Oversight agencies are calling on government agencies in the children’s system to act faster in the wake of a report published today which has found children are still no safer than when Malachi Subecz was killed by his carer in 2021.
Aroturuki Tamariki | Independent Children’s Monitor has released its second review of the implementation of the 2022 Poutasi Report recommendations,Towards a stronger safety net to prevent abuse of children, which examines the progress made by government and agencies on recommendations made by the late Dame Karen Poutasi aimed at improving the child protection system.
Aroturuki Tamariki | Independent Children’s Monitor Chief Executive Arran Jones says since Malachi’s death, another 24 children were killed by someone who was meant to be caring for them between December 2021 and June 2025.
“Many of these were babies, most were under the age of five. This is equivalent to a primary school classroom of 24 children, gone in just three and a half years.”
Our review has found the gaps identified by Dame Karen have not been closed, that Oranga Tamariki is still not always able to respond when it needs to keep a child safe, and children continue fall through the gaps and die.
Mr Jones released the review alongside the heads of the other two agencies responsible for oversight of the Oranga Tamariki system, the Children’s Commissioner and the Ombudsman.
Mr Jones says successive reviews going back at least two decades have pointed to the gaps in the system. Dame Karen noted her 2022 report findings were not new, and just last week Coroner Anderson also pointed to the similar themes and recommendations being made year after year, often with little evidence of substantive change taking place.
“The Government’s decision in October last year to accept all of Dame Karen’s recommendations, was a good first step. While there are some promising pilots, we need to see continued priority given to making sustained change.”
“Crucially, this review found that even if the gaps in the safety net are closed, a fundamental problem remains. That is the ability of Oranga Tamariki to respond when it needs to. Social workers need to be able to get in the car and go and check children are safe. We continue to hear from frontline staff across government and community organisations that this is not always happening when it should,” Mr Jones said.
Children’s Commissioner Dr Claire Achmad says the findings of this new review highlight the need for urgent, sustained action to make real change for children’s safety, off the back of the Government’s acceptance last year of Dame Dr Poutasi’s recommendations.
“The stark truth that 24 children – most of them babies – have died through abuse by the person meant to be caring for them must shock us into action. The lives of other children depend on it. Children and young people who have talked to me following the launch of our Dear Children campaign have emphasised to me how urgent the focus on children’s safety must be.
“Changes in our systems and communities must be made now to keep all our children safe. Between Dame Karen’s recommendations and last week’s recommendations from Coroner Anderson, the pathway for change is clear. Our nation’s children require the children’s system, and all of us at the community level, to actively work together to prioritise them and their safety. Because the fact is, all forms of child abuse and neglect are 100% preventable, but it takes all of us working together to prioritise children at every level of our society.”
Chief Ombudsman John Allen says the findings raise the important need for cross-agency collaboration – for health, education, welfare and justice – to keep working together for a better care and protection system. This is the type of shift that Dame Poutasi was calling for.”
“There are some ‘green shoots’ out there such as the new in-person hub pilot at the Oranga Tamariki national contact centre. Hub staff are helping to identify and address needs of at risk children when their sole parent enters prison. I’m also encouraged by what is happening in Whakatane, where Oranga Tamariki is working closely with a community-based provider Te Pūkāea o te Waiora. Community led organisations know the whānau well and are better equipped to intervene early and provide immediate support while at the same time taking pressure off the wider system.”
The Monitor’s review, Towards a stronger safety net to prevent abuse of children, is available on its website: https://aroturuki.govt.nz/reports/safety-net
Notes
The oversight system
The oversight of oranga tamariki system’s role is threefold, with a focus on the rights and wellbeing of children and young people known to Oranga Tamariki either through care and protection or youth justice.
Aroturuki Tamariki | Independent Children’s Monitor checks that organisations supporting and working with children and young people known to Oranga Tamariki are meeting their needs, delivering services effectively, improving outcomes and complying with the Oranga Tamariki Act and the associated regulations.
Mana Mokopuna – Children’s Commissioner is the independent advocate for the rights, best interests, wellbeing and outcomes of children and young people under the age of 25 who are or have been in the system, as well as being the independent advocate for all of New Zealand’s children.
The Ombudsman is the independent watchdog of Government, and receives complaints from children and young people (and their whānau and representatives) about decisions and actions affecting them in the system. The Ombudsman investigates concerns where needed.
