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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

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 

Learning from Multi-agency Case File Audits (MACFA’s) 

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 MACFA 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 

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.