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Social workers in Doncaster failed to intervene before a father snapped the spine of his 16-month-old daughter despite being aware she was at significant risk, an inquiry has found.
Amy Howson was punched on numerous occasions by her father, James, leaving her with fractures to her arms, legs and ribs.
Basic procedures that might have prevented her death were not followed.
The 25-year-old was later sentenced to a minimum of 22 years in prison.
A serious case review into the way social services dealt with the family revealed that there had been sufficient information about the father’s violence for action to have been taken.
It was one of two serious case reviews published today into the deaths of youngsters murdered in the borough of Doncaster, South Yorkshire.
There was such concern at the inadequacy of the children’s services that, earlier this year, the Government sent in a leadership team to manage the council’s social services department and the then mayor, Martin Winter, made it clear he would not be seeking re-election.
In total the deaths of eight children known to the town’s social services since 2004 are being investigated.
In a separate serious case review into the death of Alfie Goddard, who died from head injuries in May last year at 11 weeks old, agencies were criticised for failing to heed warning signs.
The child’s father, Craig Goddard, 24, a man who struggled with alcohol and drugs, threw the child to the floor because he was crying. He was known to have had issues over controlling his temper.
The report’s authors concluded that agencies failed to recognise that anger, mental health problems, substance use and domestic violence could be risk factors for children. Individual bodies, including social services and health workers, generally acted in isolation.
“There was very little communication between agencies and no co-ordinated involvement with the family,” said the report.
"There was also a tendency for agencies to concentrate on the needs of the parents without considering the impact on the children.”
It was the shockingly violent death of Amy Howson in December 2007 that pushed Doncaster’s social service provision onto the national stage.
In the report’s conclusion, the authors suggest: “The murder of Child B (Amy Howson) by her father was not predictable given the information and knowledge held on him and other family members by agencies.
“However, there was sufficient information and knowledge on family members, including (the father), held by individual agencies to conclude that, on balance, both Child B and (and another child) were at risk of significant harm from him.
“Some agencies within the Doncaster multi-agency child protection system failed to follow basic safeguarding procedures and did not take proper and effective action to safeguard and promote the welfare of Child B and (another child).”
The report also suggested that the Doncaster Community and Schools Social Worker Service, the Youth Inclusion Support Service and the Doncaster PCT Health Visiting Service missed key opportunities to intervene to help the child.
The borough’s children’s services, which received only one star in the Audit Commission’s assessment last year, remain under the control of the Government’s intervention team.
Gareth Williams, the director of children’s services, insisted that plans are now in place to offer an effective service run by experienced staff. However, he admitted that there were still problems with recruitment.
Julie Bolus, director of quality and clinical assurance for NHS Doncaster, said that changes to working procedures have been made, including how information is shared with other agencies.
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