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

Somerset review

CSP: Somerset Published: April 2023 Year of death: 2020 Extracted: 13 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 highlights inconsistent agency responses to older victims of domestic abuse, including issues with risk assessment, multi-agency coordination, and understanding of coercive control and perpetrator behaviour. Concerns also exist regarding professional language and the distinction between safeguarding and domestic abuse.

Home Office classifications

29 tags

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

  • Victim - serious or life limiting illness
  • Victim - had been a victim of an abuser before
  • Victim - referred to marac at any time
  • Victim - case heard at marac before homicide
  • Children - living with victim (including adult children)
  • Children - living with perpetrator (including adult children)
  • Child - primary address same as victim
  • Perpetrator - mental ill health
  • Perpetrator - cognitive disorder (dementia or alzheimer's disease)
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Perpetrator - known to social services as a domestic abuse perpetrator
  • Perpetrator - known to health services as a domestic abuse perpetrator
  • Perpetrator - known to idva or other domestic abuse support service 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 - sexual abuse
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical abuse
  • Aggravating factors - economic abuse
  • DHR process - police recommendations
  • DHR process - social services recommendations
  • DHR process - health services recommendations
  • DHR process - community safety partnership recommendations
  • DHR process - identification of risk recommendation themes
  • DHR process - training recommendation themes
  • DHR process - multi agency working recommendation themes
  • DHR process - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

13 recommendations pulled from the report · 7 matched to organisations in the index

Recommendation 1

Addressed to Safer Somerset Partnership | Adult Social Care | A&S Police | CCG | SIDAS | Somerset NHSFT

Safer Somerset Partnership to seek assurance / ask agencies involved in this review to confirm how they respond to disclosures of or suspected domestic abuse involving older people. This is to include assurance that the domestic abuse pathways are adhered to.

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

Recommendation 2

Addressed to The You Trust | SCC Public Health

Assess via audit if multi-agency response to domestic abuse and older people is effective.

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

Recommendation 3

Addressed to Safer Somerset Partnership | Safeguarding Adults Board | Adult Social Care | A&S Police | CCG | SIDAS | Somerset NHSFT

Safer Somerset Partnership / Safeguarding Adults Board to ensure training and awareness includes consideration of language and necessity not to blame the victim.

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

Recommendation 4

Addressed to Safer Somerset Partnership | Adult Social Care | A&S Police | CCG | SIDAS | Somerset NHSFT

Improve professionals’ skills in using their judgement to assess risk, and not relying on actuarial assessments which can disadvantage cases involving older people. Also to complete DASH assessments irrespective of consent.

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

Recommendation 5

Addressed to SCC Public Health

Ensure agencies are reminded of importance of completing referrals in full and doing in a timely way.

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

Recommendation 6

Addressed to SCC Public Health | Adult Social Care | A&S Police | CCG | SIDAS | Somerset NHSFT

Upskill all professionals within agencies involved so they know how to assess and respond to people in long-term abusive relationships. SSP to gain assurance as to how information is disseminated within these agencies and that agencies have effectively upskilled staff.

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

Recommendation 7

Addressed to Review Chair

Review Panel Chair to seek assurance that police understand domestic abuse perpetrator behaviour (following comment made after death by a police officer)

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

Recommendation 8

Addressed to SCC Public Health | Adult Social Care | A&S Police | CCG | SIDAS | Somerset NHSFT

Improve professional’s awareness of older people and domestic abuse/sexual violence and how to respond. This is to include coercive and controlling behaviour. Also, share new materials with agencies involved and gain assurance as to how information is disseminated within their agencies.

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

Recommendation 9

Addressed to Safer Somerset Partnership | SCC Public Health

Assess the effectiveness of MARAC for cases of older people via an audit

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

Recommendation 10

Addressed to Safer Somerset Partnership | SCC Public Health

Determine if the MARMM should be adopted in Somerset. Or whether the Somerset Safeguarding Adult Board’s existing “What to do if it’s not safeguarding” guidance is sufficient.

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

Recommendation 11

Addressed to CCG

Ensure GP’s are briefed on impacts of domestic abuse and older people, including this case’s findings

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

Recommendation 12

Addressed to SCC Public Health

Appraise understanding of the Somerset multi-agency response to domestic abuse perpetrators

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

Recommendation 13

Addressed to SCC Public Health

Examine feasibility of commissioning a re-run of the SARSAS older people and sexual violence campaign.

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