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Serious case reviews

‘YT’ Case Review – October 2017

On the 27 October 2017 we published the Serious Case Review (SCR) report for ‘YT’ covering the tragic case of a young man who took his own life just hours after arriving in this country. It is unlikely that anyone will ever know what led him to make that decision and the review concludes that his death could not have been predicted.

It is important however, that those involved in the care of young people in similar circumstances learn as much as possible from such a tragic event and the ESCB has published a response document detailing the local activity that has already taken place in response to the review.

For more detailed information please download the Overview Report and the ESCB Response.

‘AX’ Case Review – January 2016

On the 11 January 2016 we published the Serious Case Review (SCR) report for ‘AX’ which involved the death of a 17 year old male at the end of 2013.

The events covered by the report took place over two years ago. Agencies have not awaited the completion and publication of this review before tackling the issues arising from these events and many of these recommendations have been identified and addressed already.

The report concludes that the circumstances and timing of AX’s death could not have been directly predicted by any of the agencies with which he had been in contact. However, possible opportunities for changing the outcome or influencing elements in this and future cases have been explored thoroughly.

For more detailed information please download the Overview Report and the Publication Statement.

‘CH’ Case Review – May 2015

On 27 May 2015 Enfield and Haringey Safeguarding Children Boards jointly published the Overview Report of a Serious Case Review (SCR) for ‘CH’ undertaken in 2012/13 and completed in 2014.

The Serious Case Review concerns the murder of a young man by ‘CH’. The Overview Report states that the circumstance of the death could not have been predicted. However, through looking at the work of all agencies involved with CH and his family, the report does recognise that there are a number of areas of learning and improvement for partner agencies as well as evidence of good and effective practice. Agencies could, and should, have responded differently at key points.

For more detailed information please download the Overview Report and the Publication Statement.

Serious Case Reviews in Enfield

Enfield Safeguarding Children Board will conduct a serious case review (SCR) in the event of a child’s death or serious injury where abuse or neglect is known or suspected to be a factor. The Safeguarding Children Board conducts a serious case review into the involvement of organisations and professionals with the child and their family. The purpose of the review is to:

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

Details of any serious case reviews undertaken by the Board will be published on this site as and when they are carried out. The Board is committed to the principles of serious case reviews as set out in Working Together to Safeguard Children 2015, including learning lessons arising from such reviews both nationally and more locally.

ESCB Serious Case Review Procedure

Serious Case Review Procedure

Resources for Professionals

Statistics on case reviews – useful statistics and information on case reviews can be found on the NSPCC website.

A summary of all national published serious case reviews from 2013 is available at this link.

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