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Serious Case Reviews

Click on the link to view the following procedures:

Ofsted have produced a publication which highlights the additional vulnerabilities of young babies in specific circumstances and the findings from analysis of information they have collated from numerous serious case reviews.  There is also a summary available.  Click on this link to view the documents.  
 

Stoke-on-Trent Serious Case Review Reports 2015

John Wood, Independent Chair of the Stoke-on-Trent Safeguarding Children Board, said:

“Baby Shanelle’s death was a tragic loss that has had a devastating impact on those closest to her. A baby’s death is particularly heart breaking and our thoughts go to the Adkins family.

All safeguarding board partners have worked through a Serious Case Review to see whether any improvements can be made to the way we protect and safeguard children across Stoke-on-Trent.

Improvements put in place include the introduction of multi-agency training so that professionals have a greater awareness of how to work with families who have shared care arrangements. Other work has been underway to make sure all professionals who work with children are constantly aware of their shared responsibilities to safeguard those children.” 
 

John Wood, Independent Chair of the Stoke-on-Trent Safeguarding Children Board said:

“This is a truly tragic situation and our thoughts are with Mr Galikowski and his wider family. The devastating events united a whole community in grief and have been treated with the utmost seriousness by the city council, the police, health and other public services. We work closely together to protect and safeguard children across our city.

All safeguarding board partners have rigorously worked through a Serious Case Review to identify what improvements need to be made and as a result, a number of improvements have been put in place. This includes the introduction of a 24 hour mental health and social care access team, better IT and better systems. It is getting these things right through a multi-agency response that will improve how we protect children. "

“Our deepest sympathies go to Mr Galikowski.”

 

Serious Case Reviews published 2012

Follow the links below for more information about past serious case reviews that have been completed.
 

NSPCC website
To view the summaries of a number of serious case reviews including recommendations which came about following the conclusion of a review (click on the link). 

NSPCC and SCIE - Improving the quality and use of serious case reviews

What case reviews tell us about Elective Home Education - NSPCC Document (Click on the document below)

To view all the reports re Peter Connelly click on this link

  • Executive summary - first Serious Case Review overview report - November 2008
  • First Serious Case Review overview report relating to Peter Connelly dated November 2008
  • Second Serious Case overview report relating to Peter Connelly dated March 2009
  • Haringey Council LSCB - executive summary February 2009 Executive summary for second Serious Case Review overview report on Peter Connelly.

Child J Wolverhampton - Executive Summary

Child BSK410 - Executive summary of Serious Case Review (click on the link)

Lessons to be learned from serious case reviews
(Click on the related link below to view the document)

Lessons to be learned briefing no 15:
in respect of the death of Keanu Williams - Birmingham, 2013

Lessons to be learned briefing no 16:
in respect of the death of Daniel Pelka - Coventry, 2013

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