Daniel Pelka Review Retrospective: deeper analysis progress report on implementation of recommendations

Coventry Safeguarding Children Board is pleased to publish the independent report of the deeper analysis into the circumstances of the death of Daniel Pelka in March 2012 and in doing so demonstrate our determination to be open and transparent about our work.
Alongside the deeper analysis of practice up to March 2012, we are also publishing, in part 2 of this document, a report detailing the progress we have made so far in improving practice within Coventry.
The deeper analysis was completed at the request of DFE Minister, Edward Timpson, following the publication of the Serious Case Review in September 2013. The analysis was led by an experienced, independent expert Jane Wonnacott and supported by a small team of professionals who reflected the various disciplines which had been involved in the case.
The report sets out a detailed analysis of how services were operating up to 2012 andaddresses the issues set out by the letter from Mr Timpson.

• why information was not effectively recorded
• why informationwas not shared
• why four separate assessments by social care failed to identify the risks to children before he was murdered by his mother and stepfather.

The report makes clear how profoundly Daniel's death affected everyone and how there is a tremendous determination across Coventry to understand why some of the systems in place which should have protected Daniel were flawed and why some of the individuals did not deliver the standard of practice required.
Part 2 of this document was written by another independent safeguarding expert, David Watts and provides a summary of progress made by partners on implementing the recommendations of the Serious Case Review up to the end of December 2013. Work has started on all 15 recommendations; 7 have been completed in full and 8 others require further action and monitoring by partners and the Safeguarding Children Board.
All the partners on the Coventry Safeguarding Children Board have accepted the findings of the deeper analysis report and have reaffirmed their commitment to continue to implement all the actions required to address the 15 Serious Case Review recommendations.
The Coventry Safeguarding Children Board will continue to challenge partners and to insist that effective action is taken to continue to imp rove safeguarding in Coventry and to keep children safe.