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AN independent inquiry into the circumstances leading to the death of Margaret Fleming has been published, Wednesday 18 October 2023, with a series of wide-ranging recommendations being
proposed.

The inquiry, known as a Significant Case Review (SCR), was commissioned to examine the role of all the agencies that were involved with Margaret and the circumstances that led to her death.

An SCR is normally held when a person involved with health and social care services has died or suffered significant harm.

In Margaret Fleming’s case, the SCR was jointly commissioned by the Adult Protection Committee and Child Protection Committee and led by Professor Jean MacLellan OBE.

Prof MacLellan spoke to more than 100 people, including Margaret’s family and friends, during the course of the wide-ranging review and a series of recommendations have been made for all agencies
involved to consider and look to implement.

Additional workings and research carried out as part of the extensive review has also been published to help with learning for professional organisations and individuals.

Inverclyde Council - Margaret Fleming SCR published