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Learning from serious cases

Why we study the cases that went wrong

What reviews got right, and what they missed

Baby P and the value of reflective supervision

Information sharing: the theme that recurs across almost every review

Checkpoint: learning from reviews

What Serious Case Reviews and their successors got right and wrong — Victoria Climbié, Baby P, and the recurring theme of missed information sharing that shaped today's safeguarding practice.

When a child dies or is seriously harmed and abuse or neglect is a factor, the system studies what happened. This module looks at what those reviews have taught the profession — where they succeeded, where they fell short, and the recurring themes every practitioner should recognise.

Module 14-Serious Case Reviews: Learning from Practice

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