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Overview of contents
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Title pages

Part one Background
1 Introduction
2 The Inquiry
3 Victoria's story

Part two Social Services
4 Ealing Social Services
5 Brent Social Services
6 Haringey Social Services
7 Tottenham Child and Family Centre
8 Enfield Social Services

Part three Health
9 Central Middlesex Hospital
10 North Middlesex Hospital
11 Health analysis
12 general Practice and liaison health visiting

Part four The police
13 brent Child Protection Team
14 Haringey Child Protection Team
15 Child protection policing in north west London

Part five Working with diversity
16 Working with diversity

Part five Learning from experience
17 The seminars
The purpose of the seminars
1 Discovery and inclusion
2 Identification
3 Determining requirements
4 Service provision and delivery
5 Monitoring performance
Seminar conclusions
The need for change

Part six Recommendations
recommendations
Annexes
Annexex Crown Copyright

17 The seminars

Paragraphs: 17.79 - 17.84

Seminar conclusions

17.79

These seminars proved to be of great value to this Inquiry. They provided the opportunity to consider, in a wider forum, many of the issues raised in evidence during Phase One. It was disturbing to hear that many of the weaknesses in the safeguarding of children I heard about in Phase One were reflected in the seminar discussions. However, it was reassuring that there was support for the legislative framework provided by the Children Act 1989. Concerns were primarily about the way agencies worked together and standards of practice.

17.80

It is obvious that the focus of the work of each of the services must be on securing the well-being of children. The challenge is to ensure that this is translated into day-to-day practice. This requires staff in each of the services being properly trained for their different tasks, and each person having the ability and the will to work flexibly across organisational boundaries.

17.81

In order to avoid either drift or confusion, the decision-making processes must be clearly defined, generally understood, and always put into operation. This is never more important than when the safety of a child is at stake.

17.82

The recommendations that follow are not intended to restrict the imaginative ways in which children can be helped and safeguarded. They are intended to create more freedom, but this freedom must be exercised in a system which is consistent and well organised. Success in safeguarding children and families depends in large measure on each of the key services being properly managed and financed. The outcomes for children and families should be closely monitored so that lessons can be learned within each service with a view to securing constant improvements in practice. All staff working with children and families should be required to undertake regular training to ensure that practice is kept up to date.

17.83

It should be noted that this Inquiry is the latest in a long list of inquiries following the tragic death or deliberate serious harm to a child known to the services. Even during the course of this Inquiry, tragic cases of a similar nature have appeared before the courts.

17.84

The concerns expressed about the way in which the Children Act 1989 is being put into practice highlighted the need for greater certainty about the operational and practice standards in each of the services. I am in no doubt that it must be possible to provide more effective means of supporting families and children - not just for those children for which there is concern for their safety. To achieve this, local authorities should encourage and support the work of independent agencies. Many voluntary organisations have demonstrated an ability to help children and families to overcome their reluctance to either seek or accept help. These agencies can be both innovative and flexible in responding to the needs of children and families. The value of the services they provide should be acknowledged and ways should be found to enable them to contribute to the responsibilities of the proposed local Management Board for Children and Families referred to in the recommendation below.

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