Child Safeguarding Practice Reviews

Bristol CSPRs

Child Safeguarding Practice Reviews

KBSP Child Safeguarding Practice Review Protocol

The Children and Social Work Act 2017 and Working Together 2018 guidance introduced a new legal framework in respect of local safeguarding arrangements for children. Responsibility for how a system learns lessons from serious child safeguarding incidents now rests at a national level with the Child Safeguarding Practice Review Panel and at a local level with the Safeguarding Partners (KBSP). This means that Serious Case Reviews have been replaced by Local Child Safeguarding Practice Reviews (CSPRs) as learning reviews conducted in cases where abuse or neglect of a child is known or suspected and the child has died or been seriously harmed.

The purpose of a Child Safeguarding Practice Review is to:

  • Establish whether there are lessons to be learnt from the case about the way in local professionals and organisations work together to safeguard and promote the welfare of children.
  • Identify clearly what those lessons are, how they will be acted on, and what is expected to change as a result, andĀ therefore, improve inter-agency working and better safeguard and promote the welfare of children.

Once aware of a Child Safeguarding Serious Incident (in which abuse or neglect is known or suspected, and a child dies or is seriously harmed in Bristol), the local authority (Bristol City Council) must submit Child Safeguarding Serious Incident Notification to the national Child Safeguarding Practice Review Panel using the Child safeguarding incident notification system. This notification must take place within 5 working days of becoming aware of the incident.

Rapid Reviews must be conducted whenever Bristol City Council submits a Child Safeguarding Serious Incident Notification. However, other multi-agency safeguarding partners should also inform the KBSP of cases where it is considered that a Rapid Review should be conducted.

To inform the KBSP of a Child Safeguarding Serious Incident or request a Rapid Review, complete this CSPR referralĀ form and email to KBSP@bristol.gov.uk. Before submitting the referral please discuss with your agency representative on the CSPR sub-group or your agency Keeping Children Safe Delivery Group member. If you do not have a representative please discuss with the Safeguarding lead in your organisation.

Following the Rapid Review, a recommendation for a local or national Child Safeguarding Practice Review will be made to the National Child Safeguarding Practice Review Panel.

The KBSP has not yet completed any Child Safeguarding Practice Reviews. Completed Serious Case Reviews can be found below.

A review into the circumstances which led to a disabled child suffering life-threatening injuries in a dog attack.

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This joint Serious Case Review and Domestic Homicide Review was commissioned after a seventeen year old boy died from knife wounds.

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This SCR concerns the neglect experienced by a newborn baby in the first three months of its life.

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This SCR concerns the care provided to Becky, a 16 year old female, by local agencies in the years before her death in 2015. Becky's Step-Brother and his partner were convicted of her murder and manslaughter respectively.

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This SCR concerns the death of Aya, a six month old baby who died after suffering non-accidental head injuries whilst in the care of her father in December 2016.

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This SCR was commissioned after the death of a newborn infant following a denied pregnancy.

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ZBM and her mother died shortly after ZBMs birth in December 2014. This Serious Case Review considers issues concerning perinatal mental health.

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Operation Brooke is the Serious Case Review based on a wide ranging police investigation into Child Sexual Exploitation in Bristol in 2014. A number of young people were the subject of this review

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Child T died in 2013 as a result of a non-accidental, most likely shaking injury. Father was convicted of Child T's manslaughter.

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Child Protection Incident Reviews (CPIRs) have been undertaken in cases where the criteria for a Serious Case Review have not been met but can still provide learning.

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Serious Case Reviews conducted by the Bristol Safeguarding Children Board prior to 2015 can be found below.

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