A catalogue of failings by the NHS meant that a series of opportunities which could have saved Baby P’s life were missed, according to the independent regulator of health and social care.
The Care Quality Commission said Haringey’s services were poor. The 35 contacts the toddler had with the NHS covered visits to a GP, health visitors, consultant paediatricians, hospitals and walk-in centres.
The regulator criticised three trusts in particular - Haringey, which was responsible for the community services - North Middlesex Hospital and the specialist children’s hospital Great Ormond Street, which provided the paediatric staff for both the local trusts.
It said system failure meant medical records were not shared between health services and NHS workers did not properly alert social services and police to their concerns.
Two doctors involved in the baby’s care have already been suspended.
Health secretary Alan Johnson said: ‘These failures are unacceptable. We must do all we can to learn the lessons of this appalling case.’
Dr Peter Carter, general secretary of the RCN, said logic suggested there were other children in a similar situation to Baby P.
He said that low staffing numbers meant on average one nurse was looking after more than 2,500 school children, and increasing pressure over child protection issues was making it difficult to cope.
The RCN is calling on the government to double the number of full-time school nurses in England, from 2,634 in 2008 to 6,000, to enable nurses to work in teams across a set of schools.
To read the Care Quality Commission report, see the attached file.