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Serious Case Reviews

The purpose of Serious Case Reviews

LSCBs are required by law to consider undertaking a Serious Case Review (SCR) whenever a child dies and abuse or neglect are known or suspected to have taken place. Other factors that may lead to consideration of a SCR are:

When, as a consequence of abuse or neglect, a child receives a potentially life-threatening injury or serious impairment of their health;
When a child is subjected to serious sexual abuse;
When a parent has been murdered and a homicide review has been initiated;
When a child has been killed by a parent with a mental illness;
When there are concerns about the way different organisations worked together

SCRs are written by people who are independent from the LSCB that commissions them, in order to identify where there are lessons that can be learned about local single and inter-agency practice. A summary of every Review is made available to the public. The summaries of all SCRs initiated in Haringey since 2002 can be found below.

Baby Peter Serious Case Review
Statement from Graham Badman - 22 May 2009

I am today publishing the executive summary of the second Baby Peter Serious Case Review. This second review was conducted at the direction of the Secretary of State for Children, Schools and Families. Ofsted had evaluated the first review as being “inadequate”.

This second review was conducted by a new panel that I convened following my appointment as the independent chair of Haringey Local Safeguarding Children Board in December of last year.

This review was completed some time ago as was the executive summary. I was keen to publish the executive summary as soon as possible but received legal advice that precluded publication at that time. Having made a number of minor adjustments to the executive summary I am advised it can now be published and I am able to publish it today. It has, of course, been drafted with due regard to the protection of others.

I am keen to stress that none of the necessary changes that have been made for legal reasons have in any way altered the thrust or direction of the document and the findings, recommendations and key points are all exactly as they were in the original draft.

Read full statement