Hospital doctors failed to share with child protection services a list of "significant" injuries a five-year-old boy suffered 11 months before he was murdered, a case review has found.
Logan Mwangi had a broken arm and multiple bruises across his body when he was taken to A&E in August 2020. But a paediatric consultant said these injuries were accidental and did not make a child protection referral.
Logan, from Bridgend, was murdered by his mother, stepfather and a teenager.
A Child Practice Review (CPR) has looked at how different agencies were involved with Logan's family in the 17 months before his death.
Cwm Taf Morgannwg health board said it welcomed the commissioning of an independent review into how it identifies and investigates non-accidental injuries.
The report said that if the injuries had been shared with social services, appropriate action could have been taken to safeguard Logan.
Jan Pickles, the independent chair of the review panel, said it was a "a significant missed opportunity".
She added: "Had further information from health been shared it most likely, though we cannot say for sure because of hindsight bias, would have triggered a child protection assessment in line with the joint agreed guidelines, as the nature of those injuries clearly met the threshold."
Source: BBC News, 24 November 2022