Serious Incident Reviews
The national serious incident review guidance was developed in partnership with the Scottish Government and Social Work Scotland. The guidance outlines what is expected of local authorities when a serious incident comes to their attention.
A serious incident is defined as an incident involving:
‘…harmful behaviour, of a violent or sexual nature, which is life threatening and/or traumatic and from which recovery, whether physical or psychological, may reasonably be expected to be difficult or impossible.’ (Framework for Risk Assessment Management and Evaluation, RMA (2011)
The reporting of serious incidents currently pertains to people who have received a final disposal from court following conviction. This includes people made subject to the various requirements of a community payback order or a drug treatment and testing order. It also relates to everyone released from custody subject to statutory social work supervision.
National guidance on the management and delivery of these orders and licences is contained within a variety of national outcomes and standards - Scottish Government collection of justice social work guidance.
When a serious incident occurs the local authority should notify the Care Inspectorate within five working days. The Care Inspectorate provides a quality assurance role in serious incident reviews, by looking at how reviews have been conducted and whether these have been carried out in a robust and meaningful way.
A serious incident review is undertaken by following the national guidance, and using the templates below:
- Serious Incident Review: Notification
- Serious Incident Review Part One: Case Review
- Serious Incident Review Part Two: Reflective Learning Review
All notifications, submissions and queries are made through this secure email address cistrategicteamnotification@careinspectorate.gov.scot
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Deaths of young people in continuing care
Deaths of young people in continuing care
Local authorities must notify the Care Inspectorate and the Scottish Government of the death of a young person in receipt of continuing care as soon as is reasonably practicable.
Local authorities must:
- complete the attached DCC1 form and send this to cistrategicteamnotification@careinspectorate.gov.scot
- send a copy of the completed DCC1 form to the Scottish Government at Looked_after_children@gov.scot
Please note, this is separate from the duty of a registered care service to notify us of the death of a service user. These should be submitted via our eforms system.
More information about notification and reporting arrangements can be found here.
Please submit all relevant forms/reports through secure email to
cistrategicteamnotification@careinspectorate.gov.scot
The main contact for this work is Karen McCormack, strategic inspector or Sharon Telfer, strategic inspector, email: cistrategicteamnotification@careinspectorate.gov.scot
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Deaths of looked after children
Deaths of looked after children
Local authorities must notify the Care Inspectorate and the Scottish Government within 24 hours of the death of a looked after child.
Local authorities must:
- complete the attached DLC1 form and send this to cistrategicteamnotification@careinspectorate.gov.scot
- send a copy of the completed DLC1 form to the Scottish Government at Looked_after_children@gov.scot
Please note, this is separate from the duty of a registered care service to notify us of the death of a service user. These should be submitted via our eforms system.
More information about notification and reporting arrangements can be found here.
Please submit all relevant forms/reports through secure email to cistrategicteamnotification@careinspectorate.gov.scot
The main contact for this work is Karen McCormack, strategic inspector or Sharon Telfer, strategic inspector, email cistrategicteamnotification@careinspectorate.gov.scot
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Deaths of young people receiving aftercare provision
Deaths of young people receiving aftercare provision
Local authorities must notify the Care Inspectorate and the Scottish Government of any death of a young person in receipt of aftercare provision as soon as is reasonably practicable.
Local authorities must:
- complete the attached DAC1 form and send this to cistrategicteamnotification@careinspectorate.gov.scot
- send a copy of the completed DAC1 form to the Scottish Government at Looked_after_children@gov.scot
Please note, this is separate from the duty of a registered care service to notify us of the death of a service user. These should be submitted via our eforms system.
More information about notification and reporting arrangements can be found here.
Please submit all relevant forms/reports through secure email to
cistrategicteamnotification@careinspectorate.gov.scot
The main contact for this work is Karen McCormack, strategic inspector or Sharon Telfer, strategic inspector, email: cistrategicteamnotification@careinspectorate.gov.scot
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Changes to notifications of deaths of looked after children and deaths of young people in continuing care or receiving aftercare provision
Changes to notifications of deaths of looked after children and deaths of young people in continuing care or receiving aftercare provision
New arrangements for reviewing and learning from the deaths of children and young people came into force on 1 October 2021.
The establishment of the National hub for reviewing and learning from the deaths of children and young people and recently published national guidance for child protection committees undertaking learning reviews will require changes to the ways in which local authorities review the deaths of looked after children and young people experiencing care.
More information about these changes can be found here.
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