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

Western Suffolk review

CSP: Western Suffolk Published: April 2023 Year of death: 2014 Extracted: 7 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 concerns regarding the clarity of urgent referral protocols between health services, missed opportunities for safeguarding referrals by CAFCASS and schools concerning child abuse, and a lack of clear strategic leadership for domestic abuse services. It also noted the impact of mental ill-health stigma on disclosure.

Home Office classifications

27 tags

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

Victim - alcohol misuse
Victim - substance misuse
Victim - had been a victim of an abuser before
Victim - immigration involvement
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 perpetrator (including adult children)
Perpetrator - mental ill health
Perpetrator - anxiety
Perpetrator - depression
Perpetrator - suicidal thoughts
Perpetrator - supervised by mental health services
Perpetrator - died by suicide
Aggravating factors - separation
Aggravating factors - coercive or controlling behaviour
Aggravating factors - physical 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 - social services recommendations
DHR process - health services recommendations
DHR process - training recommendation themes
DHR process - policy recommendation themes
DHR process - multi agency working recommendation themes
DHR process - record keeping recommendation themes
DHR process - other recommendation themes

Extracted recommendations

7 recommendations pulled from the report · 6 matched to organisations in the index

Recommendation 1

Addressed to Norfolk and Suffolk Foundation Trust | Clinical Commissioning Group (CCG)

Any existing protocol that exists between GPs and The Trust for emergency referrals be reviewed and clarity communicated about expectations.

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

Recommendation 2

Addressed to Local Safeguarding Children’s Board

That the Local Safeguarding Children’s Board take steps to ensure that the range of support available is clear to all professionals who engage in work with children and families.

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

Recommendation 3

Addressed to Local Safeguarding Children’s Board

That the Local Safeguarding Children’s Board work in partnership with the County’s Education Department, C&YPS, the Courts and CAFCASS to review current processes in relation to Court Orders so that it properly supports the children and closes any potential safeguarding gaps.

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

Recommendation 4

Addressed to Local Safeguarding Children’s Board

That the Local Safeguarding Children’s Board work with the local Education Authority to review the policy about recording of incidents such as this within its schools with a view to ensuring all unexplained injuries are recorded and what steps are taken to seek explanation.

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

Recommendation 5

Addressed to CAFCASS

That CAFCASS reviews its working practice to ensure that all staff completing assessments have adequate levels of quality assurance.

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

Recommendation 6

Addressed to Home Office

That the Home Office consider adding CAFCASS as a statutory body within the meaning of the Act.

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

Recommendation 7

Addressed to Chair of Community Safety Partnership | Police and Crime Commissioner

That a clear County-wide partnership governance structure be established for the strategic leadership of domestic abuse within Suffolk.

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