Resources to improve practice Click to get info
Statutory reviews: Published and referrals to One Panel Click to get info
The One Panel consists of senior officers from different agencies such as health, children social care, adult social care, community safety and police.
It receives referrals on cases that may meet the criteria for a statutory review, such as a Safeguarding Adults Review, a Serious Case Review and a Domestic Homicide Review.
The panel also receives referrals for local learning events, for cases that do not meet the criteria for a statutory review.
This responsibility has been given to the One Panel by the Safeguarding Adults Board, Waltham Forest Safeguarding Children Board and SafetyNet.
The panel discusses the referrals and use statutory criteria to make recommendations to the relevant board chair. The final decision is then made about what type of review takes place.
It works within a Think Family framework, so that when supporting any member of a family the needs of the whole family are explored and considered.
View all published statutory reviews including Safeguarding Adult Reviews, Serious Case Reviews and Domestic Homicide Reviews.
To make a referral download the One Panel referral form (word 25KB)
The purpose of the reviews is about learning lessons so we can improve future practice. In Waltham Forest we take a Think Family approach and look at system level learning so we can understand how we need to change the system/s under which practitioners work to improve practice in the future.
Please note that historical statutory reviews are available on request from the Strategic Partnerships Team.
Safeguarding Adult Reviews: The Care Act requires the Safeguarding Adult Board (SAB) to undertake a Safeguarding Adult Review (SAR) when an adult in its area with care and support needs
- dies of abuse or neglect, whether known or suspected or the adult has not died, but the SAB knows or suspects that the adult has experienced serious abuse or neglect and
- there is concern that partner agencies could have worked more effectively to protect the adult.
Serious Case Reviews: Local Safeguarding Children Boards are required under Working Together 2015 and Regulation 5 of the Local Safeguarding Children Boards Regulations 2006 to undertake Serious Case Reviews in cases where
- abuse or neglect of a child is known or suspected; and
- (b) either — (i) the child has died; or (ii) the child has been seriously harmed and there is cause for concern as to the way in which the authority, their Board partners or other relevant persons have worked together to safeguard the child circumstances,
Domestic Homicide Reviews: The Domestic Violence, Crime and Victims Act section 9 requires Domestic Homicide Reviews to be undertaken when the death of a person aged 16 or over has, or appears to have:
- resulted from violence, abuse or neglect by
- (a) a person to whom s/he was related or with whom s/he was or had been in an intimate personal relationship,
- (b) a member of the same household as her/himself, held with a view to identifying the lessons to be learnt from the death
Serious Case Review Child C
26 May 2020
Statement from the Independent Scrutineer for the Waltham Forest Safeguarding Children Board.
As Independent Scrutineer of the Waltham Forest Safeguarding Children Board I would like to offer my sincere condolences to the family and friends of Child C. I welcome this report which has been conducted in an open and transparent way with the full cooperation of all partners who are committed to learning from this awful death of a young person.
As an scrutineer part of my role will be to ensure the partnership continues to make progress against the recommendations and that this happens with sufficient pace.
Dave Peplow, Independent Scrutineer
Statement from the Local Safeguarding Partnership for Waltham Forest Safeguarding Children Board.
We extend our deepest condolences to the family and friends of Child C. He was a much-loved young boy who was tragically murdered. This review was commissioned to understand the circumstances leading up to Child C’s death and learn lessons to improve future practice. All the organisations that supported or worked with him have contributed to this report.
We welcome this comprehensive review and accept fully the findings and the invaluable learning for all our partner agencies in their ongoing work with children who are being criminal exploited.
The Partnership has been working together on this challenging agenda for over six years and while the review recognises that we have paid considerable attention to contextual safeguarding, we recognise there is more to do. As a direct response to this report we have already made some changes and we are also undertaking new work. The headlines of this work are outlined in the LSP response to the review.
The LSP will also use this review to highlight to central government to make the necessary changes to national policy and guidance which are needed to enable all agencies to work more effectively together to support children who are being exploited, particularly in relation to guidance around Elected Home Education and children being criminally exploited.
Our existing work plan has been further strengthened by the learning from this review and this plan will be overseen and monitored by the Adolescents Safeguarding and Resilience Strategic Group.
Heather Flinders, Strategic Director for Families, Waltham Forest Council,
Chetan Vyas, Director of Quality and Safety, Waltham Forest and East London Clinical Commissioning Groups
Richard Tucker, Borough Commander for Waltham Forest and Newham
Serious Case Review for child D
The Mother of child D experienced domestic abuse prior to her pregnancy and had to flee from her abuser, the father of the child. Mother then lived in east London and was isolated with very limited support/friends, and no family. Mother has been living in Newham when she booked for her pregnancy and before Child D was born, she moved to Waltham Forest where she lived in a Refuge for women experiencing domestic abuse. When Child D was four months old and at the time of his death Child D was in the sole care of his Mother and living in temporary studio accommodation in Hackney, sourced by London Borough Waltham Forest Housing. The coroner gave the cause of death as “Unexplained”
SCR child D 7-minute briefing for all practitioners working with adults, children and families
This 7-minute briefing has been designed to enable lessons to be disseminated easily and quickly to front line practitioners/managers and senior managers across the partnership. It only takes 7 minutes to go through in a team meeting, or supervision, or peer/group supervision. There are links/signposting to further reading and resources such as the full report and our bitesize videos which you can also read/watch in team meetings etc.
The purpose of an SCR is to learn lessons about how we can improve practice so please take 7 minutes out of your day to read this briefing and reflect on what changes you could make to your practice so that together as a partnership we can embed the changes into all our work with families.
Safeguarding Adult Review - Mark
Mark was 48 years old and lived in a housing association property. He was described as a friendly person. Mark became friends with a group of people within the same block who were involved in anti-social behaviour and used alcohol and drugs. He suffered from ill physical heath due to alcohol use and had a history of mental health issues. Mark was involved in criminal behaviour and showed early signs of self-neglect and was frequently “cuckooed” when a friend took over his flat and changed the lock so Mark was not able to enter. Mark was murdered and one of people he had become friends with was convicted of his murder in June 2019.
Safeguarding Adult Review - George
George is a 93 year old man who lived in his own accommodation. He had several on-going health conditions including a colostomy bag following colon cancer. He was suspected to have dementia, awaiting an assessment. George received support from several agencies including home care and was known to various health services.
A friend helped George day-to-day and become an informal carer and raised concerns about George’s ability to live independently. This friend sadly passed away in January 2018.
On the 4 of December George phoned the police thinking he may have been burgled. The police found him in a severely neglected condition and he was taken to hospital by ambulance. Since then he has moved to a 24-hour care home where he is now thriving.
Escalation/How to resolve professional disagreements Click to get info
These escalation letters advise how to take action using the appropriate channels when you believe that your professional opinions have not been acted on appropriately. For example, if you have concerns regarding the lack of response to professional opinions and judgments expressed by your staff about safeguarding matters including concerns that social care services are not taking appropriate actions regarding the well-being of a child or an adult at risk or are not responding in a timely fashion to your concerns.
Adult escalation letter SAB - Dec 2019 Click to get info
Contacts Click to get info
Head of Strategic Partnerships
07971 322494 firstname.lastname@example.org
Strategic Partnership Coordinator
Health and Wellbeing Board
07891 544651 email@example.com
Strategic Partnership Coordinator
SAB and SafetyNet
07966 768215 firstname.lastname@example.org
Strategic Partnership Coordinator
Safeguarding Children Board
07968 693191 email@example.com
Health & Wellbeing Project Officer
Child Death Review
07891 958033 firstname.lastname@example.org