Case Reviews

Local Child Safeguarding Practice Reviews 

The Safeguarding Children Partnership (SCP) is responsible for initiating a Local Child Safeguarding Practice Review (CSPR) in circumstances where there has been a death or serious injury to a child, abuse or neglect is known or suspected, and there are opportunities for learning in relation to inter-agency working. The purpose of the Review is to:

  • Establish whether there are any lessons to be learnt from the case and from the way in which local professionals and organisations worked together to safeguard and promote the welfare of children and young people.
  • Identify clearly what those lessons are, how they will be acted on, what is expected to change as a result and within what timescale; and
  • As a consequence, improve inter-agency working to better safeguard and promote the welfare of children and young people.

Cheshire West Published Local Child Safeguarding Practice Reviews

Please be advised that case reviews that are published will remain on the SCP website for a period of two years. Reviews older than two years are still available upon request to scp@cheshirewest.gov.uk  

Historical reviews undertaken by the SCP include themes around neglect, non-accidental injury under 1, Elective Home Education, families who avoid services, safeguarding adults with care and support needs, childhood obesity and harassment and bullying.

Thematic Review of Child Suicide or Death Through Undetermined Intent – Published 27th March 2024

This report was commissioned by the Safeguarding Children Partnership. The review was written by Independent Author, Nicola BrownJohn.

Case Review Learning Summary Child Sexual Abuse – Published 7th February 2024

Learning Summary Reports are published by the Safeguarding Children Partnership when our Rapid Review Meeting has concluded that the circumstances leading to the serious harm, or death of a child, meet the criteria for a Child Safeguarding Practice Review (CSPR) but a fuller independent review is not deemed necessary or when publication of a full Safeguarding Practice Review is pended whilst parallel processes conclude. 

This summary draws out the learning and recommendations arising from a Child Safeguarding Practice Review into child sexual abuse conducted by an Independent Author. The full report will be released on conclusion of other processes

Thematic Review of Contextual Safeguarding Responses in Cheshire West and Cheshire East – Published 21st September 2022 

This review was jointly commissioned by Cheshire West and Cheshire East Safeguarding Children Partnerships following a disturbance involving a group of adults and a number of young people. The incident resulted in three adults being stabbed, one of whom tragically died from their injuries. The review was written by Independent Author, Maureen Noble. Key Issues: Harm outside the home, Drugs, Prevention, Mental Health, Exclusion, Think Family and Communities.

Case Review Learning Summary – Child F – September 2022

Learning Summary Reports are published by the Safeguarding Children Partnership when our Rapid Review Meeting has concluded that the circumstances leading to the serious harm, or death of a child, meet the criteria for a Child Safeguarding Practice Review (CSPR) but a fuller independent review is not deemed necessary. This review was led by our Independent Chair and supported by our local Rapid Review Panel, following the tragic death of a child as a result of Non-Accidental Injury

Archived Local Child Safeguarding Practice Reviews

  • Thematic Review into Non-Accidental Injuries to Children under 1 year – Themes: Non-accidental injury (NAI) 
  • Family X – Themes: Neglect, Elective Home Education, Families who avoid services, Safeguarding Adults with Care and Support Needs, Childhood obesity.
  • Lauren – Themes: Harassment and bullying.

Please be advised that case reviews that are published will remain on the SCP website for a period of two years. Reviews older than two years are still available upon request to scp@cheshirewest.gov.uk  

Practice Learning Reviews (PLRs)

Cheshire West and Chester SCP undertakes ‘Learning Reviews’ for cases that do not meet the criteria for a Local Safeguarding Child Practice Review, but that nonetheless offer an opportunity for investigation to ascertain facts and lessons to be learnt.

Making a referral for a case review

The Quality Assurance and Scrutiny Group of the SCP will consider referrals for Learning Reviews. A Rapid Review Panel is convened, made up of members from the Quality Assurance and Scrutiny Group, when a referral is for a Local Child Safeguarding Practice Review. There are statutory timeframes in respect of holding the Rapid Review meeting and therefore it is important that referrals are submitted in a timely fashion. Please complete and return the referral form:

NSPCC Learning – National Case Review Collection: Repository of published reports

The national case review repository launched in November 2013 and has developed into the National Case Review Collection, the most comprehensive collection of case reviews in the UK. It provides a single place to access and share learning at a local, regional and national level. The repository has over 2,000 case reviews from across the UK dating back to 1945, and thematic analysis reports from all four nations.