NYSCP NYSCP Publish the Serious Case Review of "Clare" - North Yorkshire

Worried about a child?
Make a Referral

Click here

NYSCP Publish the Serious Case Review of “Clare”

NYSCP Publish the Serious Case Review of “Clare”

Clare sadly died on in March 2017 aged seventeen, whilst an in-patient at a Tier 4 mental health Hospital in Norfolk some 200 miles from her home in North Yorkshire. Clare had experienced emotional and mental health challenges over a number of years with interventions from a number of different organisations resulting in Clare being sectioned under the Mental Health Act 1983. She was found having tied a ligature around her neck.

Despite the tragic content of this Serious Case Review, Clare had many positive aspects to her character. Her parents describe her as fun loving, witty, caring, easy going with a big heart, being intelligent, artistic, a wonderful girl, articulate, having opinions on the world, sociable, somebody who loved animals and nature.

The learning identified from this review is in relation to: 

  • The importance of holistic assessment of a child’s health needs
  • Communication between schools and health professionals especially when a child moves between settings
  • Transfer of records and documentation, also particularly when a child moves area or setting
  • Child and Adolescent Mental Health Service (CAMHS) waiting times and the ability to respond when a child is first unwell, and to maintain that response
  • Care provided by specialist mental health Hospitals, especially given beds are scarce and provision often distant from a child’s home
  • The voice of the child and parents being taken seriously by professionals

An Executive Summary can be found here and the Full Serious Case Review can be found here.

If you work with children and families in North Yorkshire, there may be additional specific actions and lessons for your agency and your role. Please ask your manager, or contact your representative on the North Yorkshire Safeguarding Children Partnership, to find out more.

Image

Resource Library

Find the latest forms, guidance, tools and documents to help you safeguard children in North Yorkshire by searching in our resource library

More

Our latest news

12 May 2021

Mental health training

In light of mental health awareness week this week, three training courses are available with CAST Learning Solutions. For those...

Read More
11 May 2021

Early Years Providers Safeguarding Audit Toolkits

Early Years Providers Safeguarding Audit Toolkits The Safeguarding Audit Toolkits for early years providers have been updated.  The toolkits are...

Read More
10 May 2021

We are celebrating Mental Health Awareness Week

 This year the theme is Nature and how connecting with the natural world can support good mental health. Monday 10...

Read More
19 Apr 2021

Everyone’s Invited Briefing

Everyone’s Invited What is Everyone’s Invited? Everyone’s invited describe themselves as a movement committed to exposing rape culture. It was...

Read More
MoreView all our news