A Department for Education-commissioned report by academics into barriers to learning from serious case reviews (SCRs) has called on government to review their appropriateness as a process for disseminating lessons to frontline professionals.
It also calls for the creation of an ongoing database of national and regional learning from child deaths over time to identify key themes.
And it recommends that evidence-based learning tools are developed nationally to enable collective and also targeted learning.
The research team from Kingston University found that one of the principal barriers to learning from SCRs was that their “length, time and content” create an “ethos of blame, avoidance, apathy, defensiveness and increased workload”.
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