A Serious Case Review set up to look into the death of Yaseen Ali Ege says 'while lessons can be learned by all the agencies involved, his death could not be predicted.' It looks at the relationship of health staff, police, education and children's services in Cardiff with the family. It found:
- In 2003, reports of concern about domestic violence were made to the Women’s Safety Unit but they were not reported to the police or children’s services
- In 2007, when further reports of domestic violence were made there were delays in making referrals to Children's Services
There were no further reports of domestic violence or any referrals to Children's Services at the time of his death.
- The possibility that Yaseen might be at risk of significant harm within the family was not realised or understood
- There were occasions when teachers became concerned about his health and told his mother he should be taken to the doctor, but these were not referred under child protection procedures
- There was insufficient knowledge and understanding about the specific cultural traditions of the family and how these might have influenced the experiences of the individual members of the family and their engagement with services
The review has made a number of recommendations that have been accepted by Cardiff’s Local Safeguarding Children Board.