The Prevention of Future Deaths report, made by the Assistant Coroner for Surrey, Karen Henderson, has been sent to the Secretary of State for Education and they have 56 days to respond with the actions that they will take, setting out the timetable for such action, to address the coroner’s concerns.
Frankie died on 25 September 2018. The inquest into her death concluded
that she took her own life after reading graphic online content that she accessed through a school iPad while unsupervised on school premises, when she ought to have been in lessons.
Frankie had autism and attended a special educational needs school, Stepping Stones School, which is now known as Undershaw, in Hindhead, Surrey. She was at risk of impulsive behaviour and was vulnerable to suggestion, the inquest was told.
heard that on the day of her death Frankie was left unsupervised at school for two hours with a school iPad. During this time, she searched how to self-harm and read stories on the social storytelling platform Wattpad, four of which describe suicide and self-harm. The last story she read mirrored her death later at home.
The coroner’s Prevention of Future Deaths report highlights several areas of concern including:
- The guidelines issued by the Department for Education (DfE) regarding e-safety systems require updating and are insufficiently robust to meet the changing demands of e-safety in schools
- Lack of oversight or regulatory guidance by the DfE as to what ‘blocklists’ provided by e-safety software vendors are either acceptable and/or suitable for a school environment
- Wattpad is not blocked by schools and in some schools Key Stage 4 pupils are actively encouraged to use it. There is inadequate independent scrutiny by Wattpad to remove age-inappropriate stories put on their platform.
- Some websites are only blocked when there is a particular key word in the URL. The DfE has not considered, nor included in the guidelines, the use of software that acts as a ‘key logger’ or ‘screen reader’ which, although they are not able to block sites, would generate a report to the nominated safeguarding individual for further action.
Frankie’s parents, Judy and Andy Thomas, said:
“We are grateful to the coroner for her detailed prevention of future deaths report which mirrors many of our concerns about the lack of robust guidance from the Department for Education regarding e-safety in schools. The coroner said that there appears to be inadequate regulatory oversight. The Department for Education's 'Keeping Children Safe in Education' statutory guidance says what governing bodies and proprietors SHOULD be doing and that institutions are already subject to inspection to ensure they are compliant with their duties. However, we feel strongly that these inspections should involve more than purely receiving assurances from a school about their policies with accompanying tick boxes but they should physically check that a school's e-safety equipment is not just in place but actually connected and working, with alerts both issued and monitored (failings highlighted by Frankie's death) and this must be a regular mandatory requirement. Frankie was not safe at school, despite inspections, and parents need to know that their child's internet access at school has full protections in place. The internet can be an extremely dangerous place, particularly for those with special educational needs like Frankie and what happened to her was a catastrophic failure. There really are no words to describe the shock of your child suddenly dying one day – just like that – which you can never change, and we hope it will be a "wake up" call which will sharpen focus regarding safety and not just be another sad story with nothing significant changing by the Department for Education. There must not be any complacency and there should be proactive commitment to a plan to enforce this guidance and continuously update it to reflect the ever-changing nature of the internet and the various sites that pupils may try to access. We trust that policies will be enforced, and that guidance will not just be “a choice” when pupils' lives may be at real risk and that this will truly result in the prevention of future deaths."
“We welcome this report by the coroner which we hope will spur the Department for Education into action to ensure that children are kept as safe as possible when accessing the internet at school. We are well aware of the ‘rabbit-holes’ people can fall down when they begin to access harmful content online, often being pushed further harmful content due to various algorithms within search engines and platforms, designed to show you more of what you have looked at. It is time for the Department for Education to show leadership and implement strong guidance for all schools to keep pupils as safe as possible online and to give schools the tools they need to make sure children are better protected, and staff are made aware if they are looking at harmful content.”
Judy and Andy Thomas are represented by Merry Varney of law firm Leigh Day and Jessica Elliott of One Crown Office Row.