child death overview panel sixth annual report · 2020. 7. 24. · progress on issues identified in...

Child Death Overview Panel

Sixth Annual Report

1st April 2013 – 31

st March 2014

Contents

Page Number

1. Chair’s Welcome 3

2. Introductions 4

3. Child Death Overview Panel in West Sussex 6

4. Child Death Notifications 8

5. Rapid Response to Unexpected Child Deaths 9

6. Child Death Overview Panel Findings 11

7. Progress on Issues Identified in 2012-2013 15

8. Emerging Issues from Case Reviews 16

9. Training and Development 17

10. Future Priorities 17

11. Appendices 18

West Sussex LSCB Child Death Overview Panel Annual Report 2013-14

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Welcome

Welcome to the sixth annual report of the West Sussex Child Death Overview Panel (CDOP).

Included in this report is data about child deaths that occurred and/or were reviewed between April 2013 and March 2014 and an overview of issues arising from the review of child deaths by the Panel. The report also has information on the response to unexpected child deaths.

The report states that during 2013-2014 the number of child deaths in West Sussex reviewed by CDOP was 51. The number of deaths notified to CDOP in 2013-2014 was 38. There continued to be more deaths of babies and young children under the age of 1 year than older children, which is in line with national data.

The report outlines that during the reviews of child deaths undertaken by the CDOP in 2013-2014, modifiable factors that may have contributed to the deaths were identified for 17 cases which is more than double the figure in the previous year. These modifiable factors related mainly to safe sleeping and smoking and the Panel have already taken action, working with the West Sussex Safeguarding Children Board (WSSCB) Communications Team, to start developing and delivering a local communications strategy that will help to promote the safer sleeping message across the county.

The report outlines that during 2013-2014 the Panel has seen some improvement in the way the Pan Sussex Rapid Response procedures are being applied across West Sussex but that there are still opportunities to improve this further in 2014-2015.

The publication of National CDOP data in June 2014 has enabled us to make some comparisons within the report, especially related to the timeliness of the WSSCB CDOP review process compared with other CDOPs.

Future priorities are outlined in the report that will inform the ongoing work of the CDOP and the WSSCB in 2014-2015.

Dr Ann Corkery

Chair of West Sussex CDOP

Introduction

Working Together to Safeguard Children 2013 was published in March 2013 to replace Working Together 2010, and set out the processes to be followed when a child dies in the Local Safeguarding Children Board (LSCB) area. The death of a child, whether expected or unexpected, represents a tragedy for families, friends and communities. By learning lessons from the systematic review of child deaths in the area the agencies operating within West Sussex seek to prevent future child deaths and to make a wider contribution to the wellbeing of children and young people.

Working Together identifies two inter-related processes for reviewing child deaths. These are:

a) Rapid response to the unexpected death of a child which is carried out by a group of professionals who come together as soon as possible after a child has died for the purpose of enquiring into and evaluating each unexpected death; and

b) Review of all child deaths for children up to the age of 18 years when the child who has died would normally be resident in the West Sussex Safeguarding Children Board (WSSCB) area. This is undertaken by a designated CDOP. This is a paper exercise, based on information available from those who were involved in the care of the child, both before and immediately after the death, and other sources as appropriate.

The overall purpose of the child death review process is to understand why some children die and, wherever possible, put in place interventions to prevent future deaths and to protect other children. It is intended that these processes will:

classify the cause of death for individual children;

make a decision as to the preventability of the death;

identify any modifiable factors, consider any recommendations that may be made about actions which could be taken to prevent such deaths in the future at a local, regional and national level; and

monitor the support offered to families of children who have died.

Working Together requires each CDOP to prepare an annual report for the LSCB. This report in turn informs the LSCB annual report which should serve as a powerful resource to promote child health, safety and wellbeing.

This report covers the sixth year of the CDOP process in West Sussex. It examines the statistical data relating to child deaths that occurred and/or were reviewed between 1 April 2013 and 31 March 2014 and provides an overview of how the child death processes have worked during this period.

Definitions

The definitions that the CDOP adopted during the period covered by this Annual Report were:

A child is defined as being under 18 years of age.

An unexpected death is defined as the death of a child that was not anticipated as a significant possibility 24 hours before the death, or where there was a similarly unexpected collapse leading to or precipitating the events that led to the death.

Preventable Child Deaths are those in which modifiable factors may have contributed to the death. These factors are defined as those which, by means


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of nationally or locally achievable interventions, could be modified to reduce the risk of future child deaths. In reviewing the death of each child, CDOP considers modifiable factors, for example in the family and environment, parenting capacity or service provision, and considers what action could be taken locally and what action could be taken at a regional or national level.

Rapid Response - these are the processes followed when a child dies unexpectedly. Their purpose is to ensure that agencies work together. They include:

1. responding quickly to a child’s death in a coordinated way;

2. hold an immediate information sharing and planning discussion; and

3. multi-agency case discussion to take place after the final post-mortem result is known (approximately 8-12 weeks after the death) which in turn produces a report for CDOP.


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Child Death Overview Panel in West Sussex

The Child Death Overview Panel (CDOP) was established in West Sussex in 2008 in response to statutory requirements laid out in Working Together to Safeguard Children 2006. Chapter 5 of Working Together 2013 sets out the procedures to be followed when a child dies in the Local Safeguarding Children Board (LSCB) area covered by the CDOP.

The CDOP is a sub-group of West Sussex Safeguarding Children Board (WSSCB) and during 2013-2014 it met 7 times on a bi-monthly basis. This multi-agency panel has representatives from a range of agencies and is made up of the following core professionals:

Consultant in Public Health - Chair

WSSCB CDOP/QA Officer - CDOP Coordinator

WSSCB Board Administrator - CDOP Administrator

Designated Doctor (CDOP)

Designated Nurse - Safeguarding Children

Specialist Nurse, Rapid Response

Child Protection Manager, Sussex Police

Safeguarding Lead, South East Coast Ambulance Service

Children’s Safeguarding in Education Manager

Youth Services Manager

Service Manager, Children’s Social Care

The CDOP collects data concerning all deaths of children that are normally resident within West Sussex and analyses it with a view to identifying:

o Any case that may give rise to the need for a Serious Case Review;

o Any issues that may affect the safety and welfare of children in the West Sussex LSCB area;

o Any wider public health or safety concerns arising from a particular death or patterns of deaths.

Communication

The WSSCB CDOP/QA Officer acts as the Single Point of Contact in West Sussex for notifications of child deaths and as the CDOP Coordinator. The WSSCB Board Administrator disseminates the notification of a child’s death to agencies across West Sussex and requests them to complete standardised Agency Report Forms outlining their involvement with the child prior to and after their death.

In West Sussex we have a specifically designed leaflet that explains the CDOP process for parents whose baby dies before the age of 28 days (neonatal) and this is given to them by a Health Professional who already knows the family. Parents of a child whose death was expected are given the national leaflet explaining the child death review process to them by a Health Professional they know and they are offered a home visit from the Specialist Nurse Rapid Response. The parents of children who die unexpectedly are visited by the Specialist Nurse Rapid Response


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who provides them with the leaflet, explains the purpose of the CDOP and offers them an opportunity to provide feedback of their experience to the Panel.

There has been some concern this year that these leaflets are only produced in English and that some parents may not therefore receive all of the information that other parents are given when their child dies.

An enquiry was sent out to the National CDOP Network to see if any other CDOPs had produced leaflets in other languages. It appears that CDOPs have not produced leaflets in other languages due to cost and the broad range of languages that would be required. It was decided by the WSSCB CDOP therefore that if a need arose for the leaflet to be translated into another language then these would be produced on a case by case basis.

Confidentiality

As stated in Working Together 2013, parents should be informed that for all cases information gathered will be stored securely and only anonymised data will be collated at a regional or national level. Parents should also be made aware that the CDOP will make recommendations and report on the lessons learned to the WSSCB.

All cases are anonymised at the Panel meeting and all Panel members, any deputies they send and any observers at the meeting must sign a confidentiality statement prior to attending their first meeting. The deliberations of the CDOP are confidential, and are exempt from Freedom of Information requests.

The conclusions reached by the Panel on individual cases are not published but they are communicated to relevant professionals.

This annual report is a public document, but when published it will not contain any personal information that could identify an individual child or their family.

In order to protect individual data where there are fewer than 6 cases the numbers from 1 to 5 inclusive have been suppressed and are shown as crosses (x). Where any number is shown as zero (0), the original figure was zero. Percentages are shown rounded to whole numbers but where the numerator was 5 or less or the denominator was 10 or less, they have been suppressed and replaced by a cross.


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Child Death Notifications

According to the Office of National Statistics (ONS) population estimates for West Sussex (mid 2012) had a total population of 815,100 of which 183,600 were aged 0-19 years (147,000 of these aged between 0 and 15). Children in West Sussex represented a smaller proportion of the total population than the average for South-East England (22.5% compared to 24%). ONS reported that during 2012 there were 9,300 live births to mothers who are usually resident in West Sussex.

Over the past 10 years there has been an average of 51 child deaths notified per year. Between 1 April 2013 and 31 March 2014 a total of 37 deaths were notified of children normally resident in West Sussex. The table below shows the number of child deaths between April 2004 and March 2014. If we compare the average number of child deaths in the first 5 years (2004-2009) which was 59 and the last 5 years (2009-2014) which was 43, we can see a distinct fall in numbers.

ONS data 2004-2008 & Child deaths 2008-2014 for West Sussex

Table 1: Number of child deaths in West Sussex

between April 2004 and March 2014

2004-05 53

2005-06 54

2006-07 66

2007-08 61

2008-09* 62

2009-10 40

2010-11 47

2011-12 52

2012-13 38

2013-14 37

*Formal CDOP process introduced

Chart 1: Ages of children that died each year between 2009 -2014

0-28 days 29-364 days 1-4 yr 5-9 yr 10-14 yr 15-17 yr

2009-10

2010-11

2011-12

2012-13

2013-14


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Comparing the ages of the children who died in West Sussex between April 2009 and March 2013 (see chart 1 above) it is apparent that the greatest number of deaths occur in the first 4 weeks of life.

Chart 1 illustrates how almost two-thirds (63%) of all child deaths in West Sussex over the last 5 years have been of infants under 1 year of age. There has been a slight decrease this year however with the deaths of children under 12 months accounting for just 55% of all child deaths.

Table 2: 1Age of children whose death was reported in 2013-2014

0-27 days 28-364 days 1-4 yrs. 5-9 yrs. 10-14 yrs. 15-17 yrs.

18 X 8 X X X

The appendices contain ONS data for 2012 (latest data available in July 2014) for comparison relating to child deaths nationally, regionally and in the West Sussex local authority areas. When making comparisons it should be born in mind that the local numbers of deaths are very small and will vary year to year, making it difficult to compare 2013-2014 figures to data from 2012. It can be seen however that nationally child deaths under a year of age account for a large proportion of the deaths.

Rapid Response to Unexpected Child Deaths

The rapid response process is only relevant to those deaths that are unexpected. Of the 512 children whose deaths were reviewed by CDOP between 1st April 2013 and 31st March 2014, 18 were unexpected. Pan Sussex Procedures for local rapid response processes are available on the WSSCB website.

The number of deaths notified within the year 2013-14 was 38 and of these 14 were unexpected. Aspects of the rapid response process were followed in all cases. There was some delay in initiating rapid response processes for some deaths due to confusion as to what is categorised as an unexpected death.

The unexpected child deaths reviewed by the Panel this year have shown that there has been an improvement in how the rapid response process has worked with sudden deaths but the Panel continues to monitor this closely. More training is needed to ensure that all members of frontline staff are confident about their roles and the processes they must follow. There have been a few cases this year where protocols have not been fully complied with due to a range of issues arising and so further multi-agency training is being rolled out across the area in the coming months.

1Some numbers replaced with x to protect confidentiality as some figures less

than 5 2 This includes notification of the death of a non-resident child who died in West

Sussex

http://pansussexscb.proceduresonline.com/index.htm


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The figures below show that there has been a slight decrease this year in the number of child death notifications but a slight increase in the number of unexpected deaths, the third year in a row that this number has increased.

2010-2011 2011-2012 2012-2013 2013-2014

Total no of death notifications 47 52 39 38

No of unexpected deaths 16 9 11 13

Unexpected deaths as a % 34% 17% 28% 34%

An audit was undertaken this year which showed that the samples taken at the time of death were not being recorded or reported on consistently. Attempts have been made to address this with paediatricians.

There was a cluster of sudden and unexpected deaths in March 2013 going on into April, with 6 deaths of babies with an age range of up to a year and a half. The post-mortem reports took between 13 weeks and 30 weeks to be completed which caused much anxiety with the bereaved families. The specialist nurse reviewed all 6 deaths in April, prior to the post-mortem report findings, to see if there were any common factors and found that there were risk factors for Sudden Infant Death Syndrome (SIDS) in the majority of cases but no single identifiable cause.

On-going support for bereaved families

Where the registered cause of death is SIDS the families have generally needed more bereavement support from the specialist nurse than those where there was a known or identifiable cause of death. Where the child is older there has not been the same need this year, which is mainly due to the families concerned having their own friend and family support. The specialist nurse formed the West Sussex Child Bereavement Forum in 2012 gathering together all voluntary and statutory services who offer bereavement support to parents and children. In April 2013 a directory and map of these services was put onto the GP website to assist the GPs in making appropriate referrals. There continues to be a gap in NHS service provision of a counsellor in one of the three Community Children’s Nursing Teams. There is also no NHS provision for couples’ counselling following the death of a child.


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Child Death Overview Panel Findings

During 2013-2014 CDOP met 7 times and completed the review of 51 child deaths. X

of these was a child normally resident outside of West Sussex. Of the cases reviewed one related to a death occurring between 1 April 2010 and 31 March 2011, one occurred within 2011-2012, 28 during 2012-2013 and 21 during 2013-2014.

Of the 51 deaths reviewed 17 (8) were classed as having modifiable factors and 15 (7) of these related to children under the age of one year. This shows a marked increase on the previous year’s figures which are shown in brackets after this year’s figure.

Almost a half of all child deaths reviewed related to infants who died before reaching 28 days of age, excluding any stillbirths or any live births resulting from a planned termination of pregnancy.

Of the deaths reviewed and placed in the categories below, Table 4 shows that 33% of cases were considered to have modifiable factors, compared to 22% nationally.

Of the deaths reviewed, as found in previous years, the largest number were classed as due to perinatal/neonatal events. This refers to a cause of death ultimately related to perinatal events, irrespective of the child’s age at death. This category represents the cause of death in 27% of all cases which is less than last year’s figure of 49%. The number of deaths categorised as Sudden Unexplained Death of an Infant (SUDI) has doubled this year and all the deaths were judged to be associated modifiable factors.

There were themed reviews undertaken by the Panel of deaths due to cancer and of SIDS, so common factors could be identified and action taken where relevant. In the review of deaths due to cancer the Panel recognised the excellent care and support some of the children and families had received.

0-27 days

47%

28-364

days

25%

1-4 yr

8%

5-9 yr

4%

10-14 yr

12%

15-17 yr

4%

Chart 2: Age of children

whose deaths were

reviewed during 2013-

2014


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Table 4: Categories of child deaths reviewed in 2013-2014: WSSCB CDOP and National CDOP data

Categories WSSCB CDOP Total number of children

6

WSSCB CDOP % of

Cases identified

with modifiable

factors6

National CDOP Total

number of children

6

National CDOP

Data 2014

% with modifiable

factors

1. Deliberately inflicted injury, abuse or neglect

0 0% 74 47%

2. Suicide or deliberate self-inflicted harm

0 0% 87 36%

3. Trauma and other external factors x 100% 195 59%

4. Malignancy 9 0% 280 4%

5. Acute medical or surgical condition X 0% 205 29%

6. Chronic medical condition 0 0% 164 15%

7. Chromosomal, genetic and congenital anomalies

10 20% 853 9%

8. Perinatal/neonatal event 15 27% 1274 18%

9. Infection x 40% 191 22%

10. Sudden unexpected, unexplained death

8 100% 282 68%

11. Unknown category x 0% 13 15%

TOTAL No of Cases 51 (17) 3618 (823)

0 10 20 30 40 50 60 70 80

1 Deliberately inflicted injury, abuse or neglect

2 Suicide or deliberate self-inflicted harm

3 Trauma and other external factors

4 Malignancy

5 Acute medical or surgical condition

6 Chronic medical condition

7 Chromosomal, genetic and congenital…

8 Perinatal/neonatal event

9 Infection

10 Sudden unexpected, unexplained death

Chart 3: Categories that explain the deaths of children

reviewed from April 2010 to March 2014

2010-11 2011-12 2012-13 2013-14


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Of the 51 child deaths reviewed by the Panel in 2013-2014 there were 17 where the Panel concluded that there were modifiable factors present (compared to just 8 cases in 2012-2013). The modifiable factors identified this year (listed by frequency below) related to similar issues as those reported last year:

Safe Sleeping (Incl: co-sleeping)

Smoking in the household

Smoking during pregnancy

There were additional issues recorded which were:

Obesity of Mother

Prior Medical Intervention

Consanguinity

Of the 51 deaths reviewed 26 were male and 25 were female. The ethnicity of all the cases reviewed in 2013-2014 is shown in the Chart 4 below.

Chart 4: Child Deaths: Ethnicity 2013-2014

None of the children were asylum seekers, X children were or had been subject to a statutory order and X of the 51 had previously been on a child protection plan.

Chart 5 below shows the location of the child at the time of the event or condition which led to their death and compares this year’s data with that of the previous 3 years. This year 47% of deaths were of infants less than 28 days of age and therefore 20% of children died within the Neonatal Unit. The most common location for child deaths this year however was at Home of Normal Residence which accounted for 27% of child deaths.

Asian (all

categories),

10%

White (all

categories),

80%

Black

(BB/BC/BA)

10%


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There has been a significant improvement in the timeliness of child deaths being reviewed this year with 29% of child deaths being reviewed within 6 months compared to 0% in the previous year (see Chart 6). When compared with the National Figures for 2013-2014 WSSCB are slightly behind for cases reviewed within 6 months (29% WSSCB, 35% Nationally) but for cases reviewed within 7 months WSSCB were better than the national average (53% WSSCB, 49% Nationally).

0

10

20

30

40

50

60

2013-14

2012-13

2011-12

2010-11

Chart 5: Location of the child at time of event or condition which led to their death

0

5

10

15

20

25

under 6mths

6 or 7mths

8 or 9mths

10 or 11mths

12 mths over 1year

Chart 6: Time period from the date of notification to when the review was completed 2010 - 2014

2010-11

2011-12

2012-13

2013-14


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Progress on Issues Identified in 2012-2013

Review the appropriateness of professionals’ responses to each child’s death

At every Panel, for every death the appropriateness of professionals’ responses has been reviewed. Following these reviews, issues have been raised with paediatricians, HM Coroner and with CDOPs from other areas. Areas of good practice were also identified particularly from the review of deaths due to cancer.

For all unexpected deaths a rapid response process was followed although there were delays following some deaths. Confusion around the definition of an expected death has contributed to some delays.

Consider outcomes of the Pan Sussex Review of the Rapid Response Process and make recommendations for improvement where appropriate

The Pan Sussex Review of Rapid Response led to the updating of local procedures. An audit tool was also developed to review the implementation of the rapid response process and a parental feedback proforma has been designed to collate information gathered from parents whose child’s death was unexpected.

Deliver Rapid Response training to multi-agency audience

Two further one day training events were delivered this year with a good attendance rate for each one with representatives across all key agencies. A further 2 training courses have been programmed for 2014-2015. The Panel discussed the potential introduction of shorter training sessions that maybe accessible to a wider range of staff.

Develop and improve the process of reviewing child deaths and the timeliness of the process

The data within this report shows that there has been a significant improvement made in the timeliness of reviews during 2013-2014. The WSSCB CDOP is now starting to exceed the national average in the time taken to complete CDOP reviews. To further improve the reporting and reviewing process in the future, agency specific Form B data feedback sheets are being introduced which will reduce the amount of evidence that needs to be collected and reported by each agency, lessen duplication and save time.


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Emerging Issues from Case Reviews

Inaccuracies on Death Certificates

There have been a number of instances this year where death certificates have recorded the mode of death (such as “respiratory failure”) rather than the cause of death. This has led to some delays when completing the case reviews and has potentially affected the quality of the overall review output. The Panel are in the process of investigating this issue with the National CDOP Network to see if this is a national or local issue before further action is taken.

Delays in receiving Post-Mortem Reports and distress this causes to parents

It was brought to the attention of CDOP during the first half of the year that several families had been upset by the length of time it was taking for them to receive the post-mortem report following their child’s death. The Specialist Nurse Safeguarding Children reviewed these concerns and found that waiting times ranged from 13 weeks to 30 weeks. This was brought to the attention of the local Coroner and has been investigated and appropriate measures taken to prevent future delays where possible. This will continue to be monitored throughout the coming year and prompt action taken if new issues are identified. Delays in communication from specialist hospitals outside of West Sussex have caused delays in the Rapid Response processes.

Sudden Infant Death Syndrome (SIDS)

The number of sudden and unexpected infant deaths has doubled this year and all cases were found to have modifiable factors when reviewed by CDOP. Work continues to raise awareness of reducing the risks for sudden infant death. Training sessions have been held for Health Visitors and Children and Family Centre staff in close liaison with charity The Lullaby Trust and the intention is to continue these throughout the coming year.

The parent held records books (Red Books) all now have an insert with information regarding safer sleep for babies. In addition parents are given the leaflet “Safer sleep for babies: A guide for parents” produced by The Lullaby Trust.

Modifiable factors: Safe Sleeping and Smoking are on the increase

Safe Sleeping remains a key modifiable factor for unexpected child deaths and relevant communication was sent to all health visiting teams to encourage the safe sleep message. At the review of some of the deaths it was clear that parents were aware of the safe sleep message due to briefings from their health professionals but had made a choice not to take the advice given. Work has continued this year to raise awareness of reducing the risks for SIDS.

Training sessions were held for health visiting teams in June and December with excellent attendance at both and the Safe Sleeping message has been actively promoted via the new WSSCB website and by circulation to Police, social care and health teams. A local communication campaign is being planned for 2014-2015.

The Chair of CDOP wrote a personal letter to all agencies in January 2014 bringing these issues to their attention and requesting that they promote the relevant good practice identified with their staff by whatever means they had available to them.


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This remains a significant concern and CDOP are looking at different ways in which these important messages can be relayed to parents in an engaging and consistent way. Smoking cessation services are in place to support families to stop smoking.

Training and Development

Rapid Response Training

Whilst good progress has been made this year in training staff on the procedures and protocols for responding to an unexpected child death, there are still many members of frontline staff that need to receive this training. Further training days have already been arranged for 2014-2015 and methods of delivery are being reviewed to identify other ways in which the key messages and correct protocols can be communicated across the different agencies so that consistent practices result.

Safe Sleeping and Smoking Campaigns

The Specialist Nurse will be working with the communications team and public health to develop a local communication strategy to deliver the safer sleeping message to professionals, parents and the wider community within West Sussex. It is planned that this campaign will run throughout 2014-2015.

The Specialist Nurse visited a Home Office Detention Centre highlighting the “safer sleep for babies” message and encouraging the staff to look at the environment and provision they have for babies.

Future Priorities

The principles for reviewing child deaths are:

- Every child’s death is a tragedy

- To learn the lessons to prevent future child deaths

- To undertake a joint agency approach to the reviews

- To take positive action to promote the welfare of children within West Sussex

Therefore the priorities for 2014-2015 will be ultimately focussed around the following:

1. To further develop and improve the WSSCB process for reviewing child deaths, to make systems for data collection more efficient and timely for all involved.

2. To continue to roll out the Rapid Response training programme for frontline staff and to investigate new ways to promote and raise general awareness of the importance and approach to managing unexpected child deaths across all agencies.

3. To develop a communications strategy that will proactively promote the benefits of safe sleeping and highlight the hazards to a child’s health and wellbeing caused by smoking, to all mothers and mothers to be.

4. To take action where relevant on other modifiable factors, to reduce the risk of harm to children in the future.


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Appendix 1: Data from Office of National Statistics – live births by area of usual residence‚ 2012 death registrations, United Kingdom and constituent countries

Number (thousands) Population (all ages)

Area of usual residence

Population

Deaths (numbers) Per 1,000 live births

Infant (under 1 year)

Neonatal (under 4 weeks)

Perinatal (stillbirths

and deaths under

1 week)

All ages

Infant mortality

rate

Neonatal mortality

rate

Perinatal mortality rate (per

1,000 live births

and stillbirths)

United Kingdom 63,705.0 3,347 2318 5,716 569,024 4.1 2.9 8.9

England 53,493.7 2,870 1,985 4,886 466,779 4.1 2.9 7.0

South East 8,724.7 362 250 681 76,579 3.4 2.3 6.3

West Sussex 815.1 33 23 57 8,676 3.6 2.5 6.2

Adur 61.9 1 1 4 716 : : 5.1

Arun 151.4 7 5 13 2,062 4.3 3.1 8.0

Chichester 114.5 5 5 11 1,302 4.4 4.4 9.6

Crawley 108.3 4 3 6 776 2.4 1.8 3.6

Horsham 132.2 7 4 8 1,256 5.4 3.1 6.2

Mid Sussex 141.2 5 3 9 1,246 3.2 1.9 5.8

Worthing 105.7 4 2 6 1,318 3.4 : 5.0


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Appendix 2: Data from Office of National Statistics – registered deaths by area of usual residence‚ 2012 registrations

Age group

Area of usual residence All Ages Under 1 1-4 5-14 15-24

Males Females Males Females Males Females Males Females Males Females

ENGLAND 224,460 242,319 1,631 1,239 251 189 303 238 1,367 576

SOUTH EAST 36,103 40,476 209 153 39 22 45 34 202 86

West Sussex 4006 4670 21 12 2 2 4 4 15 4

Adur 322 394 1 - 1 - - - 1 -

Arun 967 1095 4 3 - - 1 - 3 -

Chichester 611 691 4 1 - - - 1 1 1

Crawley 366 410 3 1 - - 1 1 - 1

Horsham 564 692 4 3 1 1 - 2 7 1

Mid-Sussex 563 683 3 2 - 1 - - 2 -

Worthing 613 705 2 2 - - 2 - 1 1

child death overview panel sixth annual report · 2020. 7. 24. · progress on issues identified in...

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