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BookDigital Media Full text available online for free

Confusion about interpretation of medical information on cause of injury: practice issues from Serious Case Reviews

Authors:
NATIONAL SOCIETY FOR THE PREVENTION OF CRUELTY TO CHILDREN, SOCIAL CARE INSTITUTE FOR EXCELLENCE
Publishers:
Social Care Institute for Excellence, NSPCC
Publication year:
2016
Place of publication:
London

This briefing looks at examples of child protection cases where agencies incorrectly interpret medication information from health professionals about possible causes of injuries as definitive, rather than one of a range of possibilities. It is one of a series 14 briefings looking at difficult issues in inter-professional communication and decision-making in children’s safeguarding identified (Edited publisher abstract)

BookDigital Media Full text available online for free

Not making a referral after bruising to non-mobile babies: practice issues from Serious Case Reviews

Authors:
NATIONAL SOCIETY FOR THE PREVENTION OF CRUELTY TO CHILDREN, SOCIAL CARE INSTITUTE FOR EXCELLENCE
Publishers:
Social Care Institute for Excellence, NSPCC
Publication year:
2016
Place of publication:
London

Briefing paper which looks at the issue of professionals not making a child protection referral to children’s social care after observing bruising in non-mobile babies. It is one of a series 14 briefings looking at difficult issues in inter-professional communication and decision-making in children’s safeguarding identified from 38 Serious Case Reviews, with added information gathered from three multi-agency ‘summits’. Drawing on the analysis of the serious case review reports, it identifies some reasons why this might occur, including: a lack of understanding of child protection procedures, a lack of professional curiosity and ‘respectful scepticism’ about explanations for bruising, and second opinions not being sought from more experienced clinicians. It provides solutions suggested by summit participants and contains a set of self-assessment questions to support managers and practitioners to tackle similar issues in their own local area. (Edited publisher abstract)

Book Full text available online for free

Serious case review 'Zara'

Author:
SMITH Fergus
Publisher:
Wandsworth Safeguarding Children Board
Publication year:
2014
Pagination:
70
Place of publication:
Wandsworth

A serious case review of Zara, a four year old girl of dual heritage (White/Black Caribbean), who was admitted to hospital with stomach pains. Following surgery it transpired that she suffered life threatening injuries following a severe blow to her stomach. Zara's mother's boyfriend was found guilty of GBH for inflicting the injuries to Zara. Her mother and the other defendants were cleared (Edited publisher abstract)

Book Full text available online for free

Serious case review: subject: baby Z: born 06.02.2012: overview report

Author:
SCRATON K.
Publisher:
Leicester Safeguarding Children Board
Publication year:
2013
Pagination:
28
Place of publication:
Leicester

On 12 October 2012, Baby Z was taken to the local hospital’s Emergency Department by her parents who reported that “she had not been herself” and had not been feeding. The conclusion from medical experts was that some of the fractures were caused up to 3 weeks before the head injuries, i.e. “multiple episodes of non-accidental injury”. There followed a criminal investigation by the police (Edited publisher abstract)

Book Full text available online for free

Serious case review: redacted overview report re SCR 0310

Author:
LOCK Ron
Publisher:
Gloucestershire Safeguarding Children Board
Publication year:
2011
Pagination:
44p.
Place of publication:
Gloucester

This serious case review (SCR) was commissioned due to the circumstances of the youngest child of a family who received life threatening injuries in early 2010. This child, who will be referred to as Rachel in this report, and who has since recovered, was under 2 years old at the time of her injuries. Following a criminal investigation into how the injuries were caused, Rachel’s mother injuries. Also at this time, the family were living with another family who were also recent new arrivals to the UK. This review aimed to: establish what lessons are to be learned from the case about the way in which local professionals and organisations work individually and together to safeguard and promote the welfare of children; identify clearly what those lessons are both within and between

Book Full text available online for free

Serious case review: executive summary: re SCR 0310 September 2011

Author:
LOCK Ron
Publisher:
Gloucestershire Safeguarding Children Board
Publication year:
2011
Pagination:
16p.
Place of publication:
Gloucester

This serious case review (SCR) was commissioned due to the circumstances of the youngest child of a family who received life threatening injuries in early 2010. This child, who will be referred to as Rachel in this report, and who has since recovered, was under 2 years old at the time of her injuries. Following a criminal investigation into how the injuries were caused, Rachel’s mother injuries. Also at this time, the family were living with another family who were also recent new arrivals to the UK. This review aimed to: establish what lessons are to be learned from the case about the way in which local professionals and organisations work individually and together to safeguard and promote the welfare of children; identify clearly what those lessons are both within and between

Book

Serious case review: executive summary: Child '1'

Author:
MERTHYR TYDFIL LOCAL SAFEGUARDING CHILDREN BOARD
Publication year:
2011
Pagination:
4p.
Place of publication:
Merthyr Tydfil

This report summarises the findings from a Serious Case Review after Child 1 suffered serious head injuries in November 2006, when he was only 38 days old. As a result of these injuries, Child 1 will probably be permanently disabled, with sight and hearing problems. The review considers the professional involvement with Child 1, to identify and recommend any relevant changes to professional practice, and the ways in which the different

agencies work together to safeguard children and young people. The report outlines the case review process, provides brief details of the case, key findings and recommendations. The review found nothing in the records of the agencies, or in agency reviews to suggest that the injuries could have been predicted or prevented. It raised the major issue of how to educate parents to protect babies from head injuries.

Book Full text available online for free

Serious case review: child W3

Author:
WALSALL SAFEGUARDING CHILDREN BOARD
Publisher:
Walsall Safeguarding Children Board
Publication year:
2014
Pagination:
137
Place of publication:
Walsall

A nine year old boy of Bangladeshi ethnic origin was brought to the Accident & Emergency (A&E) Department of a local hospital with a cut to the back of his neck inflicted by his father. The mother had previous made ten allegations of domestic abuse against her husband. Agencies’ understandings of how the family functioned being dominated by the mother and allegations of domestic abuse. The review notes areas of good practice, systemic weaknesses across agencies and individual weaknesses of practice. Findings highlight the many and varied needs of the family, made more challenging due to the special/additional needs of two of the children; the number of agencies providing support; poor relations between mother and father. It also identifies the need for professionals to have been more effective in developing a holistic understanding of the inability of the family to provide good enough parenting of its growing number of children. Lessons learned included: evidence-based multi-agency assessments of need and risk are essential; the provision of regular reflective supervision for all professionals involved in safeguarding; and that views of children and their fathers must be taken into account in any investigations. (Original abstract)

Book Full text available online for free

Child D: a serious case review

Author:
ANONYMOUS
Publisher:
National Society for the Prevention of Cruelty to Children
Publication year:
2014
Pagination:
69

A serious case review of Child D, who was just under three weeks old when admitted to hospital with multiple serious injuries in October 2012. Medical advice was that these injuries had been inflicted. Child D’s mother, a woman in her early twenties, was arrested. She was known to adults’ and children’s social care services and to a range of health services, before and during her pregnancy (Edited publisher abstract)

Book Full text available online for free

Serious case review: Child H

Authors:
TRENCH Sally, MILLER Ghislaine
Publisher:
Lambeth Safeguarding Children Board
Publication year:
2014
Pagination:
57
Place of publication:
London

A serious case review of Child H, a 3-year old Somalian boy who died of injuries received whilst in the care of his father. A week earlier, his youngest brother had suffered a serious injury, and had been admitted to hospital in a neighbouring borough. The children were subject of Child Protection Plans, due to the history and pattern of domestic violence and abuse that had emerged (Edited publisher abstract)

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