Serious case reviews

What are Serious Case Reviews?

A Serious Case Review is a review  of services that have been provided to a child and family prior to the death or  serious injury of a child where abuse or neglect are believed to be a  contributory factor.  LSCBs are required to undertake Serious Case Reviews under regulation 5 of the Children Act 2004 and guidance for this is contained in Chapter 4 of Working Together to Safeguard Children 2015.  The purpose of the review is to:

  • establish whether there are lessons to be learnt from the case about the  way in which local professionals and organisations work together to safeguard  and promote the welfare of children
  • identify clearly what those lessons are, how they will be acted upon, and  what is expected to change as a result; and
  • as a consequence, to improve inter-agency working and better safeguard and  promote the welfare of children.

Calderdale Safeguarding Children Board has developed a detailed Serious Case Review framework.

Publication of Serious Case Reviews

From 2013, LSCB’s, in consultation with the National Panel of Experts, are required to publish final Serious Case Reviews reports (completed since 2013) so that the learning is shared as widely as possible.  Prior to 2013, an executive summary report was available.  These reports of Serious Case Reviews and Case Reviews carried out in Calderdale are available below:

Child A: Executive summary
Child B: Executive summary
Child C: Executive summary
Child D: Board response
Child D: Briefing
Child D: Executive summary
Child D: Overview report
Child J: Board response
Child J: Briefing
Child J: Overview report
Child K: Board response
Child K: Overview report
Child M: Board response
Child M: Briefing
Child M: Overview report
Child P: Briefing

Learning Lessons from Serious Case Reviews

Serious Case Reviews often find a combination of good service provision and  good practice, alongside lessons to be learned about how these can be improved  to help ensure that such events do not happen again.   Members of the CSCB take  these lessons back to their agencies to disseminate the learning.  This learning  is also cascaded through single and interagency training and development,  as well as through the implementation of the action plans.

This report, produced by the Department for Education looks at how front-line practitioners and partner agencies use findings from serious case reviews (SCRs) within policy and practice, and what barriers prevent some recommendations from being carried out.

A series of thematic briefings

The NSPCC have produced a series of thematic briefings which highlight the learning from case reviews that are conducted when a child dies or is seriously injured and abuse or neglect are suspected.

Each briefing focuses on a different topic, pulling together key risk factors and practice recommendations to help practitioners understand and act upon the learning from case reviews

Learning from other LSCB’s

The publication of reports means that the learning from Serious Case Reviews held in other parts of the country can be shared more effectively.  Below are links to some of these reports:

Keanu Williams Learning from Birmingham
“Polly” Learning from Derbyshire
“Jack” Learning from Bradford