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Child Death Overview Panel (CDOP)

CDOP is changing

16 partners from CCGs and LAs across North West London including Kensington & Chelsea and Westminster are creating the new North West London Child Death Review (NWL CDR) service, to deliver the new Child Death Review statutory requirements they now hold. Following consultation, a new CDR team is being set up to operate across NWL on a phased basis, from the end of September 2019.

Please note: existing local CDOP arrangements will continue as now until the new NWL CDR Team is in place. Please continue to notify any child death through eCDOP to your local contacts until further notice.

For further information about the upcoming NWL CDR  approach see our statement of transition below.

Statement of Transition [PDF] (file size 639.42 KB)

 

The Child Death Overview Panel (CDOP) for Hammersmith and Fulham, Kensington and Chelsea and Westminster is established in accordance with the statutory guidance Working Together to Safeguard Children (2018). The CDOP is an independent multidisciplinary panel that provides a review of all deaths of children who are under 18 and resident in Hammersmith and Fulham, Kensington and Chelsea, Westminster. The CDOP panel members have expertise in the fields of public health, paediatrics and child health, neonatology, children’s social care, nursing, midwifery, police, education, and other members who can otherwise make a valuable contribution.

When a child dies, there is a statutory requirement that the death will be comprehensively reviewed in a way which promotes learning and transparency. The CDOP receives notifications on all child deaths occurring in the local area. The Panel will seek information from professionals who had involvement with the child before and immediately following the death. The Panel will discuss each child’s case, and evaluate the data available to identify lessons to be learnt or issues of concern, with a particular focus on effective inter-agency working to safeguard and promote the welfare of children.

The Panel will determine whether the death was deemed preventable, that is, those deaths in which modifiable factors may have contributed to the death and decide what, if any, actions could be taken to prevent future such deaths. The Panel also aims to identify any common themes from individual cases (such as road traffic deaths, sudden unexpected death in infancy (SUDI), or deaths of children with life-limiting conditions) and will report these back to the Local Safeguarding Children Board.

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 of a child death to the CDOP for Hammersmith and Fulham, Kensington and Chelsea and Westminster

Any agency/professional should make a notification to our eCDOP if they become aware of:

  • a child death occurring in Hammersmith and Fulham, Kensington and Chelsea or Westminster;
  • a death of a child normally resident in these three boroughs but occurring elsewhere

Please note: The webpage states 'Welcome to Westminster eCDOP' but it is used for notifications in any of our three boroughs.​

Following notification of the death of a child, the specialist nurse for CDOP (Jenni Davidson) 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 practitioner in each agency.

Relevant practitioners will then be sent a link to complete the eCDOP Form B, and practitioners are kindly requested to complete as much information as possible about the child and family, but we recognise that it may not always be possible to complete all fields.

Professionals receiving Form B for completion should retrieve their agency’s case records for the child or other family members and complete the form with any information known to them or their organisation (usually within 10 to 14 days).

If you cannot access the link to the eCDOP above, please notify the Child Death Overview Panel at CLCCG.tri-bCDOP@nhs.net or call our Single Point of Contact, Elaine Lee on 020 3350 4330.

Rapid Response Meetings

Following an unexpected child death, our Specialist Nurse and Designated Doctor for CDOP will convene a meeting of key professionals in order to:

  • Ensure support for the bereaved family members, as the death of a child will always be a traumatic loss - the more so if the death was unexpected;
  • Identify and safeguard any other children in the household or affected by the death;
  • Respond quickly to the unexpected death of a child;
  • Make immediate enquiries into and evaluate the reasons for and circumstances of the death, in agreement with the coroner when required;
  • Enquire into and constructively challenge how each organisation discharged their responsibilities when a child has died unexpectedly (liaising with those who have ongoing responsibilities for other family members), and whether there are any lessons to be learnt;
  • Collate information in a standard format using the CDOP Form B
  • Co-operate appropriately post death, maintaining contact at regular intervals with family members and other professionals who have ongoing responsibilities to the family, to ensure that they are appropriately informed (unless such sharing of information would place other children at risk of harm or jeopardise police investigations);
  • Consider media issues and the need to alert and liaise with the appropriate agencies;
  • Provide bereavement support as needed, for any other children, family members or members of staff who may be affected by the child's death
  • Determine if abuse or neglect appear to be possible causes of death, LA children's social care and the police should be informed and serious case review procedures considered