Leading safeguarding expert Simon Bailey tells Sky News: “Quite clearly the system failed her because she tragically died at a very, very young age where all the indications are that it could have been averted.”
Mr Bailey, a former National Police Chiefs’ Council lead for child protection, blames “not enough professional curiosity” among social workers.
“Did they truly understand the significance of the harm that she was facing and that ultimately saw the appalling injuries that she sustained?” he asks. “Was information shared effectively?”
There had been previous allegations of abuse against both of Sara’sparents.
At birth in 2013 she was made the subject of a child protection plan, something that happens when children are deemed to be at risk.
The following year her parents separated. Sara was taken into foster care, before being returned first to her father, and then her mother, as each parent accused the other of abuse.
Four years later, in 2019, a battle in the family court led to Sara’s father, Urfan Sharif, being awarded custody.
Then, in March 2023, Sara’s school made a referral to Surrey social services. Teachers had become concerned about bruises on her face.
She’d given different explanations for them to two members of staff.
Social workers contacted Sara’s father to tell him they were investigating, before running a multi-agency check on her background. The case was closed six days later.
Mr Bailey says that decision will need to be scrutinised.
“They should then have looked at the cumulative risk that Sara might have been exposed to, inevitably was being exposed to, and should then have been able to make a decision to mitigate those risks and considered what those child protection arrangements should look like,” he says.
That April, Sharif withdrew Sara from school. Months later she was dead.
The deaths of children who were known to social services have prompted major national reviews in recent years.
A report published the year before Sara’s death investigated the failures of social services in Solihull and Bradford to protect Arthur Labinjo Hughes, who died aged 7, and one-year-old Star Hobson.
Star’s family believe lessons don’t appear to have been learnt.
“How can this still keep on happening?” asks her great-grandfather David Fawcett.
“It’s been four years since we lost Star and I don’t even want to think about the number of children that have lost their lives in that four years,” her aunt, Alicia Szepler, tells Sky News.
Dr Ciaran Murphy, from the Association of Child Protection Professionals, says social workers are coming under increasing pressure.
“When practitioners are being faced with 40, 50, 60 cases a day, they are naturally going to be prioritising and there are going to be errors of judgement,” he says.
“The massive increase in demand has come about over the last 15 years, particularly because of cuts to public services and public spending, which meant that there are less services supporting families, more families are being pushed into the system, increased demand for social workers.
“One of the big issues that we have to confront is we are not investing enough in the child protection system in terms of monetary spending.”
Now the trial has concluded an independent safeguarding review will examine what more could have been done to protect Sara.
Rachael Wardell, the executive director responsible for children’s social services at Surrey County Council, said:“Sara’s death is incredibly distressing and we share in the profound horror at the terrible details that have emerged during the trial.
“We are resolute in our commitment to protecting children, and we are determined to play a full and active part in the forthcoming review alongside partner agencies to thoroughly understand the wider circumstances surrounding Sara’s tragic death.”