The aim of this chapter is to consider how findings from recorded serious case reviews (SCRs) which took place during the 1991-2010 period informed or otherwise the development of good practice with Black and Minority Ethnic (BME) children and their families residing in England and Wales. The aims are to consider cultural, linguistic, religious and other service needs within reviews and to examine key principles which may transform professional practice. The primary research question will be as follows: to what extent are issues of culture, language, religion and ethnicity incorporated in the findings of SCRs? The secondary question relates to the lessons learnt on the needs of BME children and families.