This videocast explores the Serious Case Review into the death of Child KN15 from Nottinghamshire and identifies the learning opportunities that can be taken from. 

KN15 aged 13, died shortly after 17.50pm on Saturday, May 13, 2015, inside a hedgerow off Westfield Lane, Mansfield, as a result of hanging.

KN15 had made her way directly inside the hedgerow after leaving her home address following an argument with her family. 

Assistant coroner Laurinder Bower said she could not be sure if KN15 intended to kill herself after she crept into bushes after going missing from home and hanged herself. She concluded following the four-week inquest into the death of the teen.

Miss Bower also said that social services missed “at least 11 opportunities” to intervene in KN15's life. 

Chris Few, the Independent Chair of the Nottinghamshire Safeguarding Children Board, which aims to support and enable organisations and agencies to work together to safeguard and promote the welfare of children. He said: “The death of KN15 was tragic and our thoughts are with everyone who knew her.

“We owe it to KN15 to learn from what happened and Nottinghamshire Safeguarding Children Board commissioned a serious case review to examine what could be learnt that would lead to improvements in the protection of children.

Presented by Louis Donald, Trust Safeguarding Manager - @Ldonald_DSL on Twitter.