Serious incident learning review 15B

A multi-agency serious incident learning review was commissioned by Derbyshire Safeguarding Children Board in 2015 following the sudden death of a 3 month old baby; considered by the coroner’s court as being consistent with overlay.
Due to the identifiable nature of this review the report will not be published in full. However a briefing note has been developed to promote the learning identified during the review process, which is attached to the page.