A serious case review into the death of four-year-old Daniel Pelka found repeated failures by agencies set up to safeguard children's welfare but concluded nobody could have predicted his death at the hands of an abusive mother her partner.
Prior to Daniel Pelka's death in March 2012, the four-year-old came in contact with a number of professionals who either noticed or treated him for injuries, or saw changes in his weight and eating behaviour.
The Serious Case Review found there were a number of opportunities to protect Daniel that were missed:
Opportunities to protect Daniel Pelka, who was beaten to death by his mother and stepfather, 'were missed' a serious case has revealed.
Daniel Pelka's Serious Case Review is strong on what went wrong, but weak on explaining why it was allowed to happen.