Derby and Derbyshire Safeguarding Children Partnership
Helping to keep children and young people safe in Derby and Derbyshire
Learning from Reviews
The Derby and Derbyshire Safeguarding Children Partnership will continue to publish learning from different types of reviews carried out in Derby and Derbyshire. This will include learning from the previous two local safeguarding children boards as well as learning identified through the work of the partnership.
The reviews are set out in date order.
Learning and Improvement: Review of Serious Case Reviews and Learning Reviews 2008-2014
Derby Safeguarding Children Board has published a report DSCB Review of Serious Case Reviews and Learning Reviews 2008-2014 to set out the themes that have emerged from the reviews carried out in Derby.
The aim of this report is to support multi-agency workforce development as part of the learning improvement framework. Agencies and individuals can use this report to explore the main themes that have emerged following an analysis of serious case reviews and learning reviews.
The report includes a summary of the changes that have occurred to local practice and how outcomes have improved for children, young people and their families and examples of good practice.
The following two briefings have been produced setting out a summary of the themes and good practice for:
Learning from a 2014 Serious Incident Learning Review
The Derby and Derbyshire Safeguarding Children Boards’ have published a briefing outlining top tips for Supporting practitioners working with new and emerging communities.
Child Sexual Exploitation Learning Review of Operation Kern
The Derby Safeguarding Children Board carried out a learning review of Operation Kern. This police operation included the arrest and prosecution of 12 males for sexually exploiting girls in Derby.
Operation Kern followed immediately on from Operation Retriever, also involving sexual exploitation, which was the subject of a serious case review.
The learning review identifies further learning from Operation Kern about following areas:
- A young person's experience of support before, during and after Court
- A parents/carers experience of the support and trial
- A professional's experience through a complex Child Sexual Exploitation (CSE) trial, identifying any organisational and procedural barriers to service delivery.
The Learning Review Summary: Operation Kern 2013 sets out more detail about the findings of the review
Learning Review SILR14B
The learning review concerns the death of a 15 year old male due to drugs overdose. Available reports:
Learning Review SILR15A
The learning review concerns a 16 year old female who took her own life. Available reports:
Learning Review SILR15B
The learning review concerns the death of a 4 month old baby, Available reports:
Learning Review SALR16A
The learning review concerns a baby who had been born to a mother where previous children had been removed because of sexual abuse. Available Reports:
Learning Review SALR16B
The learning review concerns a teenager with ASD who had been inappropriately detained under the mental health act. Available Reports:
Learning Review SALR17A
The learning review concerns a 17 year old male whose death related to alcohol. The review was commissioned due to the young person being Electively Home Educated. Available Reports:
Learning Review SILR17B
The learning review concerns the death of a young person, where obesity was considered to have contributed to the death. Available Reports:
Review of a case YP2017
The review concerns the death of a young person with complex mental health needs who spent time in a number of out of County residential placements during the few years before he returned to Derbyshire and who was found lifeless with a ligature around his neck. Available Reports:
Multi Agency Learning Review for Aaron
Derbyshire Safeguarding Adults Board (DSAB) conducted a Multi Agency Learning Review in 2019 with support from Derbyshire Safeguarding Children Board representatives to identify learning from a case in which a young man, referred to as Aaron (not his real name), sadly and unexpectedly died at the age of 19 after taking an illegal drug at a social event. Available Reports:
Andy Searle, Independent Chair, Derbyshire Safeguarding Adults Board provides a statement about the publication of the learning briefing
Promoting the Safety of Babies - Learning from Reviews
This briefing sets out the main themes and key learning points from case reviews carried out following serious harm experienced by babies under the age of 1 year as a result of abuse or neglect between 2018 and 2020 across both Derby and Derbyshire.
Safeguarding school age children and young people - Learning from Reviews
The Derby and Derbyshire Safeguarding Children Partnership carried out case reviews to understand the lived experiences of nine school age children and their siblings in different unconnected families in Derby and Derbyshire. This briefing aims to help all professionals coming into contact with school age children and young people apply the learning from these reviews in their day-to-day practice.
Derby and Derbyshire Safeguarding Children Partnership includes:
