Serious Case Reviews

A Serious Case Review is held when a child has died and abuse or neglect is known or suspected to be a factor in the child’s death.

Reviews may also be held when a child has been seriously injured through abuse or neglect and where those who know about the child’s circumstances believe that lessons could be learned to avoid a similar situation arising in the future. Serious Case Reviews are not undertaken to apportion blame.

The government provides advice and guidance to all the agencies that work with children, about how to conduct a Serious Case Review.

These are contained in Working Together to Safeguard Children 2018 which defines the purpose of a Serious Case Reviews.

The purpose of Serious Case Reviews carried out under this guidance is to:

  • Establish whether there are lessons to be learnt from the case about the way in which local professionals and organisations work together to safeguard and promote the welfare of children.
  • Identify clearly what those lessons are, how they will be acted on, and what is expected to change as a result;
  • As a consequence, improve inter-agency working and better safeguard and promote the welfare of children.

Local Safeguarding Children Boards are responsible for undertaking Serious Case Reviews.

The content is anonymised in order to protect the confidentiality of relevant family members and others.

The LSCB has a responsibility to provide relevant information to those with a legitimate interest.

National Serious Case Reviews:

Daniel Pelka – Serious Case Review Overview Report 2015
Baby P first Serious Case Review Overview Report November 2008
Baby P First Overview Report Executive Summary 2008
Baby P second Serious Case Review Overview Report March 2009
Nursery Z Serious Case Review March 2010
Somerset Serious Case Review January 2012

Serious Case Review into Child Sexual Exploitation in Oxfordshire: from the experiences of Children A, B, C, D, E and F



2020 – Multi Agency Learning Review

Child Ava Final Report 19.11.20

Child AVA KSCP response final version

Child Paul Executive Summary Final Report

Child Paul Final Report

Child Paul Final Report – KSCP Response

Local Serious Case Reviews:


Child Y – Serious Case Review 2019

KSCP Response to Child Y SCR 2019


Child Jane SCR 2018

KSCB Response to Child Jane SCR 2018


SCR Learning Reminder Guide Jan 2017

Knowsley Serious Case Reviews ‘Learning the Lessons’ Newsletter Edition 2



Child Q & S Overview Report 2016

Child Q & S Executive Summary 2016

KSCB Response to Child Q & S 2016