Bracknell Forest Local Safeguarding Children Board’s recent serious case review examined a case where a two-month-old baby, known as Child C, had its right leg broken in 2013. It found that the agencies involved with the family did not work together effectively, leading to individual services making decisions without a full picture of the family’s history and situation. It concludes that safeguarding cases involving the “toxic trio” of domestic abuse, mental ill-health and substance misuse require a multi-agency approach.