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SERIOUS CASE REVIEWUnder Chapter VIII
‘Working Together to Safeguard Children’
In respect of the Death of a Child
Case Number 14
What is a Serious Case Review?
Serious Case Reviews shed light on whether lessons can be learned about the way localprofessionals and agencies work together in the light of a child death where abuse orneglect are suspected.Serious Case Reviews are not inquiries into how a child dies or who is to blame. Theseare matters for coroners and for criminal courts.Serious Case Reviews focus on improving practices that safeguard and promote thewelfare of children.
Please note; That the report has been subject of redaction to protect the identity and privacy of family members and professionals involved in this case.
Report by:JOHN RADFORD (NSPCC)Independent Overview Report WriterMonday 26
th
April 2010
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CONTENTS
Executive Summary1. Introduction and Context2. Terms of Reference for the Serious Case Review3. Serious Case Review Panel Members4. Process and Timeline of Review5. Government Office West Midlands6. Individual Management Reviews7. Parental and Extended Family Involvement8. Ethnicity9. Family Composition / Genogram10. Family Background11. Chronological Sequence of Events12. Themed Analysis of Agencies Involvement13. Good Practice Examples14. Conclusions15. Role and Barriers to Individual Agencies Working Together to EnsureThat Children’s Rights Were Upheld16. Identification of the Barriers That Prevent the Public from FulfillingTheir Responsibility to Safeguard Children17. The Role of Birmingham Safeguarding Board in EnablingCommunities to Fulfil Their Responsibilities18. Final Conclusion19. Progressing Recommendations, and dissemination of learningAppendix A – Action Plan in Respect of Part 8 ReviewAppendix B – BibliographyAppendix C – Implementation of IMR RecommendationsAppendix D – Guidance to Acronyms3 - 17181819 - 2020 - 222223 - 2526 - 27272829 - 3839 - 6262 - 8888 - 8989 - 9494 - 9797 - 9898 - 999999 - 101102 - 135
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Serious Case Review Executive Summary
INTRODUCTION
The purpose of a Serious Case Review is as outlined in Chapter 8 (8.3) of the WorkingTogether to Safeguard Children 2006 Guidance, namely to:
•
Establish whether there are lessons to be learnt from the case about the way inwhich local professionals and organisations work together to safeguard andpromote the welfare of children
•
Identify clearly what those lessons are, how they will be acted on and what isexpected to change as a result; and
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As a consequence, improve inter-agency working and better safeguard andpromote the welfare of children.Serious Case Reviews are not inquiries into how a child dies or who is to blame. Theseare matters for coroners and for criminal courts. In production of this report, agencies havecollated sensitive and personal information under conditions of strict confidentiality.Birmingham Safeguarding Children Board (BSCB) has balanced the need to maintain theprivacy of the child and family with the need for agencies to learn lessons relating topractice identified by the case and has authorised the publication of sufficient informationto enable this to take place.A decision to undertake a Serious Case Review was made on 23 May 2008. The BSCBidentified those agencies that had significant engagement with the child and family.Agencies were required to secure and review files for the previous 15 years and compilean Individual Management Review. These reports provided an independent open andcritical analysis of individual and organisational practice. The BSCB appointed anIndependent Overview Author to chair a panel of independent safeguarding experts toprepare an Overview Report that brings together and analyses the findings from the IMRs.In addition to the general questions to be asked and analysed by individual agencies. The
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11. Chronological Sequence of Events for Serious Case Review Khyra Ishaq
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| Upload Date: | 07/27/2010 |
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