Local Learning Review Subgroup

Workstream 2 Learning from Child Safeguarding Practice Reviews

Working Together 2018 and the revised statutory child death guidance has introduced new requirements for responding to and managing serious child safeguarding incidents.

A dedicated Local Learning Review (LLR) Subgroup is responsible for commissioning independent Local Child Safeguarding Practice Reviews (LCSPRs). The group is also responsible for overseeing the process of KRSCP Rapid Reviews or Serious Incident Reviews, following a notification, and the implementation of learning, and action plans following a review, including learning from relevant local DHRs (Domestic Homicide Reviews).  There is close liaison with the national Child Safeguarding Practice Review Panel. The group also considers national learning and the work of the regional SWL Child Death Overview Panel (CDOP). It reports case reviews and the Child Death Overview Annual Report into each borough’s Health & Wellbeing Board and  / or Community Safety Partnership as relevant.

In line with Working Together 2018, a practice case review will be undertaken for every case where abuse or neglect is known or suspected and either:

  • A child dies; or
  • A child is seriously harmed and there are concerns about how organisations or professionals worked together to safeguard the child.

“The Kingston and Richmond Safeguarding Children Partnership (KRSCP) for the area in which the child is normally resident should decide whether an incident notified to them meets the criteria for a case review. This decision should normally be made within one month of notification of the incident. The final decision rests with the Chair of the KRSCP. The KRSCP Chair will inform the National SCR panel about their decisions

The Local Learning Review (LLR) Subgroup will review the referrals against the criteria for holding a review and make appropriate recommendations to the KRSCP Strategic Leadership Group. The Subgroup will consider serious cases which do not meet the criteria for holding a formal review, but have a multi-agency element and provide scope for learning around multi-agency practice and procedures. The subgroup will undertake reviews of serious cases and advise the local authority and the KRSCP on lessons to be learned.

This group meets across Kingston and Richmond.


  • Alison Twynam – Director of Children’s Social Care, Achieving for Children
  • Caroline Mark - Associate Director for Quality Assurance and Review, Achieving for Children
  • Frankie Campbell, Named Nurse, SWLStG;
  • ADI James Dickson Leach
  • Louise Doherty (Co-Chair) - Designated Nurse Kingston
  • Rosemary Hazeef, Education AfC
  • Sheldon Snashall Education AfC
  • Tracy Armstrong - Matron for Paediatrics, West Middlesex University Hospital
  • Trish Stewart, (Co-Chair) Head of Safeguarding,  Central London Community Healthcare NHS Trust 
  • Dr Vanessa Impey, Designated Doctor, Richmond CCG,

Advisory and Support to the Subgroup

  • Daksha Mistry, KRSCP Manager
  • Kam Singh, Legal Adviser

Please click here to view the terms of reference.

Please see the Serious Incident Notification guidance here: https://kingstonandrichmondsafeguardingchildrenpartnership.org.uk/news-resources/policies-and-procedures-87/serious-incident-notification-guidance-145.php