Research and analysis

New learning from serious case reviews: a 2-year report for 2009 to 2011

This is the sixth 2-year national analysis of serious case reviews. With a number of insights alongside the recurring messages for practice.



Learning from serious case reviews (local enquiries into the death or serious injury of a child where abuse or neglect are known or suspected) is acknowledged to be important.

The overall two year analysis includes five inter-linking studies (three of which have already been published) drawing primarily on either the 115 serious case reviews notified to the Department for Education during the single year 2009-10, or the full sample of 184 serious case reviews from the two year period 1 April 2009 - 31 March 2011.

The five studies have their own separate research questions and methods, but all are informed by the same approach to the exploration of interacting risks which seeks to understand inter-agency working within the dynamic context of the developing child’s world.

Published 22 April 2013