Critical decisions and questions regarding serious case reviews - ideas from North West England

FLYNN Margaret, KEYWOOD Kirsty, WILLIAMS Shirley
Journal article citation:
Journal of Adult Protection, 13(4), 2011, pp.213-229.

Serious case reviews (SCRs) are one means of learning the lessons arising from adverse, salient incidents and tragedies, such as the death of a vulnerable adult or neglect of a number of adults in a grouped care setting. There is no template on the process of conducted an adult’s SCR, due to a concern that, while this would provide a degree of consistency, it would also lead to the danger of routinising the consideration of exceptional incidents. Therefore, rather than providing guidance on how to conduct a SCR, this article sets out some of the questions that Safeguarding Adults Boards should be asking themselves. The article is presented as sets of decision points and questions regarding the commissioning process, the management of the process, the appointment of a chair and author, the terms of reference, information-sharing, confidentiality, involving relatives and making findings public. The compliance of the process with human rights legislation is also considered. These questions challenge the perception that SCR can be streamlined, structured, codified, and constrained

Subject terms:
human rights, organisational learning, procedures, serious case reviews, safeguarding adults, good practice, Safeguarding Adults Boards;
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