Manchester Child Death Overview Panel (CDOP)

Since 1 April 2008, there has been a legal requirement that Child Death Overview Panels conduct a review for all child deaths aged 0-17 years who normally reside in their area (excluding stillbirths and legal terminations of pregnancy).  The revised Child Death Review: Statutory and Operational Guidance (England) was published in October 2018 for clinical commissioning groups and local authorities as child death review partners. The guidance sets out the full process that follows the death of a child who is normally resident in England.  It builds on the statutory requirements set out in Working Together to Safeguard Children (2018) and clarifies how individual professionals and organisations across all sectors involved in the child death review contribute to reviews.  The guidance sets out the process in order to:

NHS England has published guidance for the bereaved, When a Child Dies: A Guide for Parents and Carers, setting out the steps that follow the death of a child.

The collation and sharing of the learning from reviews is managed by the National Child Mortality Database (NCMD) through the use of standardised forms.

The Child Death Overview Panel (CDOP) Process

The responsibility for ensuring child death reviews are carried out is held by ‘child death review partners,’ who, in relation to a local authority area in England, are defined as the local authority for that area and any clinical commissioning groups operating in the local authority area.

The purpose of the Child Death Overview Panel (CDOP) review and/or analysis is to identify any matters relating to the death, or deaths, that are relevant to the welfare of children in Manchester or to public health and safety, and to consider whether action should be taken in relation to any matters identified. In addition, the CDOP also prepares and publishes reports on:

  • what has taken place as a result of the child death review arrangements, and
  • how effective the arrangements are in practice

The CDOP requests information from persons and/or organisations for the purposes of enabling and assisting the review/analysis process – the person or organisation must comply with these request, and if they do not, the CDOP may take legal action to seek enforcement.


CDOP Responsibilities: 

The functions of the CDOP include:

  • to collect and collate information about each child death, seeking relevant information from professionals;
  • to analyse the information obtained, including the report from the Child Death Review Meeting (CDRM), in order to confirm or clarify the cause of death, to determine any contributory factors, and to identify learning arising from the child death review process that may prevent future child deaths;
  • to make recommendations to all relevant organisations where actions have been identified which may prevent future child deaths or promote the health, safety and well-being of children;
  • to notify the Child Safeguarding Practice Review Panel and Local Safeguarding Partnership when it suspects that a child may have been abused or neglected;
  • to notify the Medical Examiner and the doctor who certified the cause of death, if it identifies any errors or deficiencies in an individual child’s registered cause of death. Any correction to the child’s cause of death would only be made following an application for a formal correction;
  • to provide specified data to the National Child Mortality Database (NCMD);
  • to produce an annual report for child death review partners on local patterns and trends in child deaths, any lessons learnt and actions taken, and the effectiveness of the wider child death review process; and
  • to contribute to local, regional and national initiatives to improve learning from child death reviews, including, where appropriate, approved research carried out within the requirements of data protection.

Manchester CDOP Newsletters

Manchester CDOP Newsletter: Preventing Injuries & Deaths in Children & Young People 

The Manchester CDOP publishes a quarterly newsletter ‘Preventing Injuries and Deaths in Children and Young People’ which is aimed at parents, carers and members of the public to raise awareness of some of the emerging CDOP trends.  The newsletter provides advice and information regarding services available to with the aim of preventing future deaths of children and young people:

CDOP Annual Reports

Manchester CDOP Annual Report
The findings from child deaths are used to inform local strategic planning on how to best safeguard and reduce harm in children and to promote better outcomes for our children in the future.  The findings and recommendations are published via the Manchester CDOP Annual Report:


Greater Manchester CDOP Annual Report

The four CDOPs across Greater Manchester collect data in a common format to allow sharing of information in order to build a picture of emerging themes and patterns across the sub-region.  Each year the four CDOPs share statistical data and perform a detailed analysis across a larger footprint with the aim of identifying trends.  The findings and recommendations are published via the Greater Manchester CDOPs Annual Report:


National Annual Report

Information and data from local CDOPs is collated via the National Child Mortality Database (NCMD) to produce a national report on themes and trends identified across England .  Reports can be found on the government website at

CDOP Contacts

Manchester CDOP
In the first instance please contact the Manchester CDOP Coordinator:

Stephanie Davern

0161 234 1537


CDOPs in England
Contact details of the person responsible for dealing with child death notifications for CDOPs in England can be found on the government website at

Manchester Reducing Infant Mortality Strategy 2019/2024

Infant mortality is a measure of the overall health of a population. It reflects the apparent association between the causes of infant mortality and other factors that are likely to influence the health status of whole populations,such as their economic development, general living conditions, social well-being, rates of illness and the quality of the environment.

In March 2019 the Manchester Reducing Infant Mortality Strategy 2019/24 was published

This strategy was developed to support the reduction in rates of infant mortality in Manchester; it is a collaboration between services and communities, recognising that everyone has a role to play.


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