The Poutasi report found there was an urgent need to consolidate a whole picture of the risks for Malachi. Each agency had part of Malachi’s reality, but none registered the red flags to bring it to each other.
Critical gap 3
Agencies and services do not proactively share information, despite enabling provisions
The Oranga Tamariki Act allows agencies and persons considered to be child welfare and protection agencies and independent persons under the Act to share information to prevent or reduce the risk of harm to a child or to assess risk. Despite this, agencies and their services did not proactively share information about Malachi.
The Poutasi report made two recommendations focused on closing this critical gap. The recommendations were focused on improving information sharing between agencies, with one specifically focused on sharing information with Oranga Tamariki when financial assistance is sought for a child whose parents or sole caregiver is in prison.
Also relevant to this critical gap is a finding from the Chief Social Worker’s report following Malachi’s death that, if agencies had been more co-ordinated, it would have strengthened the response Malachi and his received. In addition, the report of the Office of the Inspectorate33 recommended the relationship agreement between Corrections and Oranga Tamariki be reviewed. Among other things, the relationship agreement sets out how the agencies work together and protocols for sharing information.
Information sharing by agencies to keep safe is an enduring issue. The Poutasi report noted that improved information sharing had been called for multiple times in 30 years of reviews. It remains an issue in the child death reviews we looked at.
Reviews by both Police and Oranga Tamariki point out it is critical that information is shared but opportunities for professionals to do this are not being taken up.
“… The sharing of information between agencies is critical to establishing any insight as to risk around individuals and or family.” POLICE CHILD DEATH REVIEW
“Overall, the assessment lacks depth and breadth and does not acknowledge the seriousness of the injuries to [the child] or the suspicion that the injuries are inflicted. There is no documented consultation with any other professionals, limited family members and no information is triangulated.” ORANGA TAMARIKI CHILD DEATH REVIEW
33 Office of the Inspectorate. (2022). Summary of the Office of Inspectorate’s review. inspectorate.corrections.govt. nz/__data/assets/pdf_file/0018/49113/summary_-_final.pdf
34 privacy.org.nz/resources-and-learning/a-z-topics/information-sharing-childrens-wellbeing-and-safety/