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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:
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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
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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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