Child Death Overview Panel

The City and Hackney Child Death Overview Panel (CDOP) was established on 1st April 2008 in accordance with the Children Act 2004 and statutory guidance Working Together to Safeguard Children (2015). The CDOP is an independent multidisciplinary panel that provides a review of all deaths of children who are under 18 and resident in the London Borough of Hackney or the City of London.

CDOP also uses the information gathered to develop interventions and recommendations both locally and nationally to improve the health and safety of children in order to prevent future deaths.

When a child dies, there is statutory requirement and public expectation that the death will be comprehensively reviewed and that services provided to the child will be evaluated in a manner which promotes learning and transparency. The review process is also compelled by a deeply entrenched moral imperative to act to protect young lives by identifying and addressing risks and making recommendations for improvement of services.

The CDOP’s process aim to promote the transparency of the child death case review requirement by ensuring all cases are scrutinised by an independent appointed panel with expertise in the fields of public health, paediatrics and child health, neonatology, paediatric pathology, mental health, children’s social care, investigations and child protection, nursing, midwifery, general practice, child safety (police), education, youth crime reduction and other members who can otherwise make a valuable contribution. The expertise of its members assists the CDOP to fulfil its role to apply a child-focused consideration to each individual review and to develop recommendations for improvement.

The remit of the CDOP also includes a Rapid Response function. The Rapid Response process includes a group of key professionals who come together for the purpose of enquiring into, and evaluating, the unexpected death of a child. Professionals involved in this process provide initial support to the family and help to inform the subsequent CDOP review process.

Notification Process

Any agency/professional becoming aware of a child death occurring in City or Hackney; or a death of a normally resident City or Hackney child occurring elsewhere, should make a notification to the City and Hackney Child Death Overview Panel Coordinator who is also our single point of contact: Yeba Forbang.

Notification should be made using this LINK.

Following notification of the death of a child, the coordinator will establish which agencies and professionals have been involved with the child or family either prior to or at the time of death by contacting the lead professionals in each agency.

The Agency Report Form B will then be sent by the coordinator to the lead professional in each agency and to any professionals known to have been involved for completion.

Professionals receiving a Form B for completion should retrieve the agency’s case records for the child or other family members and complete on the form any information known to them or their organisation or alternatively forward a summary of the agency’s case records to the coordinator within the requested time (usually 10-14 days).

National statistics - Child Death Reviews

CDOP Annual Reports Archive