Serious Case Reviews
When were Serious Case Reviews undertaken?
Until April 2020 the Gloucestershire Safeguarding Children Board/ Executive undertook Serious Case Reviews in cases where:
- abuse of neglect is known or suspected; and
- either - (i) the child has died or (ii) the child has been seriously harmed or 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.
- Serious Case Reviews have now been superseded by Rapid Reviews & Local Safeguarding Practice Reviews.
DHR/ SCR 0418 Laura & Ella
Gloucestershire Safeguarding Children Partnership Serious Case Review Recommendations 2019/2020
CLICK HERE to read the recommendations set out in this document which relate to a number of serious case reviews completed during 2019 / 2020 that the partners are not in a position to publish at this time due to ongoing criminal proceedings.
SCR 0219 (Lauren)
SCR 0319 (Liam)
SCR 0215 (Megan)
SCR 0118 (Children of Family Y)
SCR 0116 ('James')
SCR 0115 ('Philip')
SCR 0114 ('Lucy')
SCR 0214 ('Ben')
SCR 0113 ('Abigail')
SCR 0310 ('Rachel)
SCR 0309 (Child 'S' and Child 'N')
SCR 0109 ('Jamie')
SCR 0508 ('Kevin')
SCR 0607 ('Conor')
SCR 0805 ('April')
SCR 0205 ('Elisabeth')
SCR 0105 (E Spry)
Learning 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 GSCB take these lessons back to their agencies to disseminate the learning. This learning is also disseminated through single and interagency training and development, as well as through the implementation of the action plans.
Throughout the year a combination of Deep Dives and Light Touch audits are carried out as part of the GSCE rolling programme of Quality Assurance, which links with our Learning and Improvement Framework.
All audits include checking that children and young people have their views and opinions heard and their experiences are understood by the professionals working with them. The voice of service users is key to “good” LSCB monitoring and challenging the effectiveness of local safeguarding arrangements, and assessing what difference has been made.
Members of the GSCE take these findings back to their agencies to disseminate the learning. This learning is also disseminated through single and interagency training and development.