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Published Reviews

Local Reviews

September 2024

A local review into sudden & unexpected death of an infant and the risks of co-sleeping. 

August 2024

This briefing summarises our learning in response to the sudden and unexpected death of a 14-year-old who died by suspected suicide.

July 2024

In 2023/24 there were three Rapid Reviews in response to the sudden and unexpected death of infants in Cornwall (SUDI).  Although the circumstances for each child were unique, a common theme was babies with ‘out of routine’ sleeping arrangements. The sharing of information in each review helped identify what had gone well; where things could have been better and what we need to do to prevent future incidents.

The learning is summarised in this briefing and there are further information and resources available on our webpages for parents and professionals about keeping babies and very young children safe.


October 2021

A Thematic Review into teenage suicide for the Safeguarding Partnership in Cornwall and Isles of Scilly

July 2020

The Child Safeguarding Practice Review - Child C has now been archived. These are the learning materials 


Process for publishing

It is the normal expectation that Local Child Safeguarding Practice Review (LCSPR) reports will be published on the OSCP website. Published reports will be publicly available for at least one year. Should there be a valid reason why it is considered inappropriate to publish, any information about the improvements that are to be made following the review must still be shared.

OSCP reports will normally be accompanied by a learning pack of resources, which will enable managers to cascade the learning from the review across their own organisations. These learning resources will remain available on the website.  Please see also our resources from recent Learning Lessons Workshops and our Learning from Experience process.

The safeguarding partners will have ensured that the final report includes:
• a summary of any recommended improvements to be made
• an analysis of any systemic or underlying reasons why actions were taken or not

Any recommendations will be clear about the requirements on relevant agencies and will be focussed on improving outcomes for children.

All reports will have been shared with the National Panel and the Secretary of State before publication.
It is expected that the report will be completed and published as soon as possible and no later than six months from the date of the decision to initiate a review, although this may depend on the nature and complexity of the case. Other proceedings may have an impact on or delay publication, for example an ongoing criminal investigation, inquest or future prosecution.

Reports are presented with care, in order to best manage the impact of the publication on children, family members, practitioners and others closely affected by the case and will be written in such a way as to avoid harming the welfare of any children (or vulnerable adults) involved in the case.


National Reviews

  • The NSPCC Library hosts the National Collection of Case Reviews. You can sign up for monthly updates on case reviews recently added to the collection here.
  • OSCP participated in the research for this national review into child sexual abuse within the family environment.  

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