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4.—(1) A Board must undertake a review (a “serious case review”) in accordance with this regulation in any of the following cases where, within the area of the Board, abuse or neglect of a child is known or suspected, and—
(a)a child has died, or
(b)has sustained a potentially life-threatening injury, or
(c)has sustained serious and permanent impairment of health or development.
(2) A Board may undertake a serious case review in accordance with this regulation where a child within its area suffers harm which does not fall within paragraphs 1(a)(b) or (c).
(3) The purpose of a serious case review is to identify steps that might be taken to prevent a similar death or harm occurring.
(4) In carrying out a serious case review, a Board must—
(a)ask each representative body to provide the Board with a written report of its involvement with the child who is the subject of the review, unless the Board is of the opinion that such a report is unnecessary in the circumstances;
(b)following receipt of each report referred to in sub-paragraph (a), produce a written report (referred to in these Regulations as an “overview report”) that—
(i)identifies steps to be taken to reduce the risk of a similar death or harm occurring; and
(ii)recommends the time by which, and identifies the persons by whom, those steps should be performed;
(c)produce an anonymised summary of each overview report and make it available for inspection at the Board’s principal office.
(5) The Board must provide the National Assembly for Wales with a copy of—
(a)each report provided by a representative body in accordance with paragraph (4)(a) above;
(b)each anonymised summary; and
(c)each overview report.
(6) The Board must provide each representative body with a copy of—
(a)each anonymised summary; and
(b)unless the Board considers it inappropriate, each overview report.
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