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Serious Case Reviews

Chapter 4 of Working Together to Safeguard Children (DE, 2010,13 & 15) sets out the criteria for a Serious Case Review. A Serious Case Review should be carried out for every case where abuse or neglect is known or suspected and either a child dies; or a child is seriously harmed and there are concerns about how organisations or professionals worked together to safeguard the child. Other learning reviews can be carried out by the LSCB if the criteria is not met.

At the end of each Serious Case Review, a SCR Final Report is agreed by the LSCB and published. The latest reports are listed below.

It is important if Brighton & Hove is to become a safer place for children to live for everyone to embrace the learning from reviews and take the necessary steps to help put right the issues identified. Any review should enable local partner agencies to be clear about their responsibilities, to learn from experience and improve services as a result. Information for those taking part in one of our SCRs can be found here

Brighton & Hove LSCB have a Case Review Subcommittee which considers how to review a case using our Serious Case Review (SCR) & Learning Review Procedure & Guidance, and professionals can use this form to refer a case for consideration.

Details of how to contact Brighton & Hove Children’s Service if you are concerned about the safety or welfare of a child can be found on their web page – Worried about a child? Reporting concerns

Local Learning Reviews

If a case does not reach the threshold to conduct an SCR, but our subcommittee believe that an investigation of the case may reveal important lessons that could improve safeguarding practice in Brighton & Hove, then the LSCB will commission a multi-agency Learning Review. This helps ensure that the approach taken to reviews is proportionate according to the scale and level of complexity of the issues being examined. Whenever possible we will seek to include frontline staff and managers, as well as parents, carers and young people in these reviews. Actions resulting from findings from these reviews receive the same rigorous monitoring and follow up as Serious Case Reviews, so that the findings from all reviews make a real impact on improving outcomes for children.

You can read more about Brighton & Hove LSCB’s commitment to strengthening and supporting a learning culture across the Partnership in our Learning & Improvement Framework.

Learning Together Briefings

Sharing learning from learning reviews and serious case reviews in order to improve safeguarding practice is vital. The Brighton & Hove Safeguarding Children Board is committed to ensuring that learning from reviews is disseminated as widely as possible to professionals from partner agencies.

To achieve this, a Learning Together Briefing is disseminated across the partnership and hosted on this page. This short briefing summarises what reviews tell us about the child protection system in Brighton & Hove.

Additionally a series of Learning From Practice events take place each year – see our training pages for more details.


Learning from National SCRs Briefings

The NSPCC have a library of published SCRs and recommendations available here.

  • Joint Serious Case Review Concerning Sexual Exploitation of Children and Adults with Needs for Care and Support – Newcastle-upon-Tyne LSCB & SAB, February 2018
  • Child D – Sutton 2016: working with hostile families; dealing with unexpected outcomes from court cases; keeping the child at the centre.
  • Child I – Lambeth 2015: Neglect, working with hostile families, parents with learning disabilities,
  • Child E – Bromley 2015: Neglect, co-sleeping, working with the traveller community
  • Child H – Lambeth  2014: Domestic Abuse, use of interpreters, differential diagnosis
  • Learning from National SCRs Summary: Including Fathers & Significant Males
  • Child CN: Devon, April 2014: Assessing male figures, rule of optimism, disguised compliance, sexual abuse & information sharing.
  • National cases involving inadequate prebirth assessments: including Child D, unnamed LSCB March 2014.
  • Child L: Hull, January 2014: Postnatal depression, non-accidental head injuries; response to unexpected child death
  • The Anderson Family: Suffolk, January 2014: Engaging with hostile families, neglect, parental mental health,
  • Child G: East Sussex December 2013: Grooming, online safety, fixed thinking professional curiosity;
  • National Child Sexual Exploitation Cases, including Rochdale December 2013: Information sharing; child-centred approach; locked after children,
  • Hamzah Khan: Bradford November 2013: Neglect,domestic violence, alcohol misuse, social isolation; professional curiosity, identity of the child, listening to the voice of the child
  • Keanu Williams: Birmingham October 2013: Transient families, physical abuse, unknown men, care leavers, focus on the child
  • Daniel Pelka: Coventry September 2013: Disguised compliance, domestic violence, identity of the child, professional curiosity, alcohol misuse
  • W Family: LSCB not identified to protect the child’s anonymity, June 2013: Emotional abuse, physical abuse, inter-country adoption, home education, identity of the child, working with challenging families