When the commission was set up in April 2000, no one could have predicted the impact it would have on child protection. Its initial remit was to monitor the quality of NHS healthcare in England and Wales and to investigate when things go wrong.
Liz Fradd, director of nursing and lead for the children's programme at the commission, says: "It was never intended to focus down on particular client groups or services, unless something went badly wrong or there was a National Service Framework."
The children's programme began after the Climbie inquiry report, when the commission was asked to undertake an audit of all healthcare services in England relating to child protection. Police and social services also had to do their own audits.
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