Pathways to harm, pathways to protection: a triennial analysis of serious case reviews 2011 to 2014: Final report

A serious case review (SCR) is a local enquiry carried out where a child has died or been seriously harmed and abuse or neglect are known or suspected, and there is cause for concern about professional working together. This study is the fifth consecutive analysis of serious case reviews in England undertaken by the same research team dating back to reviews from 2003-2005. The study considers a total of 293 SCRs relating to incidents which occurred in the period 1 April 2011- 31 March 2014. These most recent reviews are also analysed in the context of learning from SCRs over the ten years since 2003-2005. The aim of the study is to provide evidence of key issues and challenges for agencies working singly and together in these cases. It is also to provide the government
with evidence of what is changing as a result of their reforms, and to identify areas where further change may be required to support organisations to learn from serious case reviews and to keep children safe.