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

Salford review

CSP: Salford Published: December 2022 Year of death: 2019 Extracted: 5 recs

Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.

Original review (PDF) ↗ Source: Home Office DHR Library

Summary AI-generated

Verify against the full report at the source link
The review identified missed opportunities by agencies to identify, assess, and respond to domestic abuse, including coercive control and increased risk at separation. There were also gaps in information sharing, risk assessment, and linking mental health/substance misuse with domestic abuse, impacting safeguarding for the victim and children.

Home Office classifications

39 tags

Source-supplied classifications used by the Home Office to catalogue this review.

  • Victim - physical disability
  • Victim - mental ill health
  • Victim - anxiety
  • Victim - depression
  • Victim - panic attacks
  • Victim - post traumatic stress disorder (ptsd)
  • Children - under 18 shared parental responsibility (victim and perpetrator)
  • Children - under 18 shared parental responsibility (between victims)
  • Children - under 18 shared parental responsibility (between perpetrators)
  • Children - living with victim (including adult children)
  • Child - primary address same as victim
  • Perpetrator - alcohol misuse
  • Perpetrator - substance misuse
  • Perpetrator - mental ill health
  • Perpetrator - anxiety
  • Perpetrator - depression
  • Perpetrator - self harm
  • Perpetrator - suicidal thoughts
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Perpetrator - known to health services as a domestic abuse perpetrator
  • Perpetrator - known to mental health services as a domestic abuse perpetrator
  • Perpetrator - known to probation services as a domestic abuse perpetrator
  • Perpetrator - known to others as a domestic abuse perpetrator
  • Perpetrator - known to friends as a domestic abuse perpetrator
  • Perpetrator - known to family as a domestic abuse perpetrator
  • Perpetrator - died by suicide
  • Aggravating factors - separation
  • 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 supported by expert specialist advocate
  • DHR process - family received draft report
  • DHR process - community safety partnership recommendations
  • DHR process - record keeping recommendation themes
  • DHR process - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

5 recommendations pulled from the report

Recommendation 1

Addressed to Salford Community Safety Partnership

The CSP should ensure that agencies are (a) aware of the local specialist domestic abuse service, (b) know how to make referrals to the service and (c) provide comprehensive support and referral as necessary to victims of domestic abuse.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 2

Addressed to Salford Community Safety Partnership

The CSP should undertake a programme of work, as part of the development of the local domestic abuse strategy, to raise awareness of perpetrator behaviour and its impact on victims.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 3

Addressed to Salford Community Safety Partnership

The CSP should monitor and report learning from the current pilot in relation to DASH risk assessment and results should be fed into local practice.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 4

Addressed to Salford Community Safety Partnership

The CSP should write to the Ministry of Justice to seek assurance that reviews into the effectiveness of domestic abuse offender behaviour programmes are in place to ensure that resources are effectively targeted and positive outcomes can be demonstrated.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 5

Addressed to Safeguarding Children Partnership

The Safeguarding Children Partnership should ensure that understanding the impact of domestic abuse and parental mental ill health are given full consideration when practitioners engage with families at any stage of contact.

Verified wording from the published review · Original review (PDF) ↗