remains. this is what we do, we seek heads to roll so the prime minister says that people will be held to account. and then we rewrite how things are done completely, we re engineer everything, and introduce some kind of tick box risk assessment and that never saves anyone s lives. and then social workers who left the profession will leave because they do not want to do a tick box rather than use the discussion. and then after baby p, more children were killed by the carers than ever before. so we cannot keep doing the same things. rather than looking at individual failures, we should look at systemic failures. my concern is, i bought at the term, lessons will be learned, because we all know that this will because we all know that this will be the next serious case review, it