Log in
Every year over 5,000 children and young people in the UK die. Previous research suggests that 20-25% of these deaths may be preventable, and in comparison to many other European countries, the UK has higher child mortality rates. Child Death Review processes, introduced in the USA in the 1970s have been proposed as a means of learning from child deaths and driving prevention initiatives. Prior to 2008, the UK had no national system for reviewing and learning from children's deaths.
From 2006 to 2007, a team from Warwick Medical School led by Dr Peter Sidebotham undertook government-funded research examining a number of Local Authorities across England who had set up pilot Child Death Overview Panels (CDOPs). The findings from this research were instrumental in developing national policy and procedures for child death reviews. The Warwick research emphasised the importance of a multi-agency approach to reviewing all child deaths, with a strong public health focus on learning lessons for prevention, and robust systems for notification and gathering information. This, together with other research by Warwick Medical School on fatal child maltreatment published between 2009 and 2011, has contributed to updated national policy and interagency practice to safeguard children.
Although it is too early in the process to demonstrate any impact on the ultimate goal of reducing preventable child deaths, CDOPs have now been established in every Local Authority in England, as well as an all-Wales panel, and current work in Scotland and Northern Ireland is considering how best to implement such reviews. These panels are reviewing all child deaths in England, resulting in local prevention initiatives, and national returns enabling a clearer picture of the nature of preventable child deaths.
UNICEF estimate that over 3,500 children die annually from abuse and neglect in economically developed countries, including 100 in the UK of whom around 4 are from Northern Ireland. Although the number of deaths appears to be falling in the UK, the rate of decline is slowing. This case study describes the impact of three related pieces of research undertaken for the Northern Ireland Executive and the Northern Ireland Commissioner for Children and Young People. The aim was to identify the things that policy makers and practitioners could do differently in order to protect children better, and has led to significant improvements into how reviews are undertaken, and in the child protection policies and practices in Northern Ireland. As a result children have been better protected by child welfare professionals.
Research conducted at UEL on the protection, participation and welfare of children living in difficult circumstances in the aftermath of conflict and in contexts of urban and rural poverty has had wide-ranging impacts on international policy and practice. Benefits have arisen particularly from its influence on national policies for orphans and vulnerable children in Rwanda; on international professional standards and `best practice'; and on legal asylum in the USA. It has been used directly by governmental policymakers in Rwanda and Bangladesh and aid organisations in Africa and Asia, and has formed the basis for the development of new learning and advocacy resources used to improve the services offered by social work professionals in Africa, Asia and the UK. Through its direct impact on these individuals and organisations, the research has delivered indirect benefits to millions of children and adults around the world.
The findings from this research on noticing and helping neglected children are contributing to shaping effective responses by practitioners. In high income countries neglect is the most frequent category of child maltreatment. In the UK as many as one in ten children may experience neglect and yet systems here, and other jurisdictions with similar models, struggle to provide an effective response. The research at Stirling is improving practitioner knowledge and confidence with the development of comprehensive training materials and follow-on knowledge exchange work with multi-disciplinary groups of practitioners in England. It has contributed to policy development in England and Scotland.
Our work on children's agency in research has had three impacts:
This approach has been replicated in Australia, Turkey, New Zealand, Norway and Qatar. The CRC website hosts 150 successful projects by children and young people, and through the Diana Award more than 1500 children were supported in their research on cyberbullying.
1. Between 2006-10 Open University (OU) researchers Aldgate and Rose worked with the Scottish government to develop a rights and research-based national framework, Getting it Right for Every Child. Significant parts of this framework have now been included in the Children and Young People Bill (2013), to become law in 2014. Aldgate's research into kinship care led to the introduction, in 2010, of allowances for children who are looked after within the kinship care system.
2. Rose also worked with the Welsh government to develop and implement a national framework for learning and reviewing child protection policy and practice. Statutory regulations were laid and statutory guidance was issued for their implementation from 1 January 2013.
These developments have attracted international interest.
Rapid response reports, commissioned from the IOE's Thomas Coram Research Unit (TCRU) by the Departments for Education and Health specifically to inform policy-making, have helped to determine the financial and practical support for disadvantaged families and children in England for more than a decade. This important series of reports has achieved impact not only by producing robust findings that government departments can rely on but by building relationships of trust and mutual understanding between national policy-makers and researchers.
In a continuing policy focus on the family, both the current coalition government and its Labour predecessor have emphasised the value of re-integrating fathers into the family unit. For over 20 years our research has helped the UK government understand the role and importance of fathers to children's development. We have made concrete recommendations about the focus (i.e., the what and how) of initiatives designed to promote fathering. Our impact includes a tenfold increase in funding for work with fathers in Children's Centres and the pivotal influence of one study in parental responsibility granted to over two million unmarried fathers.
Responding to the crisis in confidence amongst clinicians involved in child protection, Cardiff University developed the world's first research programme to provide the scientific basis for more reliable clinical assessments of child abuse and neglect. The programme, which involves 21 systematic reviews (updated annually) and related primary studies, has directly informed five national clinical guidelines, the National Child Protection training program and the first NICE guidance on child maltreatment. Through the Core-Info website, the evidence base created by the Cardiff team is accessed each year by 100,000 users. Key messages from their research have been published in a series of Core-Info leaflets which have reached more than 250,000 allied professionals nationally. The Cardiff research informs standardised national clinical practice, training and legal decisions, ultimately improving the recognition and protection of children from abuse or neglect.
Professor Susan Golombok's research has made a significant contribution to policy formation and legislation regarding families created by assisted reproductive technologies. Her research has directly informed the Human Fertilisation and Embryology Act (2008); the policies of the Human Fertilisation and Embryology Authority (HFEA); and recommendations of the Nuffield Council on Bioethics, in relation to assisted reproductive technologies involving the donation of eggs, sperm or embryos and surrogacy, and with respect to families with single and same-sex parents. Moreover, her research has been widely recognised as having made a fundamental contribution to public debate on the social and ethical implications of assisted reproduction for individuals, families and society.