Subject of this serious case review: HH: overview report

Herefordshire Safeguarding Children Board
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The subject of this review is child HH, a 17-year-old male who was found dead in May 2013. He was a vulnerable young person due to his diagnosis with Type 1 diabetes, and because he was not living with his family at the time of his death. HH became known to Children’s Social Care (CSC) in October 2012. He was an open case to the 16 plus team, who work with looked after children. Toxicology evidence suggests HH died of diabetic ketoacidosis. The report discusses the main issues that have been identified by this review, focusing on: the impact of HH’s age; the vulnerability of HH as a young person with a serious health issue who was not receiving adequate parenting; HH’s homelessness; the status and suitability of HH’s plan; lack of preparation and planning for HH’s move from supported lodgings to the semi-independent unit in another town; lack of consideration of the psychological impact of diagnosis and treatment on HH; and culture and language issues. The report makes a number of recommendations, including: that HSCB makes it clear to all agencies that young people are children until the age of 18, and that all services need to ensure their policies, procedures and practices acknowledge this; that HSCB carries out a multi-agency audit of young people with serious long-term and life-threatening conditions to identify where agencies are working well together and where improvements can be made; and that HSCB reviews its information sharing arrangements in regards to children who are assessed as being children in need. (Edited publisher abstract)

Subject terms:
looked after children, homelessness, diabetes, vulnerable children, young people, physical illness, serious case reviews, death;
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