changing burns. On the same day Joe’s mother was sectioned under the Mental Health Act. Subsequently, mother was found to be suffering from drug-induced psychosis. Joe is recovering, although he will need long-term treatment for his injuries.

Di Smith, Interim Independent Chair, said:
“This serious case review makes for difficult reading. We fully recognise that the practice in Joe’s case was not acceptable and the multi-agency processes in place to protect him were not effective. Whilst his injuries could not have been predicted, it is evident that more could and should have been done to protect his safety and wellbeing.
Agencies in our partnership have cooperated with the SCR and have accepted all of the findings. They are focused on improving child protection practice and are working hard to continue to strengthen our standards and processes in response to the findings of this review. We are determined to address the shortcomings in the child protection system that this sad case has brought to light.”

You can read the SCR Joe Publication Document here


NHS South London
Met Police
NHS Croydon Health Services
NHS Croydon Clinical
Safer London