Inside cover
Letter to Secretaries of State
Dedication
Contents
Part one Background
1 Introduction
2 The Inquiry
3 Victoria's story
Phase One
Part two Social services
4 Ealing Social Services
The managerial context
Victoria in Ealing
Analysis of practice
5 Brent Social Services
Victoria in Brent
6 Haringey Social Services
Victoria in Haringey
7 Tottenham Child and Family Centre
The referral
Case recording
What should have been done?
8 Enfield Social Services
Victoria in Enfield
Part three Health
9 Central Middlesex Hospital
10 North Middlesex Hospital
11 Health analysis
The information gathered about Victoria
Status of child protection
12 General practice and liaison health visiting
General practice
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
Training
Staff levels
Equipment
Accommodation
Accountability
16 Working with diversity
Phase Two
Part five Learning from experience
17 The seminars
The purpose of the seminars
Seminar one: Discovery and inclusion
Seminar two: Identification
Seminar three: Determining requirements
Seminar four: Service provision and delivery
Seminar five: Monitoring performance
Seminar conclusions
The need for change
Part six Recommendations
18 Recommendations
General recommendations
Social care recommendations
Healthcare recommendations
Police recommendations
Annexes
Annex 1 Glossary
Annex 2 Witnesses
Annex 3 Inquiry staff
Annex 4 Legal representatives
Annex 5 Seminar participants
