Coroner warns safeguarding gaps after Thamesmead woman killed by ex-partner
Prevention of Future Deaths report calls for urgent changes to protect vulnerable young adults in London
Incident → evidence → outcomeAn 18-year-old woman from Thamesmead was killed by her abusive partner after safeguarding measures lapsed when she reached adulthood. Natasha Hill died from more than 50 injuries at Scott Clifford’s grandfather’s home on Sewell Road in April 2018. Clifford, then 34, was later convicted of her murder.
Safeguarding support ended at 18
Hill had been in care since childhood and moved to semi-independent living in December 2016. She struggled with mental health issues and substance misuse. Clifford began grooming her during this period. A Child Abduction Warning Notice was issued against him, but it automatically expired when Hill turned 18 in January 2018.
Within a week of her birthday, Hill moved in with Clifford. The Multi-Agency Child Exploitation framework, which had provided safeguarding support, discharged her. Dr Julian Morris, Senior Coroner for Inner South London, said this left her without protection as abuse escalated. Police attempted to locate Clifford, but he remained out of contact with his probation officer.
Coroner’s report highlights systemic failures
Following an inquest in February, Dr Morris issued a Prevention of Future Deaths report. The document warns that similar deaths could occur unless agencies improve protections for vulnerable young people transitioning to adulthood. The coroner identified inconsistent police approaches to child sexual exploitation and missing person cases as contributing factors.
The report calls for formal reviews of vulnerable young people before their 18th birthdays. It also recommends better coordination between child and adult safeguarding teams. Dr Morris urged consideration of protections that could continue after a Child Abduction Warning Notice expires. His findings were sent to the Home Secretary, the National Police Chiefs’ Council, and the Education Secretary.
“There were signs of abuse across multiple police jurisdictions, yet no agency connected the dots before it was too late.”
What happens next
The Home Office, National Police Chiefs’ Council, and Department for Education must respond to the Prevention of Future Deaths report within 56 days. Their responses will outline any actions taken or planned to address the coroner’s recommendations. It is unclear whether local safeguarding partnerships in Greenwich or Bexley will implement changes before national guidance is issued.
Questions this report answers
01What was the Child Abduction Warning Notice and why did it expire?
A Child Abduction Warning Notice was issued against Scott Clifford due to concerns about grooming and abuse. It automatically expired when Natasha Hill turned 18 in January 2018, ending formal safeguarding measures. This left her without protection as abuse escalated.
02What changes is the coroner calling for?
Dr Julian Morris called for formal reviews of vulnerable young people before their 18th birthdays. He also recommended better links between child and adult safeguarding teams and protections that could continue after a Child Abduction Warning Notice expires. The report was sent to national agencies.
03Who must respond to the coroner’s report?
The Home Secretary, the Chair of the National Police Chiefs’ Council, and the Education Secretary must respond within 56 days. Their responses will detail any actions taken or planned to address the coroner’s recommendations on safeguarding vulnerable young adults.
04What happened to Scott Clifford after Natasha Hill’s death?
Scott Clifford was convicted of Natasha Hill’s murder. The trial heard he inflicted more than 50 injuries on her. He called emergency services on 4 April 2018, falsely claiming she had fallen down the stairs while drinking.
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