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NC50543 | Sexual abuse of 4 children under the age of 13 by their father over a number of years. Family U composed of mother, father, and the four siblings. The siblings were part of a larger sibling group who were living independently. In October 2015 Sibling 2, aged 11 years, who had very recently been placed in foster care by... | Title: Serious case review: Family U. LSCB: Norfolk Safeguarding Children Board Author: Sian Griffiths Date of publication: 2018 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSPCC. This repo... |
NC52312 | Two life threatening episodes, necessitating emergency hospital medical intervention involving a 4-months-old girl in January 2017. Learning: the need to prioritise the needs of vulnerable, premature babies for secure, stable and consistent care, not just the mother's needs; practitioners need full access to historical... | Title: Baby Z SCR. LSCB: Hampshire Safeguarding Children Board Author: Edi Carmi Date of publication: 2020 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSPCC. This report is available online... |
NC52255 | Death of a 3-month-old boy in 2017. Child U died after reportedly falling from his parent's bed onto the floor. A skull fracture was evident that had occurred around three to seven days prior to Child U's death. Following Child U's death, two of his siblings were made the subject of child protection plans and care proc... | Title: Serious case review: Child U: review report. LSCB: West Sussex Safeguarding Children Partnership Author: Nicki Pettitt Date of publication: 2020 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs an... |
NC50707 | Death of a 17-year-old boy in October 2016. Young Person F was stabbed in an attack to rob him of any money and drugs he may have had and died the following day from his injuries. The person charged with his murder was sentenced to life imprisonment. Young Person F had been in foster care with the same family since the... | Title: Serious case review: in respect of Young Person F. LSCB: Dudley Safeguarding Children Board Author: Birgitta Lundberg Date of publication: 2018 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and... |
NC046996 | Non-accidental injuries to a six-month-old baby girl in August 2013 who was admitted to hospital a fractured femur and bruises. Mother became seriously ill following the birth and parents struggled to care for Baby O. History of: missed health appointments and poor home conditions. Baby O and her older sister were remo... | Title: Serious case review: Baby O: overview. LSCB: Sunderland Safeguarding Children Board Author: Amy Weir Date of publication: 2016 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSPCC. This... |
NC047187 | Death of a 7-week-old baby boy of mixed parentage whilst co-sleeping with mother, who had consumed alcohol and cocaine. Mother was arrested on suspicion of overlay but no charges brought. Child A's older sibling had died when 2-weeks-old from sudden infant death syndrome in 2007. No concerns about the care of the sibli... | Title: Serious case review: Child A: overview report. LSCB: Milton Keynes Safeguarding Children Board Author: Nicki Pettitt Date of publication: 2016 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and... |
NC046217 | Death of a 3-week-old girl in June 2013; coroner classified cause of death as 'unascertained'. Following Child T's death, a home visit found that the family were living in dirty and unhygienic conditions. There had been no previous concerns about the mother's care of her children, and they were not known to children's ... | Title: Overview report of the serious case review concerning the death of Child T. LSCB: Coventry Safeguarding Children Board Author: Felicity Schofield Date of publication: 2015 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of... |
NC52769 | Neglect of female siblings aged 11-months-old, 1-year-old and 6-years-old. A home visit found the two younger children living in significantly neglectful circumstances with unexplained injuries. The eldest child was not in the accommodation at the time and was found to be physically unharmed. Findings include: the impo... | Title: Local safeguarding practice review: Sara, Edvina and Danuka. LSCB: Bradford Children’s Safeguarding Partnership Author: Jane Wiffin Date of publication: 2023 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent L... |
NC51181 | Death of an 8-month-old girl in 2017. Rose was transported to hospital by ambulance and shown to have a subdural bleed reflecting severe brain trauma. Two days later life support was withdrawn due to the severe brain injury. Mother charged with her murder as well as offences from 2004. Mother known to services since 20... | Title: Serious case review: overview report: Child LK. LSCB: Lancashire Safeguarding Children Board Author: Amanda Clarke Date of publication: 2019 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and th... |
NC048448 | Death of a 15-month-old child in January 2015 as a result of multiple non-accidental injuries. Child S had been brought to live in the UK by his mother from the Czech Republic who abandoned him to the care of his adult half sister and her partner. He was not known to any services. The couple had a history of substance ... | Title: Serious case review: BSCB2015-16/04: born in 2013: died on 1st January 2015 aged 15 months. LSCB: Birmingham Safeguarding Children Board Author: Jim Stewart Date of publication: 2017 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Ass... |
NC046492 | Rape of a 15-year-old girl in early spring 2014. Child R, who was in foster care at the time of the assault, reported that she had met the man in a hotel after a friend gave him her telephone number. The man involved was arrested and found guilty of a lesser offence against another young person. Child R was born in her... | Title: Serious case review report: Child R. LSCB: Southwark Safeguarding Children Board Author: Sally Trench Date of publication: [2015] This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSPCC. T... |
NC047196 | Death of a four-year-old girl, "Sophie", killed by her father in March 2014. He was convicted of her murder in May 2015 and sentenced to life imprisonment. Sophie was removed from her mother's care by Bedford Borough Council and placed with foster carers. Four months before her death, Luton County Court granted Sophie'... | Title: Serious case review ‘Sophie’: overview report LSCB: Hertfordshire Safeguarding Children Board Author: Edi Carmi, Jane Wonnacott Date of publication: 2016 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB... |
NC52715 | Serious injury to a 3-month-old baby in April 2019; baby was taken to hospital twice in one day firstly following a reported choking episode and secondly with seizures. The baby was later diagnosed with a subdural haematoma and a healing rib fracture, which were determined to be non-accidental. Learning includes: infor... | Title: Local child safeguarding practice review: Alex: review report. LSCB: Hartlepool and Stockton-on-Tees Safeguarding Children Partnership Author: Nicki Pettitt Date of publication: 2022 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Ass... |
NC50850 | Death by suicide of a 16-year-3-month-old girl in January 2017. Rachel lived with her mother and younger sister; she had frequent support from her father and his partner. Her family, school and local Child and Adolescent Mental Health Services had been concerned about her wellbeing for some time including a risk of sel... | Title: Multi-agency case review: Rachel. LSCB: City and Hackney Safeguarding Children Board Author: Malcolm Ward Date of publication: 2019 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSPCC. ... |
NC043702 | Death of a 5-month-old baby boy in June 2012 as the result of florid rickets caused by severe vitamin D deficiency. Following Baby F's death parents reported that he had been unwell for three days and not feeding. Both parents pleaded guilty to manslaughter. Following his birth, parents initially refused consent to med... | Title: Serious case review: Baby F: D.O.B. 01/01/2012: D.O.D. 14/06/2012: independent overview report. LSCB: Bexley Safeguarding Children Board Author: Oena Windibank Date of publication: 2014 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the ... |
NC51216 | Death of a 2-year-old boy in December 2017. Child Ak was taken to hospital on life support but died of cardiac arrest. Was found to have several drugs in his body and multiple unexplained injuries and bruises. Father was arrested, charged and convicted of Child Ak's murder. Father was known to services and had prior co... | Title: Serious case review report: Child Ak. LSCB: Northamptonshire Safeguarding Children Board Author: Phil Heasman Date of publication: 2019 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSP... |
NC52263 | Ingestion of a potentially fatal amount of methadone by a 20-month-old boy in 2018. Both parents were arrested on suspicion of child neglect. Liam is the youngest of 3 children to the same mother and father. Prior to Liam's birth parents had only been known to universal services and substance misuse services, as both p... | Title: Serious case review: executive summary report: Liam. LSCB: Wirral Safeguarding Children Partnership Author: Wirral Safeguarding Children Partnership Date of publication: 2020 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association... |
NC046631 | Death of an 11-month-old boy of Irish-traveller descent from a brain injury, after being found submerged in water whilst unsupervised in a bath. Baby F and his two half-siblings were subject to child protection plans under the category of neglect. Baby F's mother was sentenced to a six-year custodial sentence after ple... | Title: Baby F: serious case review: overview report. LSCB: Harrow Safeguarding Children Board Author: Edi Carmi Date of publication: 2015 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSPCC. ... |
NC049171 | Concerns about serious harm to three siblings due to suspected fabricated or induced illness (FII). Child F, Child G and Child H lived with their parents and a number of siblings. The children had extensive medical histories, including invasive surgical interventions, and had been seen by a large number of health pract... | Serious Case Review No: 2018/C6975 Published by the NSPCC On behalf of an unnamed local safeguarding children board This report was written by an independent author and is owned by the commissioning LSCB. This report is published by the NSPCC with the agreement of the National Panel of Independent Experts. ... |
NC50882 | Neglect and possible sexual abuse of a 6-year-old child. Child was made the subject of a care order in January 2016 and is now in foster care. Mother had longstanding substance misuse problems and the child was exposed to criminal activity and domestic abuse. Three child protection referrals between 2009 and 2012 which... | 1 Child Practice Review Report Cardiff and Vale of Glamorgan Regional Safeguarding Children Board Extended Child Practice Review Re: CPR 03/2016 Brief outline of circumstances resulting in the Review Legal context from guidance in relation to which review is being undertaken An Extended Child Practice Review w... |
NC044361 | Executive summary of the review into the death of a 4 year old girl in September 2011 who was subject to a child protection plan. Mother pleaded guilty to manslaughter on the grounds of diminished responsibility and was detained in a secure mental health facility. Previous incidents of physical abuse. Concerns had been... | Title: Executive summary of the serious case review in respect of Child U. LSCB: Manchester Safeguarding Children Board Author: Colleen Murphy Date of publication: 2013 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independe... |
NC50900 | Death of a 2-years-5-months-old girl in March 2015. Child B was found unresponsive by her biological mother; taken to hospital by ambulance, where she was pronounced dead. Child B showed no signs of obvious trauma but was filthy with severe head lice infestation, underweight with evidence of severe neglect, dental deca... | Executive Summary Significant Case Review Undertaken on behalf of Glasgow CPC On Child B February 2016 1 CONTENT Introduction ........................................................................................................................... 3 Terms of Reference ................................. |
NC045615 | Death of a 14-week-old girl in March 2012. Post-mortem examination jointly conducted by two pathologists resulted in the recording of two different probable causes of death: Sudden Infant Death Syndrome and unascertainable. Child Y lived with mother, father and five older siblings in a three bedroom property at the tim... | Title: Serious case review: concerning Child Y: overview report. LSCB: Leeds Safeguarding Children Board Author: Peter Ward Date of publication: 2015 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and ... |
NC50709 | Life threatening non-accidental injuries to a 4-month-old girl in August 2016 due to shaking. Mother and partner were arrested but not prosecuted. Child LI, her twin and older half-sibling made subject of care orders. Mother called an ambulance because Child LI was unresponsive and floppy. Hospital staff noticed bruise... | Title: Serious case review: overview report: Child LI LSCB: Lancashire Safeguarding Children Board Author: Paul Sharkey Date of publication: 2018 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the ... |
NC048193 | Death of an 8 week old girl, Child S, in October 2015 whilst sleeping with her mother on the sofa. Child S was taken to hospital following a cardiac arrest and life support was withdrawn after three days. The post mortem gave the cause of death as natural causes. At the time of writing this report the coroner's inquest... | Title: Serious case review: Child S. LSCB: Swindon Local Safeguarding Children Board Author: Helen Davies Date of publication: 2016 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSPCC. This r... |
NC049389 | Death of a 3-month-old girl in March 2015 as the result of Sudden Unexpected Death in Infancy (SUDI). Emily was a twin and lived with her brother, mother, and maternal uncle. She and her brother were born prematurely and kept in hospital for longer than medically necessary because of concerns about mother's ability to ... | Serious Case Review No: 2018/C7100 Published by the NSPCC On behalf of an unnamed local safeguarding children board This report was written by an independent author and is owned by the commissioning LSCB. This report is published by the NSPCC with the agreement of the National Panel of Independent Experts. ... |
NC52305 | Death of a baby girl in 2017. The cause of Molly's death was unascertained, however there were factors present similar to those found in cases of Sudden Infant Death Syndrome. Learning: identifies opportunities where communication and information sharing could have been better; a lack of professional curiosity and an o... | Title: Serious case review – Baby Molly. LSCB: Durham Local Safeguarding Children Board Author: Sharon Hawkins Date of publication: 2020 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSPCC. T... |
NC52534 | Long-term sexual abuse of three siblings in foster care. The abuse was perpetrated by the male foster parent. Learning includes: professionals should not assume that when a child has had therapeutic interventions this will be protective in the longer term; as children with disabilities are more vulnerable to sexual abu... | Title: Child safeguarding practice review: the long-term sexual abuse of children in care. LSCB: Wiltshire Safeguarding Vulnerable People Partnership Author: Nicki Pettitt Date of publication: 2022 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between... |
NC047748 | Death of a 14-month old girl in July 2014. Cause of death was not ascertained but there were concerns that Child B had died while co-sleeping with her mother and maternal grandmother, who were both believed to have been under the influence of alcohol. Child B and her siblings were on a child protection plan under the c... | Title: Serious case review: Child B. LSCB: Staffordshire Safeguarding Children Board Author: Mick Muir Date of publication: 2017 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSPCC. This repo... |
NC043822 | Serious injury of a 32-day-old baby boy. Antonio was taken into the care of the local authority; his father was found guilty of causing grievous bodily harm (with intent) and jailed. The case did not meet the criteria for a serious case review (SCR) however Kent safeguarding children board decided to conduct a review, ... | Title: 'Antonio': a case review LSCB: Kent Safeguarding Children Board Author: Kevin Harrington Date of publication: 2012 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSPCC. This report is a... |
NC52365 | Sustained assault of a 1-year-old girl by her father in August 2019. Father was later convicted of assault and imprisoned. Learning focuses on: the offer of early help; ante-natal visits by the health visitor; application of a non-mobile protocol; child protection planning and decision making; impact of maternal mental... | Title: Child safeguarding practice review (CSPR) – Child V. LSCB: Barnsley Safeguarding Children Partnership Author: David Mellor Date of publication: 2020 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chair... |
NC52291 | Significant non-accidental injuries to a 3-year-6-month-old girl in August 2018. Child L's father was convicted of grievous bodily harm and sentenced to nine years in prison. Learning focuses on: issues around communication and information sharing between agencies; reluctance to initiate early help assessments; the nee... | Title: Serious case review Child L: significant non-accidental injuries to a young baby. LSCB: Wiltshire Safeguarding Children Board Author: Mark Gurrey Date of publication: 2020 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of... |
NC046075 | Death of a 17-year-old boy, as a result of hanging. Ryan was found with a ligature around his neck in a cell in a Young Offender Institute (YOI); Coroner's inquest concluded accidental death. Ryan had been in the care of Leeds City Council since he was 16-months-old; when he was 13-years-old his long-term foster placem... | Title: Serious case review in respect of Ryan Clark (Child V): overview report. LSCB: Leeds Safeguarding Children Board Author: Pamela Shelton Date of publication: 2015 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independe... |
NC52173 | Death of a 4-month-old boy in August 2018. Steven's death was initially suspected to be an overlay but inquest concluded a verdict of accidental death due to co-sleeping. Steven had been subject to a pre-birth assessment due to Mother's children from a previous relationship being taken to live with their father. Assess... | Title: Safeguarding practice review (complimentary learning): Child E: Version 7. LSCB: Kirklees Safeguarding Children Partnership Author: Becki Hinchliffe Date of publication: 2020 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association... |
NC52845 | Suicide of a 21-year-old mother in October 2019. Anna had a baby at 15-years-old and both Anna and her daughter were considered as 'children in care'. Anna had long-term physical and emotional difficulties, including personality disorder. Learning considers: effective information sharing to support both the parent and ... | Title: Alternative learning review: ‘Anna’. LSCB: Warwickshire Safeguarding Partnership Author: Jan Pickles Date of publication: 2023 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSPCC. This... |
NC52246 | Sexual and physical abuse of a small sibling group over a two-and-a-half-year period. In 2020 the siblings were staying with their extended family and disclosed that their father had sexually and physically abused them, as well as subjected them to harsh and critical treatment. Father was found guilty of several offenc... | Serious Case Review No: 2021/C8984 Published by the NSPCC On behalf of an unnamed local safeguarding children board This report was written by an independent author and is owned by the commissioning LSCB. This report is published by the NSPCC with the agreement of the National Panel of Independent Experts. ... |
NC52696 | Multiple injuries including significant subcutaneous swelling to the head of a 23-month-old boy in March 2022. George was brought to nursery by his mother and shortly after his arrival staff noticed several bruises and abrasions to his face. George's mother was arrested on suspicion of assault. Learning themes include:... | Title: Local child safeguarding practice review: “George”. LSCB: Wigan Safeguarding Children’s Partnership Author: Rick Bolton Date of publication: 2022 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs a... |
NC048969 | Death of a 2-year-old boy in January 2014. Primary cause of death was bacterial pneumonia infection with secondary causes of dehydration, failure to thrive, norovirus and cerebral palsy. Following his death, mother received a police caution for cruelty against Child K contrary to Section 1 of the Children and Young Per... | Title: Serious case review into the death of Child K: overview report. LSCB: Cambridgeshire Local Safeguarding Children Board Author: Jane Scannell Date of publication: 2015 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Inde... |
NC049428 | Alleged rape of a 14-year-old girl (Child H1) by her stepfather in July 2015. The stepfather was found not guilty of rape at his trial. Child H1 was the eldest of 5 children, born shortly after her mother arrived in the UK from Rwanda seeking asylum. Her mother was known to suffer from mental health problems. The famil... | Title: Child H1: serious case review. LSCB: Manchester Safeguarding Children Board Author: Ann Duncan and Bridget Griffin Date of publication: 2017 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and th... |
NC52800 | Three siblings, Samuel (17), Shay (15) and Joy (13), known to services as potential victims of criminal exploitation. In 2022 Samuel was involved in two altercations and received knife wounds. In December 2022, Shay was arrested regarding an assault with a knife which led to another arrest for class A drug possession. ... | Title: Local child safeguarding practice review: Samuel, Shay and Joy. LSCB: Pan Dorset Safeguarding Children Partnership Author: Ian Vinall Date of publication: 2023 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent... |
NC047174 | Death of a 6-year-old girl and her 1-year-9-month-old sister. Children were killed by their mother who then took her own life. Family was of Polish origin but children were both born in England. Children had recently been given child in need status although the case had not been allocated at the time of their deaths.... | Title: Serious case review: SOT 14 (2): Child One and Child Two: overview report. LSCB: Stoke-on-Trent Safeguarding Children Board Author: Joanna Nicolas, Carole Preston Date of publication: 2015 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between ... |
NC045583 | Summary of a review into the death of 1-year-old girl in July 2012, as the result of non-accidental injury. C2 sustained injuries whilst in the care of mother's partner, A2. A2 was convicted of murder and sentenced to life imprisonment. Family were known to a significant number of agencies including a number of health ... | Title: Serious case review Family V: executive summary. LSCB: Lincolnshire Safeguarding Children Board Author: David Ashcroft Date of publication: 2014 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs an... |
NC52469 | Child sexual abuse and exploitation of a 14-year-old girl who had been coerced into a sexual relationship with a 34-year-old male, a friend of the child's brother who had been known to the family for several years. Learning includes: professionals should be professionally curious and alert to the signs of possible chil... | Title: Serious case review: ‘Olivia’. LSCB: Rochdale Borough Safeguarding Children Partnership Author: Kathy Webster Date of publication: 2022 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSP... |
NC50890 | Murder of a 7-year-old boy by his mother in September 2017. Mother was found guilty of murder and sentenced to life imprisonment. E's parents separated when he was a few months old and he spent time living with both parents. Mother (ME) accessed early help services and saw her GP for mental health problems on several o... | 1 | P a g e Shropshire Safeguarding Children Board Serious Case Review Report relating to Child E 2 | P a g e Contents Section 1: Introduction ................................................................................................ 3 Section 2: Summary of agency involvement with E and his ... |
NC52350 | Significant neglect of two children aged 7-years-old and 22-months-old. Learning is embedded within the recommendations. Recommendations include: NHS England considers the feasibility of a system for raising alerts on children not registered with a GP for longer than three months; the local NHS Trust provides guidance ... | Title: Serious case review of Family S: learning briefing. LSCB: East Sussex Local Safeguarding Children Board Author: East Sussex Local Safeguarding Children Board Date of publication: 2018 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the As... |
NC52321 | Death of a 5-year-old child in November 2018 due to injuries sustained in a serious and reckless incident at the family home. Learning includes: gathering and analysing family history, which includes history of contact with services, is a core task when working with children and families; it is important that appropria... | Serious Case Review No: 2022/C9362 Published by the NSPCC On behalf of an unnamed local safeguarding children board This report was written by an independent author and is owned by the commissioning LSCB. This report is published by the NSPCC with the agreement of the National Panel of Independent Experts. ... |
NC50712 | Thematic review into sexual abuse by foster carers between January 1994 and September 2014. In February 2012, a police investigation resulted in a male foster carer being convicted of 18 offences of historical sexual abuse. He had been a registered foster carer from the early 1970's until 2003 with Hampshire County Cou... | Title: Serious case review: allegations against foster carers and the abuse of children in foster care. LSCB: Southampton Safeguarding Children Board Author: Jane Wonnacott Date of publication: 2018 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership betwee... |
NC047201 | Death of a 9-month-old in September 2012 after being found face down in a baby bath. Child Z had briefly been left unattended by father while in the bath with older sibling, 20-months-old. After Z's death, a large cannabis factory was found in the home and there were visible signs of child neglect. Charges of child cru... | Title: Serious case review: Child Z: Overview report. LSCB: Manchester Safeguarding Children Board Author: Date of publication: 2015 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSPCC. This... |
NC52388 | Death of a 14-month-old girl in August 2019. Isabella's mother found her unresponsive at home and she was transferred to hospital by ambulance but died after resuscitation failed. Isabella had complex medical needs and global developmental delay. Parents were known to children's services. Mother had been subject to a c... | Title: Serious case review: Isabella. LSCB: Bury Safeguarding Children Board Author: Allison Sandiford Date of publication: 2020 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSPCC. This repo... |
NC046915 | Death of a 15-year-old girl in spring 2014, by hanging. Alex lived with her mother and step-father, and before her death there was no involvement with services except universal services. Around six months before her death three of her friends had told school staff that Alex had been self-harming. Police investigations ... | Title: A serious case review: NN15 – overview report. LSCB: Nottinghamshire Safeguarding Children Board Author: John Bradley Date of publication: 2016 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and... |
NC050518 | A 3-week-old baby taken to hospital by ambulance. No health issues were found, raising concerns about fabricated or induced illness (FII). Learning includes: the need to access and consider all available information about parents when making a referral, undertaking a pre-birth assessment or challenging another service ... | Title: Child safeguarding practice review (CSPR): Skylar. LSCB: Portsmouth Safeguarding Children Partnership Author: Nicki Pettitt Date of publication: 2022 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chai... |
NC52239 | Death of a 15-year-old boy in September 2019. Child A was fatally stabbed after responding to a message on social media to meet some friends. Child A had an Education Health and Care Plan due to having moderate learning difficulties. Family was known to services from 2005, mainly in relation to issues around housing, M... | Title: Child safeguarding practice review: Child A. LSCB: Greenwich Safeguarding Children Partnership Author: Greenwich Safeguarding Children Partnership Date of publication: 2020 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association o... |
NC52353 | Assault on a 7-months-old child by their father resulting in life threatening injuries. Learning includes: understand the impact of trauma and become more trauma-informed in practice; understand the way in which different faith communities perceive domestic abuse and the difficulty in speaking openly; the importance of... | Title: Child safeguarding practice review: Chid YS. LSCB: Sandwell Children’s Safeguarding Partnership and Dudley Safeguarding People Partnership Author: Sue Walters Date of publication: 2021 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the A... |
NC52371 | Thematic review based on rapid reviews for four infants presented with suspected non-accidental injuries. The infants were presented with injuries during the Covid-19 pandemic lockdowns in 2020. Reflections include: how to support universal services in exercising professional curiosity, appropriate information sharing ... | Title: Injuries to babies during the pandemic lockdown. LSCB: Somerset Safeguarding Children Partnership Author: M.A. Peel Date of publication: 2022 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and t... |
NC52248 | Death of an 8-month-old girl in 2016. Holly was found unconscious and not breathing in the family home, and was pronounced dead at hospital. Learning includes: professionals should encourage parents to elaborate when conversations reveal stress factors that could affect their capacity to care for their children; family... | Title: Serious case review: overview report: Holly. LSCB: Blackburn with Darwen, Blackpool and Lancashire Children’s Safeguarding Assurance Partnership Author: Isobel Colquhoun Date of publication: 2021 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership be... |
NC52370 | Sexual abuse of several children over a period of time. The perpetrator was found guilty of numerous offences of child sexual abuse against known and unknown children and given a sentence of life imprisonment with a minimum term of 25 years in prison. Learning includes: think the unthinkable and maintain professional c... | Serious Case Review No: 2022/C9337 Published by the NSPCC On behalf of an unnamed local safeguarding children board This report was written by an independent author and is owned by the commissioning LSCB. This report is published by the NSPCC with the agreement of the National Panel of Independent Experts. ... |
NC047223 | Death of a 12-week-old baby boy whilst co-sleeping with his mother. Police arrested the parents, following anonymous allegations of heavy drinking and drug taking in the family home, but there was insufficient evidence and no further action was taken. No concerns were identified about the care of Baby D before or after... | Title: Baby D: a serious case review. LSCB: Suffolk Safeguarding Children Board Author: Kevin Harrington Date of publication: 2016 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSPCC. This r... |
NC52282 | Unexplained death of a 2-year-7-month-old girl in December 2018. Child V experienced neglect and delayed development. Learning includes: when the siblings of an unborn baby are subject to a child in need plan (CiN) the multi-agency CiN meetings should discuss the likely effects and ensure there is multi-agency agreemen... | Title: Independent overview report of the serious case review concerning Child V. LSCB: Buckinghamshire Safeguarding Children Partnership Author: C. Connor Date of publication: 2020 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association... |
NC042946 | Serious injury of 6 1/2-week-old twin babies, who were admitted to Somerset hospital and found to have serious head injuries and body bruising. Father was convicted of unlawfully and maliciously inflicting grievous bodily harm and received a sentence of 45 months' imprisonment, Mother was found not guilty of any offenc... | Title: Serious case review: overview report: in respect of Baby A and Baby B LSCB: Somerset Local Safeguarding Children Board Author: Jane Wonnacott and Gillian Earl Date of publication: 2013 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the A... |
NC52194 | Death of a 13-month-old child in February 2019. Child CD was found head down in a fabric toy box at the bottom of the bed, cold to the touch. Ambulance services were called but Child CD did not show signs of life and resuscitation was not attempted. Ambulance crew expressed concerns regarding the home environment and c... | Title: Serious case review Child CD: executive summary. LSCB: Blackburn with Darwen, Blackpool and Lancashire Children’s Safeguarding Assurance Partnership Author: Jane Carwardine Date of publication: 2021 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership... |
NC043724 | Death of a 23-month-old boy in May 2012, as a result of ingesting heroin. Post mortem revealed evidence of regular exposure to heroin and occasional exposure to cocaine and amphetamines. Father was convicted of manslaughter and mother was convicted of causing or allowing the death of a child. Mother had suffered a majo... | Title: Serious case review relating to Daniel who died aged 23 months: ethnic origin: white British: overview report. LSCB: Wolverhampton Safeguarding Children Board Author: Wolverhampton Safeguarding Children Board Date of publication: [2013] This case review report was deposited by the publishing LSCB(s) with the ... |
NC046589 | Death of an 11-week-old girl in January 2013, as the result of serious injuries consistent with violent shaking. Post mortem found subdural and retinal haemorrhages and signs of damage to the brain and spinal cord. Skeletal survey revealed an old fracture to the left radius bone and another possible healed fracture in ... | Title: Overview report: services provided for Child D and her family. LSCB: Luton Safeguarding Children Board Author: Keith Ibbetson Date of publication: 2015 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Ch... |
NC048264 | Death of a 7-year-old girl in July 2014. Her aunt, who she lived with under Special Guardianship Order (SGO), and paternal grandmother were both sentenced to imprisonment for child cruelty. Child J was born with mild learning disabilities and a kidney condition. Her mother was a single parent and had poor mental wellbe... | Title: Serious case review: Child J. LSCB: Nottingham City Safeguarding Children Board Author: Jane Wiffin Date of publication: 2017 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSPCC. This ... |
NC047171 | Death of 10-day-old baby of Black and Asian British descent in August 2013. Father had lain on top of B1 while in bed. He was convicted of neglect in 2015. B1 and two older siblings were the subject of child protection plans under the category of emotional abuse. Both siblings had been on a plan before and had been loo... | Title: Serious case review: Child B1: Overview report. LSCB: Manchester Safeguarding Children Board Author: Peter Maddocks Date of publication: 2016 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and t... |
NC047777 | Sexual and physical abuse of Child F and her younger brother, Child G, by their stepfather over several years; the family lived in Preston and Wigan. Child F made multiple disclosures to different professionals which were subsequently retracted. Their mother was sexually abused as a child and had consecutive relationsh... | Title: Child F and Child G: serious case review. LSCB: Wigan Safeguarding Children Board Author: Clare Hyde Date of publication: 2016 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSPCC. This... |
NC045630 | Serious head injury of a 4-month-old boy in June 2013. Baby T had attended hospital 6-weeks prior to the incident with bruising, strongly suspected to be non-accidental. Mother and father did not live together and mother claimed to be the sole carer for Baby T leading up to this incident. A subsequent Working Agreement... | Title: Serious case review: re: Baby T: born: February 2013: overview report. LSCB: Gateshead Local Safeguarding Children Board Author: Paul Tudor Date of publication: 2014 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Indep... |
NC52462 | Arrest and conviction of a 13-year-old boy for a serious violent crime. Learning includes: children and young people with special educational needs and disabilities (SEND) need to be understood, and local capacity improved so that these specialist needs can be met; the quality of information sharing when a child or you... | Title: Local child safeguarding practice review (Wokingham): ‘Harry’. LSCB: Berkshire West Safeguarding Children Partnership Author: Mark Power Date of publication: 2022 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independ... |
NC047789 | Serious, non-accidental head injuries to a 10-week-old baby, Child AA, whilst in the care of parents. The parents were arrested and bailed pending further investigation and Child AA and an older sibling were taken into care. Sibling was subject to a Child in Need plan which continued following Child AA's birth. Team ar... | Title: Overview report on the serious case review relating to Child AA. LSCB: Surrey Safeguarding Children Board Author: Ruby Parry Date of publication: 2016 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Cha... |
NC050517 | Death of a 3-month-old girl in October 2020. Freya was found in an unsafe sleeping position co-sleeping with her parents. Learning themes include: information sharing arrangements between agencies and professionals; the handover of care during the ante and post-natal periods between NHS trusts; the local safeguarding c... | Title: Rapid child safeguarding practice review – Freya. LSCB: Portsmouth Safeguarding Children Partnership Author: Graham Bartlett Date of publication: 2022 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Cha... |
NC52464 | Thematic review of cases involving serious non-accidental injuries and death of three babies aged 6-10-weeks-old in 2018, focusing on common issues regarding non accidental injury to babies whose parents are teenagers or young adults. Learning themes include: the importance of recognising parents as children/recently c... | Title: Serious case review: overview report: a thematic review concerning the non-accidental injury of Three Infant Children. LSCB: Southampton Safeguarding Children Partnership Author: Moira Murray Date of publication: 2022 This case review report was deposited by the publishing LSCB(s) with the national SCR reposi... |
NC52440 | Life-threatening injuries to a boy in August 2020. Child N fell from a second-floor window and sustained serious injuries. Learning includes: work with families should demonstrate an understanding of the impact race, culture and religion can have on parents' behaviour; agencies should obtain contact details of a parent... | Serious Case Review No: 2022/C9604 Published by the NSPCC On behalf of an unnamed local safeguarding children board This report was written by an independent author and is owned by the commissioning LSCB. This report is published by the NSPCC with the agreement of the National Panel of Independent Experts. ... |
NC050401 | Serious injury of a 9-year-old child in October 2016 from burns caused by a scalding hot bath. Both parents were charged with neglect and were given suspended sentences. Family, which consisted of mother, father and 6 siblings, was of Roma heritage and moved from Slovakia to the UK in 2015. Family was known to health v... | Title: Serious case review overview report in respect of: Child FD17. LSCB: Derby Safeguarding Children Board Author: Glenys Johnston Date of publication: 2018 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB C... |
NC50571 | Death of an 11-year-old girl in a road traffic accident in December 2014. Child M and her mother were not wearing seatbelts; Child M's 2-year-old sibling was appropriately restrained and did not sustain any injuries. Criminal action was deemed not in the public interest. Mother was born in mainland Europe, moving to En... | Title: Serious case review: Child M. LSCB: Hampshire Safeguarding Children Board Author: Jane Wonnacott Date of publication: 2016 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSPCC. This rep... |
NC047736 | Serious, non-accidental injuries to "Philip", aged three. Mother's partner pleaded guilty to grievous bodily harm and was sentenced to three years imprisonment. Mother pleaded guilty and received a sentence of 12 months, suspended for 12 months. Philip and his brothers, aged 10 and five, were placed with a relative. In... | Title: Serious case review: “Philip, (and his siblings, John and Darren)”. LSCB: Gloucestershire Local Safeguarding Children Board Author: Jane Wiffin Date of publication: 2016 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of I... |
NC52199 | Death of a 15-year-old boy in the summer of 2018. Frankie was fatally stabbed when attacked by a group of adolescent males in London. One young person was convicted of murder and four were convicted of conspiracy to cause grievous bodily harm. Frankie lived with his mother and two siblings; his father was in prison fro... | Title: Frankie: serious case review: overview report. LSCB: Thurrock Local Safeguarding Children Board and Thurrock Local Safeguarding Children Partnership Author: Tom Savory Date of publication: 2020 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership betw... |
NC52179 | Delay in responding to potential trafficking of a female child in May-June 2019. Aaron and Helen, both African, presented as homeless; Aaron applied for accommodation. Housing raised concerns with children's social care and police that Helen, 24-years-old according to Aaron, was a child. Helen was removed under Police ... | Title: Child safeguarding practice review Helen. LSCB: Salford Safeguarding Children Partnership Author: Nicola Dugdale and Emma Ford Date of publication: 2020 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB C... |
NC52360 | Death of a 2-year-1-month-old boy in in October 2019. Ben died from significant non-accidental injuries; his mother and her partner were charged with murder and causing or allowing the death of a child. Learning includes: the need to consider a multi-disciplinary response when assessing head injuries, especially in you... | Title: Child safeguarding practice review: Ben. LSCB: Croydon Safeguarding Children Partnership Author: Malcolm Ward Date of publication: 2022 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSP... |
NC50689 | Death of 17-year-old male child from Vietnam in December 2016 by drug misuse. Child C presented to services as an unaccompanied asylum-seeking child in April 2016 after being discovered in a lorry in Shropshire. Child C was suspected to have been trafficked into the UK. During the review process it was established that... | Title: Serious case review: Child C. LSCB: Shropshire Safeguarding Children Board Author: Geoff Corre Date of publication: 2018 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSPCC. This repor... |
NC52754 | Life-threatening injuries to a 4-year-old girl who was struck by a road vehicle in June 2021. Police commenced an investigation into possible neglect following reports of mother being intoxicated at the time. Learning includes: disproportionate/issues of professional optimism in the context of substance abuse addiction... | Serious Case Review No: 2022/C9525 Published by the NSPCC On behalf of an unnamed local safeguarding children board This report was written by an independent author and is owned by the commissioning LSCB. This report is published by the NSPCC with the agreement of the National Panel of Independent Experts. ... |
NC52316 | Serious neglect of a 12-year-old boy identified at admission to hospital in April 2020. Learning includes: need to develop clear treatment pathways for specialist services; need for patient information for a family which details what the parental or carer expectations are to support the child's treatment; need for mana... | Title: Learning review report: William. LSCB: Hampshire Safeguarding Children Partnership Author: Hampshire Safeguarding Children Partnership Date of publication: 2022 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independen... |
NC049475 | Death of Child C, a 3-month-old Black British/Caribbean girl, in September 2016 from cardiac arrest, while in the care of her mother. After her death, Child C was found to have multiple fractures consistent with non accidental injuries. Parents received custodial sentences. Child C was born prematurely at 28 weeks and ... | Title: Serious case review: Child C: final report. LSCB: Barking and Dagenham Safeguarding Children Board Author: Barking and Dagenham Safeguarding Children Board Date of publication: 2018 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Asso... |
NC52466 | Long-term neglect of Child 1 and Child 2 as well as an adult female with Down's syndrome. Learning includes: ensure that children are spoken to on every occasion following contacts to children's social care; when contact relates to home conditions, it is useful to conduct an unannounced visit; self-report information m... | Title: Combined practice learning review (adult) and local child practice review (children) in relation to Family X. LSCB: Cheshire West and Chester Safeguarding Adults Board and Multi-Agency Safeguarding Children Partnership Author: Maureen Noble Date of publication: 2021 This case review report was deposited by th... |
NC52828 | Evaluates Patricks journey through the care and criminal justice systems between 2016 and 2022 (12-18-years-old). Patrick experienced 17 placements in two years, mental health problems and routinely went missing from home, care and education. His violent behaviour and criminal activity led to placements in secure sett... | Title: Thematic study: ‘Patrick’. LSCB: Bromley Safeguarding Children Partnership Author: Nicola Brownjohn Date of publication: 2023 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSPCC. This ... |
NC52382 | Life-changing injuries to a 10-and-a-half-month-old infant in November 2013 due to shaking. Mother's partner was convicted of causing grievous bodily harm and was imprisoned. Mother was convicted for neglect and received a suspended sentence. Baby B was the second child in the family. Baby B's parents had separated and... | Title: Serious case review overview report: Baby B. LSCB: East Riding Safeguarding Children Partnership Author: Peter Ward Date of publication: 2020 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and t... |
NC045404 | Executive summary of a review into the physical, emotional and developmental neglect of a 3-year-old-girl and her siblings. Abigail presented to hospital with serious concerns about her health and development in November 2012. Parents were charged with criminal neglect and Abigail and her siblings were placed in foster... | Title: Serious case review: executive summary: subjects: Abigail and her siblings Bobbie, Charlie and Daisy. LSCB: Gloucestershire Safeguarding Children Board Author: Cathy Griffiths Date of publication: 2014 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership... |
NC50552 | Death of a young person and their mother by suicide in 2015. Both jumped together in front of a moving train. Mother and young person were known to community services; children's social care; housing department; SEN services; school; GP; mental health services; police and college. There had been considerable involvemen... | Title: Serious case review overview report in respect of a Young Person. LSCB: Hillingdon Safeguarding Children Board Author: Barry Raynes Date of publication: 2016 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent L... |
NC044058 | Executive summary of a review into the death of a 10-week-old baby boy in March 2011, as the result of a severe blow to the head. Further examination revealed older injuries to Baby A. Mother's partner, Mr C, was found guilty of murder and mother was found guilty of causing or allowing the death of a child. Maternal gr... | Title: Serious case review in respect of Baby A: executive summary and revised action plans LSCB: Gateshead Local Safeguarding Children Board Author: Barry Raynes Date of publication: 2013 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Asso... |
NC52564 | Arrest of a 16-year-old boy arrested on suspicion of murder in November 2021. David was a looked after child who had been the victim of criminal exploitation. Learning includes: developing positive, strengths-based relationships with parents and carers supports safety planning; robust, child centred, and focused suppor... | Title: Local child safeguarding practice review: David. LSCB: Berkshire West Safeguarding Children Partnership Author: Ian Vinall Date of publication: 2023 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chair... |
NC041028 | Review into the death of a 5 year old boy (Child G) and his 2 year old half-brother (Child H) in December 2010. Both children were suffocated by their pregnant mother who committed suicide. Family had contact with several agencies because of concerns over the impact of custody and contact disputes. Mother was involved ... | GWYNEDD AND ANGLESEY LOCAL SAFEGUARDING CHILDREN BOARD SERIOUS CASE REVIEW ON CHILD G AND CHILD H EXECUTIVE SUMMARY 25th OCTOBER 2011 1 | P a g e E x e c u t i v e S u m m a r y v . 3 CONTENTS PAGE Foreword 2 Key to family members 3 Brief outline of the case 3 - 4 How the case revie... |
NC52567 | Death of a 16-month-old boy due to non-accidental injuries in August 2019. Mother's partner was charged with murder and Mother was charged with causing or allowing the death of a child. Learning themes include: the effectiveness of local multi-agency safeguarding children thresholds and pathways; the child's lived expe... | Title: Child safeguarding practice review: Lloyd and Mark. LSCB: Wandsworth Safeguarding Children Partnership Author: Malcolm Ward Date of publication: 2023 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chai... |
NC51232 | Death of an 18-year-6-month-old male in May 2017. Child T had been in hospital for three months prior to his sudden and unexpected death. At admission, he was in an extremely poor physical and emotional state; he had type 1 diabetes which he had developed at age 13 and diabetic control was inadequate. Agencies had been... | Title: Serious case review: Child T. LSCB: East Sussex Local Safeguarding Children Board Author: Nicki Pettitt Date of publication: 2019 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSPCC. T... |
NC042849 | Death of a 10 year old girl in October 2011 by hanging. Amy had been in contact with Specialist Children's Services (SCS) at various points regarding allegations of sexual abuse: in 2006, following suspicion that Amy had witnessed another child being abused and in 2008, following an allegation of abuse reported to the ... | Title: Amy: a serious case review LSCB: Kent Safeguarding Children Board Author: Kevin Harrington Date of publication: September 2012 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSPCC. This re... |
NC52749 | Death of a 7-week-old infant boy in August 2020. The cause of death was ruled as sudden unexpected death in infancy (SUDI). Learning themes include: risk assessment and decision making; child neglect; substance misuse; and safe sleeping. Recommendations for Kent Safeguarding Children Multi-Agency Partnership include: u... | Title: Local child safeguarding practice review: Child S: review report. LSCB: Kent Safeguarding Children Multi-Agency Partnership Author: Alex Walters Date of publication: 2022 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of ... |
NC043738 | Death of an 11-month-old boy in September 2011, as the result of a head injury. Father said the injury took place when Child K was knocked over by the family dog. Medical opinion was that the injuries were not consistent with this explanation and that non accidental injury was a likely cause of death. At the time the c... | Title: Serious case review: concerning Child K: overview report. LSCB: Barnsley Safeguarding Children Board Author: Peter Ward Date of publication: [2013] This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs... |
NC50549 | Serious and life threatening non-accidental head injury to a 4-week-old boy in September 2015. Baby F was admitted to hospital with an intracranial bleed and resuscitated by senior medical and nursing staff. Family of Baby F was known to childrens social care and mother had been in contact with services sporadically s... | Title: Serious case review: Baby F. LSCB: Coventry Safeguarding Children Board Author: Daryl Agnew Date of publication: 2018 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and the NSPCC. This report i... |
NC044970 | Partnership review into the support received by a 15-year-old girl, referred to children's services in September 2013, following an allegation of sexual abuse. Child D became a looked after child following admission to an inpatient setting and received services from a range of agencies including schools, acute services... | Title: Learning from partnership review: Child D. LSCB: Reading Local Safeguarding Children Board Author: [Reading Local Safeguarding Children Board] Date of publication: [2014] This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of ... |
NC52324 | Injuries to an infant due to shaking in April 2016. Learning includes: information offered to professionals by parents should be subject to professional curiosity; the importance of clarity of information regarding parental and family history; opportunity for multi-agency meeting and decision making should form an inte... | Title: Report of the serious case review March 2017: Child R. LSCB: Blackburn with Darwen Local Safeguarding Children Board Author: Dallas Frank Date of publication: 2022 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Indepen... |
NC52842 | Assault of a teenage girl in a residential children's home. The incident is subject to an ongoing police investigation at the time of the review. Learning themes include: managing the risk of harmful sexual behaviour (HSB) in residential settings; support for adoptive parents; support available for families where child... | Title: ‘Molly’: local child safeguarding practice review. LSCB: Stockport Safeguarding Children Partnership Author: Jane Wiffin Date of publication: 2023 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs ... |
NC50551 | Death of a 14-year-old boy in August 2015 by having climbed a tree and got his neck caught in a rope that was hanging in the tree. He had been accompanied by a care worker from the children's home who was at ground level when Callum died. Callum and younger sibling were taken into foster care in March 2013, but because... | Title: Serious case review concerning Callum Garland: overview report. LSCB: Leeds Safeguarding Children Board Author: Peter Ward Date of publication: 2018 This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chair... |
NC045589 | Disclosure of sexual abuse by a 14-year-old girl, following attendance at a Sexual Assault Referral Centre (SARC) in December 2012. Julia was made the subject of a child protection plan following this disclosure. Julia had made a number of disclosures of sexual assault and rape between 2010 and 2012. Following the Dece... | Title: Serious case review: “Julia”. LSCB: Thurrock Local Safeguarding Children Board Author: Jane Wiffin and David Peplow Date of publication: [2014] This case review report was deposited by the publishing LSCB(s) with the national SCR repository, a partnership between the Association of Independent LSCB Chairs and... |
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