Learning together to safeguard children. London Safeguarding Board annual conference December 5 th 2011 Dr Sheila Fish, Senior Research Analyst. Current context. Munro Rec. 9: Govt. require LSCBs to use systems methodology. July 2012 Govt. agreed and plan transition
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Learning together to safeguard children
London Safeguarding Board annual conference December 5th 2011
Dr Sheila Fish,
Senior Research Analyst
Munro Rec. 9: Govt. require LSCBs to use systems methodology.
July 2012 Govt. agreed and plan transition
First test SCR announced by Tim Loughton 8th November
Methodology hinges on how do we understand the human role in good or poor practice
Or assume ‘to err is human’ and that people are also the source of safety
Emphasis on flexibility and adaptability, recovery from error; spotting error inducing conditions
Focus on redesigning systems to play to our strengths as human beings and support our predictable weaknesses
case-specific learning to identify & prioritise the generalisable
lay behind actions/decisions
“Remember at all times, what you are trying to do. In order to understand other people’s assessments and actions, you must try to attain the perspective of the people who were there at the time. Their decisions were based on what they saw on the inside of the tunnel – not on what you happen to know today (Dekker 2002: 79)
spaces in between
research on SCR recommendations
‘training effect’ of the process
challenges and what most exciting?
Jake Chapman 2004 System failure: why governments must learn to think differently. 2nd edition. London: Demos.
& social care tv films