The review found examples of poor record keeping and failure to communicate by social workers, doctors and health visitors in the borough where Victoria Climbie died.
The boy, referred to as Adam in the report, suffered burns to 28 per cent of his body, but following an investigation was returned to his family.
But last week's overview panel report, chaired by NCH - The Bridge director Renuka Jeyarajah-Dent, highlighted problems with assessment, supervision and record keeping. The panel described social services record keeping as "particularly sparse".
After Adam was referred to social services by the hospital's accident and emergency department, following burns, both the health visitor and the social worker failed to add any new information to what was already known about the case.
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