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LEARNING FROM SERIOUS CASE REVIEWS

LEARNING FROM SERIOUS CASE REVIEWS. What learning? Learning what?. Stuart Gallagher Centre for Early Childhood University of Worcester. WORKSHOP. CAF AA and CAF BB What is your team’s plan of action? How might your team member’s individual actions support or impede this plan?

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LEARNING FROM SERIOUS CASE REVIEWS

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  1. LEARNING FROM SERIOUS CASE REVIEWS What learning? Learning what? Stuart Gallagher Centre for Early Childhood University of Worcester

  2. WORKSHOP CAF AA and CAF BB What is your team’s plan of action? How might your team member’s individual actions support or impede this plan? How might your working structures (for example, local authority CSD or communication strategies) support or impede this plan?

  3. KEY PRINCIPLES OF SAFEGUARDING “Effective safeguarding arrangements in every local area should be underpinned by two key principles: safeguarding is everyone’s responsibility: for services to be effective each professional and organisation should play their full part; and a child-centred approach: for services to be effective they should be based on a clear understanding of the needs and views of children.” Source:Working Together To Safeguard Children (HM Government, 2013, p 8, para 8)

  4. PRIMARY PURPOSE OF SCRs “[...] is for agencies and individuals to learn lessons to improve the way in which they work both individually and collectively to safeguard and promote the welfare of children [...] so that the changes required result, wherever possible, in children being protected from suffering or being likely to suffer harm in the future.” Source: Working Together to Safeguard Children (HM Government, 2010, p 233, para 8.1)

  5. WORKING TOGETHER ... FROM 2010 TO 2013 “[…] 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.” Source: Working Together to Safeguard Children(HM Government, 2013, p 65, para 1)

  6. WHAT LEARNING? “[…] there should be a culture of continuous learning and improvement across the organisations that work together to safeguard and promote the welfare of children, identifying opportunities to draw on what works and promote good practice.” Source: Working Together to Safeguard Children (HM Government, 2013, p 66, para 1)

  7. LEARNING WHAT? “to understand precisely who did what and the underlying reasons that led individuals and organisations to act as they did; to understand practice from the viewpoint of the individuals and organisations involved at the time rather than using hindsight.” Source: Working Together to Safeguard Children (HM Government, 2013, p 66, para 1)

  8. CONDITIONS FOR SCR [Undertake a] Serious Case Review: for every case where abuse or neglect is known or suspected and either: a child dies; or a child is seriously harmed and there are concerns about how organisations or professionals worked together to safeguard the child. Source:Working Together To Safeguard Children (HM Government, 2013, p 66, para 8)

  9. LEARNING FROM SERIOUS CASE REVIEWS WRONG -> RIGHT RETROSPECTION -> PROSPECTION FACTS -> DEMANDS PROFESSIONAL VISION

  10. DANGERS Learning from one child’s maltreatment in order to prevent the abuse of another child presupposes that what children have in common can be established in relation both to identification of abuse and the risks of that abuse. How unique are children and their relationships to people, places and material things?

  11. UNIQUE CHILD + POSITIVE RELATIONSHIPS + ENABLING ENVIRONMENTS = CHILDREN’S LEARNING AND DEVELOPMENT Development Matters (British Association for Early Childhood Education, 2012)

  12. DANGERS Must learning from one child’s maltreatment include learning about how the alignment of particular professionals to the particular needs of a particular child may correspond to another alignment of particular child welfare professionals to the presenting needs of another child (somewhere else)?

  13. A KEY FACT “Most but not all the children (35 out of 50) whose tragic circumstances were subject to a serious case review in the sample analysed were known to social care agencies. All were known to universal services, usually education and/or health.” Source: Ofsted (2008, p 6)

  14. 15 SCRs 35 SCRs

  15. DE-ESCALATION ESCALATION

  16. SUMMARY What do you want to learn from Serious Case Reviews?

  17. WORKSHOP CAF AA and CAF BB What is your team’s plan of action? How might your team member’s individual actions support or impede this plan? How might your working structures (for example, local authority CSD or communication strategies) support or impede this plan?

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