The Local Safeguarding Children Board Northamptonshire has today published the findings of a serious case review into the death of a four-week-old baby in May 2012.
To protect the identities of those involved, the child has been given the pseudonym Maisie Harrison.
Councillor Catherine Boardman, cabinet member for children and education, said,
“Nobody could have foreseen Maisie’s death. But we could have and should have given her better care, support and protection while she was alive.
“We should have pieced together the pieces of the jigsaw that would have showed us the extent of her vulnerability.
“We should have supported her mother better because we knew she had her own vulnerabilities that impacted her ability to look after her child.
“And every time we came into contact with the family, we should have asked ourselves if we were doing our best for Maisie.
“While the review says that it is not possible to say conclusively whether her death was predictable or preventable, it did highlight where all the organisations involved could have done better.
“Although the report is published today, we have been aware of the recommendations for some time and they were incorporated into the improvement programme drawn up in response to Ofsted’s inspection earlier this year.”
The findings of the serious case review into Maisie Harrison's death are available on the Local Safeguarding Children Board Northamptonshire website.