Learning from Reviews
Reviews often find a combination of good service provision and good practice, alongside lessons to be learned about how these can be improved to help ensure that such events do not happen again.
Learning from Children’s Reviews
DSPP has a duty to undertake Local Child Safeguarding Practice Reviews (CSPR) and Case Reviews according to the ‘Working Together 2018’ guidance when indicated from the National Review Panel, as well as to ensure that learning from these reviews is disseminated widely and embedded in practice.
For full reports, visit the Child Safeguarding Practice Reviews page
- Professional Curiosity & Information Sharing Briefing – Learning from Child E published 17/07/2024
- Learning Review Practitioner Briefing – Concealed pregnancies and late maternity bookings published 12/06/2024
- Children’s Learning Review Practitioner Briefing – Learning from a case involving behavioural difficulties, CSA & Trauma Informed Practice – Published 08/05/2024
- Local CSPR Practitioner Briefing – Child F – Published 27/03/2024
- Local CSPR Practitioner Briefing – Risk of intrafamilial sexual abuse – Published 31/05/2023
- Local Learning Review – Diane – Practitioner Briefing 23/05/2023
- Local Learning Review Practitioner Briefing – Learning from a case of chronic neglect – Published 03/11/2022
- Local CSPR Practitioner Briefing – learning from a case involving head trauma – Published 18/08/2022
- Local CSPR Practitioner Briefing – Child Y – Published 02/02/2022
- Local CSPR Practitioner Briefing – Child YS – Joint CSPR with Sandwell Children’s Safeguarding Partnership – Published 12/01/2022
- Local CSPR Practitioner Briefing – Child Q & Child R – Published – 05/07/2021
- Serious Case Review Practitioner Briefing – Child T – Published 18/02/2021
- Serious Case Review – Child L published 03/11/2020
- Serious Case Review – Child A – published 03/11/2020
Learning from Adults Reviews
The prime purpose of a Safeguarding Adult Review (SAR) is for agencies and individuals to learn lessons to improve the way in which they work both individually and collectively to safeguard and promote the welfare of adults with care and support needs.
For full reports relating to SAR’s visit, the SAR page
- SAR Jed – Voice of the Adult, Think Family and Partnership Working 14/11/2024
- SAR – Helen – Practitioner Briefing 23/05/2023
- Local Learning Review – Diane – Practitioner Briefing 23/05/2023
- SAR – Thematic Review of Self-Neglect – Practitioner Briefing 22/11/2022
- SAR – Stanley – Practitioner Briefing 12/05/2022
- SAR – Adult B – Practitioner Briefing 13/12/2021
Learning from Audits
Dudley Safeguarding People Partnership (DSPP) has a duty to evaluate multi-agency working through case file audits which involves professionals from across the children’s workforce, and in turn, identify themes and trends in order to share learning and recommendations for improvement regarding the quality of practice and service provision. To learn more and read our published audits, please visit our Audits page
Learning from Domestic Homicide Reviews
Domestic Homicide Reviews (DHR) were established on a statutory basis under section 9 of the Domestic Violence, Crime and Victims Act (2004). This provision came into force on 13 April 2011.
A DHR is a review of the circumstances in which the death of a person aged 16 or over has, or appears to have, resulted from violence, abuse or neglect by a person to whom he was related or with whom he was or had been in an intimate personal relationship, or a member of the same household as himself, held with a view to identifying the lessons to be learnt from the death. Intimate personal relationships include relationships between adults who are or have been intimate partners or family members, regardless of gender or sexuality. This can also include suicide.
To read DHRs related to residents of Dudley, please visit the Safe and Sound website (link to https://www.dudleysafeandsound.org/dudley-dhrs)
National Learning from SAR’s
We have published a briefing on Cawston Park SAR, which was published in late 2021. For the full report, visit the Norfolk Safeguarding Adults board.
For more information on Adult B – visit Cumbria Safeguarding Adults Board for the full report, or download a summary below.
National Learning from SARs can be viewed via the SAR Library
National Learning from Children’s Reviews
National learning from case reviews can be viewed on the NSPCC Case Reviews Repository, which includes individual case review reports, thematic learning briefings and other case review information.
Access the Review Repository to view national learning.