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Case Review Learning Leaflets

Whenever the SSP carries out a case review one of its main aims is to identify learning and share it with agencies and practitioners to support the development of services and practice.

These leaflets summarise the learning from serious and local case reviews and all contain links to further information and training opportunities.

SCR G

Pregnancy and the first year of life is a critical life stage – in the first 18 months of life babies experience a period of incredibly rapid growth and development.

Research and experience indicate that very young babies are extremely vulnerable and premature babies may be more vulnerable to abuse and neglect. This may be increased if families are experiencing problems, and/or have premature twins/multiple births. (NSPCC 2017) 

This learning leaflet sets out some of the learning for agencies and practitioners that has been identified through recent case reviews. 

Learning Leaflet - SCR G 

SCR Q 

Severe malnourishment and dehydration in children can be a potentially life-threatening condition.

The presence of other factors such as premature birth, on-going​ health problems and developmental delay can mean that it is more difficult to determine whether neglect is the cause of a child’s deteriorating health. 

This learning leaflet sets out some of the learning for agencies and practitioners that has been identified through recent case reviews. 

​Learning Leaflet - SCR Q​

SCR S & SCR D

In late 2016 Swindon LSCB published two SCRs following the deaths of two babies as a result of co-sleeping. The cases are not connected and occurred 6 months apart. 

Both SCRs confirmed that all professionals had provided clear safe sleeping advice to the families. However, both families were within the child protection system and it was felt that there would be learning for organisations.

Learning Leaflet - SCR S & SCR D​