The coroner sent her report to the Department of Health and Social Care, NHS England, and the Kent and Medway Integrated Care Board.
An NHS England spokesperson said: “The NHS England South East regional safeguarding team will. through established governance arrangements.
Have oversight of Kent and Medway Integrated Care Board’s actions to implement the learning to improve safeguarding at both the Local Safeguarding Children Partnership and within all commissioned services.”
An NHS Kent and Medway spokesperson said actions have been taken to address the concerns raised by the coroner.
Including formulating a child-focused safety plan which will be shared with a child’s school and social worker if identified.
The North East London Foundation Trust has also developed an escalation flow chart for professionals to include a Single Point of Access contact and a Multi-Disciplinary Team meeting escalation process.
