On 11 June 2016, 21-month-old Mason Jet Lee, a child known to Child Safety Services, died in the north Brisbane suburb of Caboolture.
The Commission worked with Child Safety Services and Queensland Health to ensure their reviews were timely, thorough and able to deliver outcomes to improve service delivery to vulnerable children in Queensland. Both departments provided copies of their internal and external review reports to us for analysis and consideration.
Our analysis of these reviews is detailed in the report A systems review of individual agency findings following the death of a child. We identified opportunities for the child protection system and child death review mechanisms adopted in Queensland to be strengthened and improved.
A contemporary, best practice child death review model for Queensland has been established and commenced operations on 1 July 2020. Read about Queensland's child death review model.