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Serious Case Reviews

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When a child dies, including death by suspected suicide, or abuse or neglect is known or suspected to be a factor in the death, the LSCB is required to conduct a Serious Case Review into the involvement of organisations and professionals in the lives of the child and the family. Guidance on when to conduct a Serious Case Review is included in Working Together to Safeguard Children.

The purpose of a Serious Case Review is to establish whether there are lessons to be learned from the case about the way in which local professionals and organisations work together to safeguard children, identify what needs to be changed and, as a consequence, improve inter-agency working to better safeguard and promote the welfare of children. Our latest learning from reviews can be found in our LSCB Learning from Reviews – September 2015 presentation.

At the end of each Serious Case Review, a full overview report is completed and published.

East Sussex LSCB SCR – Child M – Overview Report

Date of Publication: 28th November 2016

The SCR concerns the services provided for a child who is referred to as Child M. Child M was aged 17 in March 2013 when she died as a result of a drug overdose taken while in the company of at least one adult. This was the last in a series of overdoses that Child M took which had resulted in hospital admission and serious health concerns from May 2011 onwards. Child M grew up in Surrey and lived there for the majority of her life. In September 2011, when she was 16 years old, Child M moved to East Sussex.

‘Thomas’ SCR (May 2016)

The East Sussex LSCB has contributed to a serious case review conducted by Tower Hamlets LSCB. There are no recommendations arising from the SCR specific to East Sussex LSCB or East Sussex County Council.

East Sussex LSCB SCR – Child P – Overview Report

Date of Publication: March 2016

The East Sussex LSCB have conducted a serious case review after the sad death of a young girl who was killed by her father, who then took his own life. The Overview Report concluded that this death could not have been prevented, nor could it have been predicted. Included in the Review are issues relating to Domestic Abuse, and the Action Plan that takes forward the learning from this Review, includes recommendations for improvements in the delivery of support relating to Domestic Abuse.

East Sussex LSCB SCR – Child K – Overview Report

Date of Publication: June 2015

This Serious Case Review was conducted by the East Sussex LSCB following the tragic death of a young baby. The person responsible for this is currently serving a prison sentence. The Overview Report concludes that this death was neither predictable nor preventable. There is an Action Plan to respond to the learning identified in this review, which will be monitored by the LSCB, in order to further improve services to very young children.

East Sussex LSCB SCR: Child H – Overview Report

Date of Publication: April 2014

The East Sussex LSCB decided to hold a serious case review because of the nature of this incident and the serious abuse it involved. Those responsible are now serving prison sentences and we are delighted to report that the young victim is thriving in a foster family. Based on the recommendations of this review, the LSCB has produced an action plan and is working with all the agencies involved to ensure those improvements are made.

East Sussex LSCB SCR: Child G – Overview Report

East Sussex LSCB SCR: Child G – Press Release

Date of Publication: December 2013

This Serious Case Review was completed by the East Sussex LSCB following the abduction of a teenager taken out of the country by their teacher in 2012. The teacher was subsequently convicted and imprisoned in 2013 for child abduction and child sexual offences.

Surrey LSCB SCR: Child J and Child K

Date of Publication: September 2013

This serious case review was carried out by Surrey LSCB as a result of the deaths of two children, Child J aged three and Child K aged two. Their mother was subsequently convicted of their murder. East Sussex LSCB participated in the review as the children were previously resident in East Sussex.

East Sussex LSCB SCR: Child DC & Child BC

Date of Publication: December 2011

 

National Serious Case Reviews

For a list of all National Serious Case Review Publications, please visit the NSPCC National repository of case reviews. The NSPCC thematic briefings 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.

For a chronological list of the executive summaries or full overview reports of serious case reviews, significant case reviews or multi-agency child practice reviews published in 2014 visit here.

For a chronological list of the executive summaries or full overview reports of serious case reviews, significant case reviews or multi-agency child practice reviews published in 2013 visit here.