Here is a full list of the recommendations made in the serious case review into the death of Khyra Ishaq, who starved to death at her Birmingham home in 2008:
Recommendation 1 - Birmingham Safeguarding Children Board should commission work to identify how agencies across Birmingham can increase effective professional communication to improve the safeguarding outcomes for children and young people in compliance with policy and procedure.
Recommendation 2 - South Birmingham NHS Primary Care Trust should evidence through audit processes that children who are subject to weight and height checks as part of school medicals have their data fully recorded and plotted on a growth chart in their notes, to provide a complete and readily accessible picture of the child's development.
Recommendation 3 - NHS Primary Care Trusts should review processes for obtaining parental consent for child access to the school health service, including a process of follow-up action for parental refusal or withdrawal of consent.
Recommendation 4 - Where a school has initial concerns the designated senior person should liaise with schools attended by other siblings to ensure an holistic view of the children and family is obtained.
Recommendation 5 - Birmingham Children's Social Care must review and demonstrate that staff at all levels understand the appropriate use of the common assessment framework and the application of thresholds for significant harm.
Recommendation 6 - Birmingham Children's Social Care and West Midlands Police should review multi-agency procedures to ensure that Police Safe and Well Checks are not used in place of existing safeguarding policies and procedures.
Recommendation 7 - Birmingham Children's Social Care must review and revise their referral and advice screening process to ensure that safe decisions are made based on risk, and where the referrer expresses dissatisfaction this is passed to the Line Manager for resolution.
Recommendation 8 - Birmingham Children's Social Care should review the assessment process in the Duty and Referral Service to determine robust management oversight at each stage of the process and ensure robust quality assurance measures are in place which are specific to the 'Framework for the Assessment of Children in Need and their Families'.
Recommendation 9 - Birmingham Safeguarding Children Board should commission multi-agency guidance and training to equip staff in all agencies to work effectively with aggressive and highly resistant parents and carers.
Recommendation 10 - Birmingham Children's Social Care should conduct an evaluation survey to quantify Children's Social Care staff's understanding of the role and responsibility of the Education Otherwise Service following the recent awareness campaign.
Recommendation 11 - Birmingham Children's Social Care should review and evidence that mechanisms are put in place to ensure that use of the complaints process by parents or significant adults does not adversely affect the actions of staff when pursuing safeguarding matters, or the welfare of children.
Recommendation 12 - Birmingham Children's Social Care to review supervisory expectations and standards, ensuring management and decision making processes contain sufficient rigour when managing risk.
Recommendation 13 - Education Otherwise should evidence to Birmingham Safeguarding Children Board changes to the recording and assessment process, demonstrating delivery of safe and effective services that contribute to meeting the safeguarding needs of children and young people across Birmingham.
Recommendation 14 - The Strategic Director of Children's Services should communicate to the DCSF Secretary of State, the current safeguarding inconsistencies within legislation surrounding children who are educated from home, emphasising that the parents right to home educate does not outweigh the rights of the child.
Recommendation 15 - Heart of Birmingham Teaching NHS Primary Care Trust should review and satisfy themselves that all GPs are aware of their professional responsibilities to communicate safeguarding concerns that arise as part of their interaction with children and families, in line with existing safeguarding procedures.
Recommendation 16 - Birmingham Safeguarding Children Board expects all agencies that have completed an Individual Management Review to implement any internal recommendations and to take action where management or practice has fallen below expected standards of professional behaviour.
Recommendation 17 - Heart of Birmingham Teaching NHS Primary Care Trust and South Birmingham NHS Primary Care Trust, Birmingham Children's Social Care and Education Otherwise agencies should provide evidence to demonstrate an effective response to missed or failed appointments.
Recommendation 18 - The Children's Trust in conjunction with the Birmingham Safeguarding Children Board should initiate an education campaign with supporting literature, to build public trust and confidence in ways to effectively safeguard and protect other people's children.
>MORE: Social services missed several chances to save Khyra Ishaq, says report
