These are inquiries conducted when a child dies or suffers serious harm, and abuse or neglect is known or suspected. The purpose is not to assign blame, but rather to establish whether there are lessons to be learned from the case about the way in which local professionals and agencies work together to safeguard children. A typical instance prompting such a review might be the death of a young child despite involvement from social services and healthcare providers.
The significance lies in improving inter-agency collaboration and enhancing child protection practices. Through detailed examination of past events, systemic weaknesses and individual practice issues are identified. Historically, these reviews have led to significant changes in policy and procedure within safeguarding organizations, aiming to prevent similar tragedies in the future. Understanding these procedures is essential for those working with children and families.