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Child Death Review Arrangements

Child Death Review (CDR) partners are Local Authorities and any Clinical Commissioning Groups (CCGs) for the local areas as set out in the Children Act 2004, as amended by the Children and Social Work Act 2017.

Child Death Review partners must make arrangements to review all deaths of children normally resident in the local area and, if they consider it appropriate, for any non-resident child who has died in their area. Child Death Review partners for two or more local authority areas may combine and agree that their areas be treated as a single area for the purpose of undertaking child death reviews. Child Death Review partners must make arrangements for the analysis of information from all deaths reviewed (Working Together to Safeguard Children 2018).

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Child Death Review partners must publish their arrangements for child death as per the requirement set out in Working Together 2018.

Across the area, local authorities and CCGs have come together to form the child death review arrangements for the South West Peninsula, using the existing Child Death Overview Panel framework.

The Child Death Review partners for the South West peninsula understand that the death of a child is a devastating loss that profoundly affects bereaved parents as well as siblings, grandparents, extended family, friends and professionals who were involved in caring for the child in any capacity and also impacts on the wider community.

The Child Death Review partners intention is to ensure that families experiencing such a tragedy within the South West peninsula should be met with empathy and compassion. Families should receive clear and sensitive communication in order to understand what happened to their child and know that people will learn from what happened.

The Child Death Review partners fully understand the statutory obligations placed upon them and others. All agencies commissioned by the partners, and involved in the Child Death Review process, will work together throughout the process. This is for two main reasons:

  1. To improve the experience of bereaved families, as well as professionals, after the death of a child
  2. To  ensure  that  information  from  the  Child  Death  Review  process  is  systematically captured to enable local learning and, through the planned National Child Mortality Database, to identify learning at the national level, and inform changes in policy and practice at a regional and local level

The members of the Child Death Overview Panel (CDOP) pledge to ensure that the child and family will remain at the centre of the final discussion. The process of expertly reviewing all children’s deaths within the South West peninsula will always be grounded in a deep respect for the rights of children and their families, with the intention of facilitating maximum learning in order to prevent future child deaths. 

The geographical area and the child death review partners

The area covered is: 

  • Devon (including Plymouth and Torbay)
  • Cornwall and the Isles of Scilly

Partners responsible for Child Death Review across this geographical area are: 

Arrangements in place will ensure that all new requirements as set out in child death review: statutory and operational guidance (England) are met, this includes for example the functions of CDOP, panel responsibilities and membership, and a geographical area large enough to ensure the review of a minimum of 60 deaths per year.

Funding arrangements

Child Death Review partners have financial arrangements in place to fund arrangements across the area.

Accountable Officials

Each organisation has named accountable officials for Child Death Review in Cornwall these are: 



Named person

Cornwall Council

Head of Service Practice Development and Standards

Marion Russell

NHS Kernow CCG

Chief Nursing Officer

Natalie Jones


Designated Doctor

The designated doctor for child deaths across the South West peninsula is Roger Jenkins.