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Serious Case Reviews

When it is known or suspected that a child has died or been seriously harmed due to abuse or neglect, the LSCB in their area may conduct a serious case review (SCR). This allows the LSCB to review inter-agency working and identify any learning that can be taken from the incident. The LSCB is also encouraged to undertake SCRs in cases where a child has not been seriously harmed as a way of identifying and sharing examples of good practice.

The SCR should be ordered within one month of notification of the case, and as far as possible should be concluded within six months. The panel for the review is made up of representatives from the agencies that were involved with the child, and an independent expert. If the case in question meets the criteria for an SCR, the board must prepare a report which should be available on the LSCB’s website after publication.

The report must provide a thorough analysis of the events that took place, and should explain what needs to happen in order to prevent a recurrence. It should also describe what changes have already been made in response to the review, how effective they have been, and what changes remain to be put into place.

Serious Case Reviews are one element of the LSCB’s Learning and Improvement Framework which identify improvements which are needed in services and professional practice and to consolidate good practice. The LSCB and its partner organisations translate the findings from reviews into programmes of action which lead to sustainable improvements and the prevention of death, serious injury or harm to children.

Serious Case Reviews are undertaken by the LSCB when:

Abuse or neglect of a child is known or suspected; and

either — (i) the child has died; or (ii) the child has been seriously harmed and there is cause for concern as to the way in which the authority, their Board partners or other relevant persons have worked together to safeguard the child.

The LSCB’s procedures for Serious Case Reviews can be found in the SET Child Protection Procedures 2015.

All Southend LSCB serious case reviews are published on this website for a period of at least 6 months. After 6 months serious case reviews are archived. Southend LSCB has published two serious case reviews since 2009, the ‘Baby Robert’ Case and the ‘Baby Kathy’ Case, both completed in 2010. The programme of actions from these serious case reviews has been completed and they have been archived. If you would like a copy of a serious case review archived by Southend LSCB please contact us at LSCB@southend.gov.uk