Overview
- The 62‑page Local Child Safeguarding Practice Review concludes multiple agencies repeatedly missed opportunities to protect the 10‑year‑old and underestimated her father’s danger.
- Key lapses in 2023 included a school referral over facial bruising that was closed within days without police contact, withdrawal to home education that removed oversight, and a council visit to the wrong address two days before she died.
- The review says professionals were manipulated by a serial domestic abuser, notes insufficient scrutiny when the child began wearing a hijab, and highlights inconsistent interpreter access for her mother during crucial proceedings.
- Evidence cited includes 71 recent injuries at death, among them 25 fractures, iron burns, scalds and human bite marks, indicating prolonged and escalating abuse.
- About 15 recommendations call for better‑resourced referral handling, experienced staffing and mandatory multi‑agency meetings when previously known children are moved to home education, with Surrey Council, ministers and child‑protection bodies pledging to act.