The SCR was launched into the case of the 17-month-old girl, known as Child Au, who was admitted to hospital with a broken arm by her parents in 2019.
Doctors discovered evidence of five other fractures, sustained over a period of time and the girl's parents and have since been jailed after being convicted of injuring their daughter.
But the review found that earlier concerns raised by health workers, including weight loss, developmental delay and intimidating and controlling behaviour by the mother, had not been effectively dealt with.
Child Au’s case had been allocated to a social worker for a single assessment and referred to the early help team at the now defunct Northamptonshire County Council in 2018 but “the plan was not actioned”, according to the SCR by Northamptonshire Safeguarding Children Partnership.
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