Learning from Child Deaths

From 1st October 2019 Birmingham City Council and Birmingham and Solihull Clinical Commissioning Group assumed statutory responsibility for the review of all child deaths in Birmingham and Solihull. Details of the new arrangements have been published and is available to read and download. For a copy of the report click here. The national framework for the revised child death arrangements are set out in statutory guidance in Working Together to Safeguard Children (2018) and the Child Death Review Statutory and Operational Guidance (England, October 2018). 

It is a legal requirement that all deaths of children, from any cause, occurring from birth until their 18th birthday, undergo a systematic review to identify modifiable factors and important learning which can be utilised to prevent future deaths. The Statutory and Operational Guidance details roles and responsibilities for individuals and organisations involved in the child death review process.

The Multi-Agency Guidance for Joint Agency Response to Sudden and Unexpected Death in Infancy/Childhood guidance applies to all child deaths occurring in Birmingham and Solihull of children aged up to 18 years. The same process should be used for deaths occurring in the community or hospital. Click here to read the guidance.

A 7 Minute Briefing has been developed, providing more information on the Child Death Overview Panel. 

Child Death Review Team

The Birmingham and Solihull child death review team office hours are Monday – Friday 9am – 5pm.

The team are:

  • Designated Doctor – Joanna Garstang
  • Lead Nurses – Sarah Hunt and Sue Cope
  • CDOP Co-ordinator - Melisha McKenzie
  • Administrator – Joanne Fox 

To notify details of a child death please access the eCDOP reporting system by clicking here.

For any queries please contact the Child Death Review Team via e-mail: 
This email address is being protected from spambots. You need JavaScript enabled to view it.. The CDOP Coordinator can be contacted on 07585 104 611. If you have any concerns about sending information securely or wish to discuss a child death notification, please contact the Lead Nurses listed below.

Lead Nurses

  • Sarah Hunt - 07739 631 561
  • Sue Cope - 07388 714 171

Support & Advice

Each unexpected death of a child is a tragedy for his or her family. Below are some suggested helpful links to other organisations that may be able to offer support, further information and advice.

The Lullaby Trust:

Edwards Trust:

Cruse Bereavement Care:

Child Bereavement: Telephone number 0800 02 888 40

Asian Community Advisory Centre: 487 Green Lane, Birmingham, West Midlands, B9 5PR. Tel: (0121) 753 2407

Asian Resource Centre: 10 Hamstead Road, Handsworth, Birmingham, B20 2QS. Tel: (0121) 523 0580.

Beyond the Horizons:

Reviewed: 21.03.2022

Copyright © 2019 Birmingham Safeguarding Children Partnership. All Rights Reserved.

PO Box 17340, Birmingham, B2 2DR