About this page. This page summarises a Domestic Homicide Review published in the Home Office DHR Library. The full report is available at the source link below. Victim and perpetrator names are not included in extracted summaries on this page.
Source · Domestic Homicide Review
Bolton review
CSP: BoltonPublished: December 2022Year of death: 2019Extracted: 6 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The report identifies missed opportunities by professionals to recognise and assess domestic abuse, particularly in older people, leading to an inappropriate decision not to conduct a safeguarding enquiry. Failures in mental capacity assessment, discharge planning, and information sharing also contributed to the victim's risk.
Home Office classifications
30 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - was a carer
Victim - carer for perpetrator
Victim - alcohol misuse
Victim - physical disability
Victim - serious or life limiting illness
Perpetrator - case heard in court
Perpetrator - was a carer
Perpetrator - carer for victim
Perpetrator - alcohol misuse
Perpetrator - mental ill health
Perpetrator - cognitive disorder (dementia or alzheimer's disease)
Perpetrator - known to agencies as a domestic abuse perpetrator
Perpetrator - known to health services as a domestic abuse perpetrator
Perpetrator - known to others as a domestic abuse perpetrator
Perpetrator - known to family as a domestic abuse perpetrator
Aggravating factors - coercive or controlling behaviour
Aggravating factors - psychological or emotional abuse
Aggravating factors - physical abuse
Aggravating factors - economic abuse
DHR process - family contributed to dhr
DHR process - family consulted about terms of reference
DHR process - family supported by expert specialist advocate
DHR process - family received draft report
DHR process - family attended dhr panel
DHR process - health services recommendations
DHR process - training recommendation themes
DHR process - policy recommendation themes
DHR process - multi agency working recommendation themes
DHR process - awareness raising recommendation themes
DHR process - other recommendation themes
Extracted recommendations
6 recommendations pulled from the report · 4 matched to organisations in the index
Addressed to
Be Safe Bolton Strategic Partnership | Bolton Safeguarding Adults Board
Be Safe Bolton Strategic Partnership and Bolton Safeguarding Adults Board will seek assurances from the relevant partner agencies that they have reviewed current policy and practice to ensure that it recognises older people can be victims and perpetrators of domestic abuse and there are appropriate pathways in place for handling disclosures of domestic abuse from older people.
Addressed to
Be Safe Bolton Strategic Partnership | Bolton Safeguarding Adults Board
Be Safe Bolton Strategic Partnership and Bolton Safeguarding Adults Board to review multi-agency training for Domestic Abuse and Safeguarding Adults to ensure that it addresses the learning from this review, particularly relating to domestic abuse in older people, including; how to receive disclosures about domestic abuse, how to complete DASH risk assessments and the levels of detail professionals should seek, identifying when an enquiry under section 42 of the Care Act 2014 might be triggered and understanding the principles of Making Safeguarding Personal.
Bolton Safeguarding Adults Board will seek assurances from Bolton NHS Foundation Trust and Bolton Council that a review of hospital discharges procedures will be undertaken to ensure where appropriate, voices of the next of kin and carers are included in discharge planning giving consideration to complexity and/or safeguarding issues.
Addressed to
Be Safe Bolton Strategic Partnership | Bolton Safeguarding Adults Board
Be Safe Bolton Strategic Partnership and Bolton Safeguarding Adults Board reviews the information it produces and distributes to the community about domestic abuse and ensures it informs families about the need to report concerns about domestic abuse and the pathways a family can take when they hold such information.
Be Safe Bolton Strategic Partnership to provide periodic briefings to Bolton Safeguarding Adults Board as to the progress and delivery of recommendations arising from this review.
Bolton Safeguarding Adults Board to be given assurances by partner agencies that they have reviewed their processes regarding information sharing when they have contact with individuals, family members, significant others. This should include reviewing how and when advice or conversations concerning care and support plans is given, to who and when.