Serious 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. Good practice should be shared so that there is a growing understanding of what works well. Conversely, 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.

When a child dies, and abuse or neglect are known or suspected to be a factor in the death, local agencies should consider immediately whether there are other children at risk of harm who need safeguarding (e.g. siblings, other children in an institution where abuse is alleged). Thereafter, agencies should consider whether there are any lessons to be learned from the tragedy about the ways in which they work together to safeguard children. This is called a ‘Serious Case Review’.

The LSCB Critical Incident Group is a sub group of the LSCB and is responsible for establishing the need for a Serious Case Review, overseeing the review process and for ensuring  that recommendations are implemented as required by statutory guidance within Chapter 4 of Working Together to Safeguard Children 2015.

To learn more about Reviews in Liverpool, Click Here


Publication of Reports

Working Together 2015 details the requirements of Local Safeguarding Children Boards to publish serious case reviews as follows;  

‘All reviews of cases meeting the SCR criteria should result in a report which is published and readily accessible on the LSCB’s website for a minimum of 12 months. Thereafter the report should be made available on request. This is important to support national sharing of lessons learnt and good practice in writing and publishing SCRs.’ 

LSCBs SCR’s, published after May 2013, are in accordance with this guidance.

Response to Serious Case Reviews

Working Together 2015 details the requirements of Local Safeguarding Children Boards to publish information about actions which have been taken in response to the findings of serious case reviews as follows;

‘LSCBs should publish, either as part of the SCR report or in a separate document, information about: actions which have already been taken in response to the review findings; the impact these actions have had on improving services; and what more will be done.’

LSCB’s response to the findings of SCRs, published after May 2013, are in accordance with this guidance.


Name of Summary Date of Publication
LSCB Serious Case Review (SCR) Chris Final 11.05.17
LSCB Serious Case Review (SCR) Chris Media Statement Final 11.05.17