Pre mobile infants Compilation of themes arising from recent SCR and Management Reviews 2 Serious Case Reviews • Four weeks old • Seven weeks old Management Review Five months old Vulnerability Indicators- Parents • Young parents • Formerly in care • Substance abuse • Mental Health • Limited support network • Learning difficulty Vulnerability Indicators- Parents • Previous child removed for adoption • Violence and petty criminality • Wider family violence • Non-co-operation with services Agency involvement • • • • • Universal services 2 previous MASH referrals Previous social care involvement Child protection plan pre birth Public Law Outline Agency Involvement • Police • Multi Agency Risk Assessment Conference (MARAC) • Mother refusal to engage with Perinatal Mental Health Team and Children’s Centre • Devon Docs, GP, Health Visitor, Minor Injuries Unit, Emergency Department Common to all three • Pre mobile babies • Physical injuries • Living at home BUT • All had vulnerability indicators Themes • Voice and experience of the unborn baby or baby • Analysis and planning • Information sharing Themes • Parental needs superseding the needs of the unborn or baby • Parental lack of engagement or disguised compliance • Professional curiosity and avoid overly optimistic planning Actions • What can you change in your practice TODAY? • What can your organisation do differently? • How can you make this happen?