Form

Child death reviews: forms for reporting child deaths

Forms to help child death overview panels (CDOPs) assess the causes of a child’s death as part of the child death review process.

Documents

Form A: notification of child death

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Form A: notification of child death

This file is in an OpenDocument format

Form A1: case processing

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Form A1: case processing

This file is in an OpenDocument format

Form B: agency report

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Form B: agency report

This file is in an OpenDocument format

Form B2: neonatal death

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Form B2: neonatal death

This file is in an OpenDocument format

Form B3: death of a child with a known life-limiting condition

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Form B4: sudden unexpected death in infancy

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Form B4: sudden unexpected death in infancy

This file is in an OpenDocument format

Form B5: road traffic accident

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Form B5: road traffic accident

This file is in an OpenDocument format

Form B6: drowning

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Form B6: drowning

This file is in an OpenDocument format

Form B7: fire and burns

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Form B7: fire and burns

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Form B8: poisoning

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Form B8: poisoning

This file is in an OpenDocument format

Form B9: other non-intentional injury

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Form B9: other non-intentional injury

This file is in an OpenDocument format

Form B10: substance misuse

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Form B10: substance misuse

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Form B11: apparent homicide

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Form B11: apparent homicide

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Form B12: apparent suicide

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Form B12: apparent suicide

This file is in an OpenDocument format

Form B13: summary of autopsy findings

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Form B13: summary of autopsy findings

This file is in an OpenDocument format

Form C: analysis proforma

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Form C: analysis proforma

This file is in an OpenDocument format

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Form D: audit tool for rapid response

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Form D: audit tool for rapid response

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Form E: audit tool for child death overview

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Form E: audit tool for child death overview

This file is in an OpenDocument format

Details

When a child dies, the child death overview panel (CDOP) in that child’s local authority must run a child death review to investigate the reasons for the death.

We recommend that CDOP secretariats complete the forms on this page and submit them to the CDOP ahead of the child death review process to help this investigation.

We have included forms in both Word and Open Document Text formats.

The completed forms will help CDOPs:

  • collect information regarding the child deaths in their area in a consistent way
  • assess the causes of child deaths in their area
  • see if there are significant similarities between child deaths in their area and recommend how the local authority could prevent similar deaths in future

For every child death, the CDOP secretariat should:

  1. Fill in ‘Form A: notification of child death’ and ‘Form A1: case processing’ to notify the CDOP of the child death.
  2. Ask the agency that has been involved in the child death review process to fill in:
    • ‘Form B: agency report’
    • the relevant supplementary B forms (from B2 to B13), depending on the cause of death
  3. Fill in ‘Form C: analysis proforma’ so the CDOP can analyse the case.
  4. Fill in ‘Form D: audit tool for rapid response’ in cases where the child death occurred somewhere other than in a hospital, and the police and ambulance services took immediate action.

CDOP secretariats should fill in ‘Form E: audit tool’ every 6 months as each CDOP reviews the child deaths that have occurred in their area during that period of time.

You can find more information on CDOPs’ responsibilities regarding child death notifications in the guidance ‘Working together to safeguard children’.