Serious Case Reviews

When were Serious Case Reviews undertaken?

Until April 2020 the Gloucestershire Safeguarding Children Board/ Executive undertook Serious Care 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  • Serious Case Reviews have now been superseded by Rapid Reviews & Local Safeguarding Practice Reviews.

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 0219 (Lauren) (PDF, 907.5 KB)

SCR 0219 (Lauren) Practice Briefing (PDF, 337.4 KB)

SCR 0219 (Lauren) Partnership Response to Findings & Recommendations (PDF, 258.8 KB)

 

SCR 0319 (Liam)

SCR 0319 (Liam) (PDF, 1.6 MB)

SCR 0319 (Liam) Practice Briefing (PDF, 518 KB)

 

SCR 0215 (Megan)

SCR 0215 (Megan) (PDF, 875.2 KB)

 

SCR 0118 (Children of Family Y)

SCR 0118 (Children of Family Y) (PDF, 681.9 KB)

Children of Family Y Response Plan (PDF, 140.7 KB)

SCR 0118 (Children of Family Y) Practice Briefing (PDF, 438.5 KB)

 

SCR 0116 ('James')

SCR 0116 ('James') and Response Plan

 

SCR 0115 ('Philip')

SCR 0115 'Philip'

'Philip' Response Plan

 

SCR 0114 ('Lucy')

SCR 0114 'Lucy'

'Lucy' Response Plan

 

SCR 0214 ('Ben')

0214 Final Report

Final Collated Ben Response Plan

 

SCR 0113 ('Abigail')

Serious Case Review Overview Report for Case 0113 - Abigail

Serious Case Review Executive Summary for Case 0113 - Abigail

Serious Case Review Response Plan for Case 0113 - Abigail

 

SCR 0310 ('Rachel)

Serious Case Review Overview Report for Case 0310

Serious Case Review Executive Summary for Case 0310

Serious Case Review Action Plan 0309

 

SCR 0309 (Child 'S' and Child 'N')

Executive Summary 0309

Serious Case Review Action Plan 0309

 

SCR 0109 ('Jamie')

Serious Case Review Executive Summary 0109

 

SCR 0508 ('Kevin')

Serious Case Review: Executive Summary for Case 0508

 

SCR 0607 ('Conor')

Serious Case Reviews: Executive Summary for Case 0607

 

SCR 0805 ('April') 

Serious Case Review: Executive Summary for Case 0805

 

SCR 0205 ('Elisabeth')

Serious Case Review: Executive Summary for Case 0205

 

SCR 0105 (E Spry)

Serious Case Review: Executive Summary for Case 0105

 

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.

Learning Review Newsletter Summer/Autumn 2016

Local SCR Multi-Agency Presentation June 2016

Sharing the Lessons Poster - 2013/14

Sharing the Lessons Poster - 2010

 

Multi-Agency Audits

 

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.

 

Children in Care Audit

Child Protection Audit

Child Protection Top Tips from Audit

Lessons from a Strategy Discussion Audit

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