Swansea Safeguarding Children Board carried out the review after thedeath of 13-month-old Aaron Gilbert in May 2005. It found that while thecircumstances surrounding the toddler's death could not be predicted,there were lessons to be learned.
The review found agencies involved in the case, including Swansea socialservices, the National Public Health Service for Wales and South WalesPolice, had not shared information. It also said there was an inadequateresponse to a call to social services from a member of the public aboutthe child's welfare and that services must ensure they have the correctinformation when such a call is made.
Recommendations also included a review of the information sharingprotocols and procedures within Swansea Safeguarding Children Board.
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