Post mortem

After the initial stages of ensuring immediate safety of other children and that all who need to know are notified, there is a need for work to take place to form a view about cause of death and whether abuse or neglect were a factor.

Throughout this process, senior management should be kept informed of developments, and if at any point abuse or neglect is considered to have been a factor in the death then strategy meetings should be held in relation to any other children in the household and a referral made to the Islands Child Protection Committee for consideration of a serious case review.

The Law Officers have the power to order a post mortem. This will usually happen following the unexpected death of a child.

In order to assist the police/Law Officers in their investigation, all agencies must submit a report which includes a review of their social care records - this report must be submitted within 28 days of death. 

Strategy meeting following preliminary results

Whilst the results of the post mortem are the property of the Law Officers, police, health professionals (i.e. paediatrician and pathologist)  a strategy meeting should still be convened. This meeting should be convened and chaired by the responsible paediatrician.

The purpose of this is to:

It may be that it is still not possible to make such determinations at this stage, and that agencies must wait for the final results of the post-mortem.

Strategy meeting following final results

A strategy meeting should be held as soon as the final results are available. Such a meeting should include:

The meeting should be convened and chaired by the responsible paediatrician. The purpose of the meeting is to:



A copy of the minutes of this meeting should be sent to the coroner, along with minutes of any previous meetings.