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
Dudley review
CSP: DudleyPublished: December 2022Year of death: 2016Extracted: 15 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The review highlights the victim's consistent refusal of care and support, alongside the perpetrator's escalating stress and mental health challenges as a carer. Agencies missed opportunities to identify and address the perpetrator's distress and the complex family dynamics, including the victim's self-neglect and long-standing abusive behaviour.
Home Office classifications
24 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - physical disability
Victim - mental ill health
Victim - serious or life limiting illness
Children - living with victim (including adult children)
Children - living with perpetrator (including adult children)
Children - present at homicide (including adult children)
Perpetrator - case heard in court
Perpetrator - was a carer
Perpetrator - carer for victim
Perpetrator - carer assessed
Perpetrator - mental ill health
Perpetrator - anxiety
Perpetrator - depression
Perpetrator - self harm
Perpetrator - suicidal thoughts
Perpetrator - supervised by mental health services
Aggravating factors - psychological or emotional abuse
DHR process - family contributed to dhr
DHR process - health services recommendations
DHR process - community safety partnership recommendations
DHR process - training recommendation themes
DHR process - policy recommendation themes
DHR process - multi agency working recommendation themes
DHR process - awareness raising recommendation themes
Extracted recommendations
15 recommendations pulled from the report · 8 matched to organisations in the index
Addressed to
Dudley’s Community Safety Partnership | Dudley Safeguard Adults Board
Dudley’s Community Safety Partnership works with Dudley Safeguard Adults Board to ensure that Dudley’s Multi-Agency Hoarding Framework and the DSAB Self Neglect Policy are launched and implemented as soon as is possible in 2019 and that further multi-agency Self Neglect and Hoarding Training is commissioned by DSAB.
Addressed to
Dudley’s Community Safety Partnership | Dudley Safeguarding Adult Board | Dudley’s Safeguarding Children Board
Dudley’s Community Safety Partnership should work with Dudley Safeguarding Adult Board and Dudley’s Safeguarding Children Board to re-establish multi-agency training in respect of domestic violence and abuse.
Addressed to
Dudley’s Community Safety Partnership
Dudley’s Community Safety Partnership to receive assurances from all agencies that professional curiosity is included within training and the CSP is assured within 6 months from the date of publication of this report.
More timely carer’s assessments to be arranged especially in instances whereby carers have expressed stress, distress or inabilities to cope with their caring role.
Collateral checks to be made with other agencies, family and background information sort to inform our safeguarding investigations and threshold decisions on raising cases to a safeguarding investigation.
Addressed to
Dudley and Walsall Mental Health Partnership
To ensure that all professionals continue to access the safeguarding practitioners for advice and/or supervision on complex cases, request attendance at multi-disciplinary discussions and reflective practice.
Addressed to
Dudley and Walsall Mental Health Partnership
To ensure that professionals continue to work with the MDT following agreement of the information pathway and make sure it is embedded within our workforce.
Addressed to
Dudley and Walsall Mental Health Partnership
To continue to ensure all professionals complete required mandatory training enabling them to play a key role in the early identification and response to domestic abuse and coercive and controlling behaviour.
Addressed to
Dudley and Walsall Mental Health Partnership
For the Trust to produce further education for staff with the development of a Top 10 Safeguarding Tips including professional curiosity and voice of the adult.
Addressed to
Dudley and Walsall Mental Health Partnership
To ensure that any recommendations from the DHR case are included in the safeguarding newsletters, domestic abuse training and bulletins which are circulated to all staff.