Serious Case Reviews

Serious Case Reviews

Chapter 8 of Working Together to Safeguard Children sets out the purpose and process of serious case reviews (SCRs).  SCRs are undertaken when a child dies (including suicide), and abuse or neglect is known or suspected to be a factor in the death.  Additionally they can be undertaken where:

  • a child sustains a potentially life-threatening injury or serious and permanent impairment of health and development through abuse or neglect; or
  • a child has been subjected to particularly serious sexual abuse; or
  • a parent has been murdered and a homicide review is being initiated; or
  • a child has been killed by a parent with a mental illness; or
  • the case gives rise to concerns about inter-agency working to protect children from harm.

The purpose of SCRs are to:

  • Establish whether there are lessons to be learned from the case about the way in which local professionals and agencies work together to safeguard and promote the welfare of children
  • Identify clearly what those lessons are, how they will be acted on, and what is expected to change as a result
  • As a consequence, improve inter-agency working and better safeguard and promote the welfare of children

North Somerset's Safeguarding Children Board Procedures for Managing a Serious Case Review

The attached document is guidance on the Procedures for managing Serious Case Reviews in North Somerset,

Government Office South West - Final Report on Serious Case Reviews:

This is the final report into the Overview of Serious Case Reviews commissioned by the Government Office South West (GOSW) and undertaken by NSPCC Consultancy Services.  Click here to read the report.

Executive Summaries on Serious Case Reviews undertaken in North Somerset:

Executive Summary - Children B and C - Published October 2009

Executive Summary - Child C- Pubished December 2009

Serious Case Review - Published January 2012 - The Abuse of Pupils in a First School - This Serious Case Review (SCR) was commissioned by the North Somerset Safeguarding Children Board (NSSCB) to consider the circumstances following the arrest in December 2010 of a teacher suspected of abusing children in his care. 

Full Overview Report  /  Executive Summary

Serious Case Review - Published July 2016 - Holly
The North Somerset Children's Safeguarding Board commissioned an independent reviewer to undertake a serious case review in February 2016. The report outlines the findings from this review.

Learning & Improvement Framework:

Chapter 4 of Working Together 2015 states that Local Safeguarding Children Boards (LSCBs) should maintain a local learning and improvement framework which is shared across local organisations who work with children and families. This framework should enable organisations to be clear about their responsibilities, to learn from experience and improve services as a result.

Note: Please be aware that the attached document is in the process of being upodated to reflect guidance within Working Together 2015.

Learning and Improvement Framework


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