Death or Serious Injury to a Child (Child in Care, Child in Need or Care Leaver up to and Including the Age of 24)
Scope of this chapter
This procedure outlines the immediate steps to be taken in the event of the death of or serious injury to a child living in the community (where there are suspicions of abuse or neglect) and the death of/serious injury to any Child in Care (whether or not the abuse or neglect is known or suspected).
These steps are in addition to any Rapid Review or Child Safeguarding Practice Review which may be commissioned and the work of the Child Death Overview Panel. Additional processes are in place should the child death occur whilst police or prison in custody.
This procedure uses the expression Designated Manager (Death or Serious Injury to a Child). Within the Bailiwick, Designated Manager is taken to be the Associate Director, Children and Family Community Services. This Designated Manager must also be notified in circumstances where there is a serious injury to a child.
Amendment
In November 2025 information has been added in Section Two on Death of Care Leaver Up to and Including the Age of 24.
Serious incidents which should be reported are those where Children and Family Community Services knows or suspects that a child has been abused or neglected and:
- The child dies (including suspected suicide) or is seriously harmed in the Bailiwick;
- While normally resident in the Bailiwick, the child dies or is seriously harmed outside of the Bailiwick.
The following tasks are also required:
The child's social worker or, if not previously known to Children's Social Care, the duty worker receiving the information will:
- Immediately inform their line manager;
- Obtain as much information as possible on the circumstances surrounding the cause of death/serious injury and pass this to the line manager.
The line manager will immediately inform the Designated Manager (Death or Serious Injury to a Child) by telephone and provide follow up information in writing as soon as possible afterwards.
The Designated Manager (Death or Serious Injury to a Child) will:
- Inform the Chief Operating Officer, Health and Social Care, who will notify other members as necessary;
- Ascertain as full details as possible from the Police and any other source;
- Request their administrative staff to check Children's Services records on the child and family and print out any information held;
- Collect any files held on the child and family and secure them in the correct office location;
- Arrange to inform relevant agencies about the death/serious injury and remind them to secure their files;
Arrange to consider the circumstances of the death/serious injury, in accordance with the Island Safeguarding Children Partnership Procedures, including the need to hold a Rapid Review and, where the child has died, a referral to the Child Death Overview Panel.
Where information comes to notice of the death of or serious injury to a child in care, the following tasks are required:
The child's social worker will:
- Immediately inform their line manager;
- Notify the parent(s) immediately and in person, if possible;
- In the event of a child's death, discuss with the parent(s) and reach agreement regarding the arrangements for the funeral (in the event of sudden, unexplained deaths arrangements for the funeral may need to be delayed);
- In the event of a serious injury to the child, arrange with the parent(s) to visit the child in hospital;
- Obtain as much information as possible on the circumstances surrounding the cause of death/serious injury and pass this to their line manager; and
- Discuss with the line manager any necessary expenditure including reasonable travel expenses to assist the family in attending the funeral or visiting the child in hospital where it appears there is financial hardship;
Where the child was in a long term foster placement, discuss with the line manager any possible conflict between the carers and the parents regarding arrangements for the child's funeral.
The line manager will:
- Immediately inform the Designated Manager (Death of a Child) by telephone and provide follow up information in writing as soon as possible afterwards;
- Advise Legal Services initially by telephone, then confirm details in writing; and
Enter an incident form on the Ulysses Risk Management System. - From this the Quality and Safety Team, Health and Social Care will notify the insures as necessary.
The Designated Manager (Death or Serious Injury to a Child) will:
- Inform the Chief Operating Office, Health and Social Care, who will come to a decision about whether to notify other Service members;
- Ensure that the parents' wishes concerning the funeral are discussed (by the social worker or the team manager), that any possible conflict with the wishes of the carers are also ascertained and addressed, and that any appropriate associated costs are met;
- Arrange, in consultation with the Service Manager, Safeguarding and Quality Assurance, appropriate meetings under the Island’s Safeguarding Children Partnership Procedures, including the need to hold a Rapid Review.
Death of Care Leaver Up to and Including the Age of 24
Recent legislative changes in the UK, set out in Working Together to Safeguard Children 2023, require that when a care leaver dies, up to and including the age of 24, a formal notification must be made. This requirement now applies in Guernsey.
In such circumstances, the Designated Manager must be informed without delay. Consideration should then be given to whether a Rapid Review is necessary. This decision will be made in consultation with the Service Manager for Safeguarding and Quality Assurance, and any subsequent meetings will follow the Island’s Safeguarding Children Partnership Procedures.
Safeguarding partners must also assess whether the incident meets the criteria for a serious child safeguarding case and respond accordingly. Where the deceased care leaver was under 18, and local partners believe that learning could be gained, even if the statutory criteria do not apply, a Local Child Safeguarding Practice Review may be undertaken.
During the implementation of this procedure, consideration must be given to the needs of those staff and carers involved in the case.
The impact of a child death on social workers/team/managers/carer(s) needs to be addressed in terms of:
- The need for counselling for those involved;
- The manner in which such support is offered;
- The provision of access to legal and professional advice about the ongoing conduct of the case;
- The provision of a clear explanation of the process of a Child Safeguarding Practice Review;
- Support for staff in the event of Police investigation/interviews;
- The need to inform and keep informed any relevant Trades Unions;
- The need for team debriefing whilst observing confidentiality. This must be discussed with the Service Manager;
- The need to acknowledge that a child death can impact on the productivity of any team and its ability to function; and the need to agree strategies to manage workloads.
Last Updated: November 25, 2025
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