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Safeguarding board publishes review findings


Gloucestershire Safeguarding Children's Board (GSCB) has today published the findings of a serious case review (SCR) into the death of Kayleigh-Anne Palmer and her daughter Lily-Rose, who she was pregnant with, in 2014.

Kayleigh-Anne was the victim of a serious domestic assault by her partner, Aston Robinson which led to her death, and that of her daughter, in April 2014. Robinson was sentenced to a minimum of 14 years at Bristol Crown Court for murder.

The GSCB carried out the review to understand all the circumstances that led up to Kayleigh-Anne's death, and to reflect the evidence discussed in court.

Agencies from across Gloucestershire, including Gloucestershire Police, Gloucestershire NHS Foundation Trust, Gloucestershire Care Services and Gloucestershire County Council, contributed to the review, with the findings shared with all organisations involved in safeguarding of children.

The review's main findings were:

·         More should have been done to protect Kayleigh-Anne (referred to as Lucy in the review) and her unborn child, Lily-Rose (referred to as Sarah)

·         The review identified a lack of awareness of the issue of domestic abuse amongst young people.

·         One challenge for professionals, when dealing with domestic abuse between young people, is whether or not it is treated as a child safeguarding matter.

·         More needs to be done to engage with young males in the county that have been perpetrators of domestic abuse.

·         When a child becomes pregnant, the focus should remain equally on the child and unborn baby.

Prior to publication of the serious case review, the GSCB has held a number of learning events for professionals around the county, where the findings from the report were shared.

Dave McCallum, independent chair of GSCB, said: "This is a truly sad case, and my condolences go to the family and friends of Kayleigh-Anne.

"Serious case reviews are not about allocating blame. They are about transparency and making sure that everyone learns from the findings of the review.

"Safeguarding is everybody's responsibility - everyone who works with children and young people has a responsibility for keeping them safe."

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