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Serious Case Reviews

If you are a survivor of child sexual abuse and would like to share your experiences, or ask a question about an independent enquiry, please visit https://www.iicsa.org.uk/victims-and-survivors

Local Serious Case Reviews

Working Together 2018 states that a Serious Case Review (SCR) must be undertaken by Local Safeguarding Children Partnerships (LSCPs) where:

(a) abuse or neglect of a child is known or suspected; and

(b) 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.

Please click to view the Buckinghamshire Serious Incident/Case Review Process

Buckinghamshire Serious Case Reviews are available below:

Date Publication
May 2020 A statement from Independent Chair of the Buckinghamshire Safeguarding Children Partnership, Sir Francis Habgood QPM:

 “The investigation following the tragic death of Baby S in April 2016 found no cause for blame in this case.

However, there is always valuable learning to be gained from any Serious Case Review, allowing organisations to continually improve their service design and practice. Following this Review, I will be writing to agencies to remind them of the importance of maintaining detailed information records. This will help to ensure we have the fullest understanding possible of details and context surrounding future cases.   

Our thoughts and deepest sympathies are with the family of Baby S for their terrible loss.”

Overview Report for Baby S

June 2017 Overview Report for Baby Q with action plan
June 2017 Executive Summary for Baby E
Overview Report for Baby E
Agency statements re Baby E
April 2017 Child Sexual Exploitation in Buckinghamshire 1998 – 2016
March 2017 Overview Report – Baby M
Agency Statements – Baby M

N.b. Government Legislation confirms that for all Serious Case Reviews initiated on or after 10th June 2010, both the Executive Summary and Overview Report should be published.

What to do if you need to make a Serious Case Referral

Working Together 2018 provides clear criteria in Chapter 4 about when the Buckinghamshire Safeguarding Children Partnership (BSCP) should conduct a Serious Case Review (SCR). BSCP partner agencies should ensure that Serious Incidents which may meet the criteria for an SCR are also brought to the attention of the BSCP SCR Sub Group using this form. For cases that do not meet the criteria for an SCR, the Sub Group will consider where another form of partnership or learning review may be appropriate to ensure lessons are learned.

Where partners feel a serious incident does not meet the definition for a SCR, but cannot be dealt with internally by the referring agency alone, then the Sub Group can consider making a recommendation on whether there should be a wider review involving more than one agency. This form should also be used for referring such cases.

Anyone wishing to refer a case to the SCR Sub Group should discuss the case, and their reasons for referring it, with their agency’s Designated Safeguarding Lead/Officer before making the referral. They should then notify the BSCP as soon as possible.

Please use this form:  SCR Referral Form and send the completed form to: secure-bscp@buckinghamshire.gov.uk

The BSCP have created a leaflet for professionals explaining the process of a Serious Case Review.

Learning from Serious Case Reviews

  • The BSCP have produced SCR Learning Leaflets for all practitioners to refer to on the following topics:
  • Learning from Baby Q: A PowerPoint presentation and audio commentary to provide an overview of the case and the learning that was identified as a result of the review.
  • The BSCP has produced a learning log to share the learning from a recent West Berkshire Serious Case Review (SCR), which was initiated following the conviction of two individuals for sexual offences against children. Both had connections with a school – one as a teacher and the other as a youth counsellor, who was also the local vicar.
  • The BSCP have put together a Key Learning Points booklet highlighting significant learning from both local and national SCRs.
  • The NSPCC have put together a series of themed briefing documents highlighting the learning from serious case reviews. Each briefing focuses on a different topic, pulling together key risk factors and practice recommendations to help practitioners understand and act upon the learning:
    Learning from Case Reviews