“a declaration that known or suspected abuse or neglect of a child in Regulation 5(2)(a) of theLocal Safeguarding Children Board’s Regulations 2006 includes known or suspected abuse or neglect on the part of a public body”
“Nawaal has no awareness of danger and enjoys climbing and jumping… if the window is open just a crack she will try and get out through it regardless of where it is … the longer Nawaal is inside the more frustrated she gets … she has no awareness of danger and enjoys climbing… This is a situation that is far too dangerous to continue this way. It is not a case of if Nawaal will fall but a case of when.”
“The issues identified were focused on housing, and abuse and neglect were not identified as factors in Nawaal’s care or death. The consensus at both Rapid Response Meetings was that the requirements for a serious case review were not met.”
“a disagreement as to the ambit of the words ‘suspicion of abuse or neglect’ or the nature and extent of any power to initiate an SCR are the kinds of matters an LSCB would refer to the Panel for an independent view before reaching a final decision”
“Following very careful consideration of the information provided at their meeting on 11 August, the Panel are strongly of the view that there is clear evidence of Islington LBC’s failure to protect the safety and wellbeing of child Nawaal. However, on the specific issue of whether an SCR is required, they concluded that in the apparent absence of relevant case law, or an explicit policy direction from the Department for Education as to whether a body such as a local authority can be guilty of neglect within the remit of Regulation 5(2)(a) of the LSCB’s Regulations (2006) as set out in Working Together 2013, it is not possible for the Panel to be definitive as to whether the criteria for an SCR are met. The Panel take the view that the particular issues raised by this case are more appropriately addressed either with a determination in the courts or by a clear policy directive from the Department for Education.”
“Further to my email … I have received the Defendant’s instructions. Yesterday morning the Board met to consider the Panel’s views. The Board has considered those views as sought by its referral to the Panel. With those views in mind, the Board will exercise its power to commission a Serious Case Review in this case, notwithstanding there is no duty to do so.”
“The position generally remains unsatisfactory as in the light of the advice of the Expert Panel there is plainly a need for clarification about the circumstances in which an SCR should take place, we therefore consider that there is a real public interest in this case continuing and intend to seek a declaration as to the circumstances when a Serious Case Review should be instigated. … We write to enquire whether your client will be prepared to agree that the litigation should continue … We consider that the Secretary of State should be joined and it would be for him/her to respond substantively to the claim for a declaration. … This is obviously an unusual case. We invite you to consider our proposal carefully.”
“Regulation 5: Functions of LSCBs (1) The functions of an LSCB in relation to its objective (as defined in section 14(1) of the Act) are as follows— (a) developing policies and procedures for safeguarding and promoting the welfare of children in the area of the authority, including policies and procedures in relation to— (i) the action to be taken where there are concerns about a child’s safety or welfare, including thresholds for intervention; (ii) training of persons who work with children or in services affecting the safety and welfare of children; (iii) recruitment and supervision of persons who work with children; (iv) investigation of allegations concerning persons who work with children; (v) safety and welfare of children who are privately fostered; (vi) co-operation with neighbouring children’s services authorities and their Board partners; (b) communicating to persons and bodies in the area of the authority the need to safeguard and promote the welfare of children, raising their awareness of how this can best be done, and encouraging them to do so; (c) monitoring and evaluating the effectiveness of what is done by the authority and their Board partners individually and collectively to safeguard and promote the welfare of children, and advising them on ways to improve; (d) participating in the planning of services for children in the area of the authority; (e) undertaking reviews of serious cases and advising the authority and their Board partners on lessons to be learned. (a) developing policies and procedures for safeguarding and promoting the welfare of children in the area of the authority, including policies and procedures in relation to— (i) the action to be taken where there are concerns about a child’s safety or welfare, including thresholds for intervention; (ii) training of persons who work with children or in services affecting the safety and welfare of children; (iii) recruitment and supervision of persons who work with children; (iv) investigation of allegations concerning persons who work with children; (v) safety and welfare of children who are privately fostered; (vi) co-operation with neighbouring children’s services authorities and their Board partners; (b) communicating to persons and bodies in the area of the authority the need to safeguard and promote the welfare of children, raising their awareness of how this can best be done, and encouraging them to do so; (c) monitoring and evaluating the effectiveness of what is done by the authority and their Board partners individually and collectively to safeguard and promote the welfare of children, and advising them on ways to improve; (d) participating in the planning of services for children in the area of the authority; (e) undertaking reviews of serious cases and advising the authority and their Board partners on lessons to be learned. (2) For the purposes of paragraph (1)(e) a serious case is one where— (a) 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. (3) An LSCB may also engage in any other activity that facilitates, or is conducive to, the achievement of its objective.”
“12. Cases which meet one of these criteria (i.e. regulation 5(2)(a) and (b)(i) or 5 (2)(a) and (b)(ii) above) must always trigger an SCR. In addition, even if one of these criteria are not met an SCR should always be carried out when a child dies in custody, in police custody, on remand or following sentencing, in a Young Offender Institution, in a secure training centre or a secure children’s home, or where the child was detained under theMental Capacity Act 2005 . Regulation 5(2)(b)(i) includes cases where a child died by suspected suicide. 13. Where a case is being considered under regulation 5(2)(b)(ii), unless it is clear that there are no concerns about inter-agency working, the LSCB must commission an SCR. The final decision on whether to conduct the SCR rests with the LSCB Chair. If an SCR is not required because the criteria in regulation 5(2) are not met, the LSCB may still decide to commission an SCR or they may choose to commission an alternative form of case review. 14. LSCBs should consider conducting reviews on cases which do not meet the SCR criteria. They will also want to review instances of good practice and consider how these can be shared and embedded. LSCBs are free to decide how best to conduct these reviews. The LSCB should oversee implementation of actions resulting from these reviews and reflect on progress in its annual report.”
“1. We were satisfied that there were very many children who are engaged with public bodies of many descriptions whose lives are dependant on the behaviour of those employed by those public bodies and whose future lives will be affected by appropriate guidelines as to when SCRs should be held when any of those children dies or is seriously injured as a result of the possible fault of those employed by those public bodies. The Court should be given the opportunity to define the term ‘neglect’ in section (sic.) 5(2)(a) of the Regulations as per the request of the NPIE. 2. The potential benefit is that if the court can be persuaded to issue such guidance there is every chance that SCRs will take place which would not otherwise have been (sic.) and this, in our view, is likely to result a (sic.) better understanding, lessons learnt and the consequential saving of lives of children otherwise at risk. 3. It is impossible to quantify the number that might or will be affected. However we were unanimously of the view that this is very likely to result in the saving of children’s lives, being children dependent on the actions of employees of public bodies. We would add that such children are often the most vulnerable in society, either because of their own mental health issues or because of the mental health issues of those that are supposed to be looking after them. 4. It will result in others not needing to institute proceedings as clear guidance will have been given as to when SCRs should be ordered. 5. The point of law is clearly identifiable.”
“…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.”
"(iii) Discussion 32. The starting point for considering whether a court should permit a party to pursue an academic point in a public law case is the classic statements of Lord Slynn of Hadley in R v Secretary of State for the Home Department ex parte Salem[1999] 1 AC 450 in a speech with which other members of the Appellant Committee agreed when he explained (with my emphasis added) that: "…I accept, as both counsel agree, that in a case where there is an issue involving a public authority as to questions of public law, your Lordships have a discretion to hear the appeal, even if by the time the appeal reaches the House, there is no longer a lis to be decided which will directly affect the rights and obligations of the parties inter se… The discretion to hear disputes, even in the area of public law, must be exercised with caution and appeals which are academic between the parties should not be heard unless there is a good reason in the public interest for doing so as for example (but only by way of example) where a discrete point of statutory construction which does not involve detailed consideration of the facts, and where large number of similar cases exist or are anticipated so that the issue will most likely need to be resolved in the near future" 33. One of the reasons for this approach was expressed by Lord Goff in R v Secretary of State for the Home Department ex parte Wynne[1993] 1 WLR 115 at 120A-B where he said that: "
"36. In my view these statements show clearly that academic issues cannot and should not be determined by courts unless there are exceptional circumstances such as where two conditions are satisfied in the type of application now before the courts. The first condition is in the words of Lord Slynn in Salem (supra) that "a large number of similar cases exist or anticipated" or at least other similar cases exist or are anticipated and the second condition is that the decision in the academic case will not be fact-sensitive. If the courts entertained academic disputes in the type of application now before the court but which did not satisfy each of these two conditions, the consequences would be a regrettable waste of valuable court time and the incurring by one or more parties of unnecessary costs. 37. These points are particularly potent at the present time where the Administrative court is completely overrun with immigration, asylum and other cases and where it would be contrary to the overriding objectives of the CPR for an academic case to be pursued. After all one of those overriding objectives is "dealing with a case justly [which] includes, so far as is practicable ….(e) allotting to it an appropriate share of the court's resources, while taking into account the need to allot resources to other cases" (CPR Part 1.1 ) It is noteworthy that there have been a number of cases where the court has considered it appropriate to hear an academic issue but those cases, which often concerned statutory construction or the impact of the European Convention on Human Rights on English statutes, satisfied the two test which I have set out in paragraph 36 above (see generally the examples given in R (on the application of B) v Dr SS, Dr AC and the Secretary of State for the Home Departments of Health[2005] EWHC 86 (Admin) [47])."
“the purpose and processes of SCRs can be further developed to strengthen their impact on keeping children safe from harm.”
“I’m still concerned about cases where SCRs are not even being commissioned. About times when debates over semantics get in the way of finding out what went wrong. This may not happen that often, but it happens often enough for me and the panel to be concerned. So, following the panel’s recommendation, we’re planning further clarification of ‘Working together to safeguard children’, so it will now include guidance about what ‘serious harm’ actually means in the context of making decisions on whether or not to commission an SCR. And to help you with information sharing, we’re planning to clarify in Working Together the need for local authorities to notify serious incidents.”