Case Reviews

Case Reviews

Professionals and organisations protecting children need to reflect on the quality of their services and learn from their own practice and that of others.  When things go wrong, there needs to be a thorough analysis of what happened and why. 

It is important that when things go wrong there needs to be a rigorous, objective analysis of what happened and why, so that important lessons can be learnt and services improved to reduce the risk of future harm to children. Good practice should be shared so that there is a growing understanding of what works well.

When a child has been seriously harmed or died, and abuse or neglect are known or suspected to be a factor and there are concerns about the way agencies worked together, then the Liverpool Safeguarding Children Partnership (LSCP)  will undertake a Serious Case Review (SCR)(as defined in Working Together to Safeguarding Children 2015).  From September 2019 these will be called Child Safeguarding Practice Reviews (CSPR's) in line with Working Together 2018.

The purpose of SCR's and CSPR's is to learn from what happened so that future tragedies can be prevented.  Findings and recommendations from SCR's and CSPR's will usually be printed in full in a report, which will be publicly available on this website. (see below - Reviews published.).

Learning from National and Local SCR's and Learning Reviews.

The Child Safeguarding Practice Review Panel are an independent panel who oversee the statutory case review process.  The panel publish both an Annual Review of all case reviews completed but also commissions reviews of national significance.

The first review published March 2020, about safeguarding children at risk from criminal exploitation - It was Hard to Escape

followed by Sudden Unexpected cases in infancy where children were at risk of significant harm.

The next National Review is about Non-accidental injury in children under 1. 

LSCP Critical Incident Group (CIG)

The LSCP CIG is a multi-agency process for SCR, CSPR and cases below the CSPR threshold.

Membership of CIG is made up of representatives from partner agencies of the Liverpool Safeguarding Children Partnership.

All agencies and professionals in LSCP partnership can refer cases to be considered for a multi-agency review.  Before a referral is made the professional should discuss the case with their safeguarding lead.  Professionals can also consult about potential referrals with the LSCP Safeguarding Coordinator ( ) or their agency CIG representative.

Referrals are made using the LSCP Case Referral Form below and when completed should be emailed to:

LSCP CIG Referral Form

Safeguarding Practice Review Panel

On the 29th June 2018 the National Panel for Serious Case Reviews was replaced by the new National Child Safeguarding Review Panel.

The Child Safeguarding Practice Review Panel is responsible for commissioning and supervising reviewers for national child safeguarding practice reviews – which have replaced Serious Case Reviews.

The purpose of a national child safeguarding practice review is to identify any improvements that should be made by safeguarding partners or others to safeguard and promote the welfare of children.

Duty on Local Authorities

From the 29th June 2018 local authorities will be required, under a new statutory duty, to notify the Panel of incidents where they know or suspect that a child has been abused or neglected and:

  • the child dies or is seriously harmed in the local authority’s area; or
  • while normally resident in the local authority’s area, the child dies or is seriously harmed outside England.

These notifications should be made within five working days of the local authority becoming aware of the incident.

Local authorities should continue to use Ofsted’s current online notification system to notify the Panel. Notifications made through this route will go to the Panel, Ofsted and the DfE.

The local authority should also report the incident, within the same five working days, to the LSCP.

Liverpool Reviews published.

Name of Summary Date of Publication
LSCB SCR Child Alex 20.11.17
LSCB Response to SCR Child Alex 20.11.17
LSCB SCR Child Alex Media Statement 20.11.17
LSCB SCR Child Chris 11.05.17
LSCB SCR Child Chris Media Statement 11.05.17

Liverpool Learning Newsletters can be accessed via the link below.