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: 2014 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The review identified missed opportunities for a full psychiatric assessment of the perpetrator and highlighted outdated domestic abuse policies across several agencies. It also noted an over-reliance on internet-based communication for public awareness campaigns.

Home Office classifications

15 tags

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

  • Children - living with victim (including adult children)
  • Children - present at homicide (including adult children)
  • Child - primary address same as victim
  • Perpetrator - alcohol misuse
  • Perpetrator - substance misuse
  • Perpetrator - mental ill health
  • DHR process - family supported by expert specialist advocate
  • DHR process - family received draft report
  • 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
  • DHR process - other recommendation themes

Extracted recommendations

5 recommendations pulled from the report

Recommendation 1

Addressed to Canterbury and Coastal Clinical Commissioning Group

The practice should access training to improve awareness of domestic abuse and the potential impact of the combination of alcohol abuse, misuse of drugs and the mental ill health. Two suggested e-learning packages can be accessed on the AVA website www.avaproject.org.uk

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

Recommendation 2

Addressed to Canterbury and Coastal Clinical Commissioning Group

The practice should host an educational practice event so that colleagues of the medical centre can review the lessons learnt of this review when published, in particular what options the GP might have when patients present with depression or anxiety.

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

Recommendation 3

Addressed to Safer Somerset Partnership

All agencies who have been part of the review and any others deemed to be relevant by the Safer Somerset Partnership, to review their policies and procedures in relation to domestic abuse and consider the following points: Update domestic abuse policies/ procedures as required and implement. Adopt the same definition of domestic abuse in their policies across the partnership, namely the Home Office definition. Give due consideration, in their policies, to the issue of any member of their workforce perpetrating or suffering domestic abuse. To reference domestic abuse as a safeguarding issue using the reference from the Adoption and Children Act 2002. To reference the new offence Coercive Control under the Serious Crime Act 2015 and consider what this means to their organisation.

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

Recommendation 4

Addressed to Safer Somerset Partnership

To consider and develop a Communications Strategy/Plan about domestic abuse which can be coordinated and undertaken by the partnership in consultation with the local safeguarding adult and children boards and public health colleagues. The strategy should take into account various means of communication not just the internet. The aim of the strategy and delivery is to make the dynamics of domestic abuse clear to the community at large.

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

Recommendation 5

Addressed to Somerset Drug and Alcohol Service

To keep abreast of research being undertaken in relation to the misuse of NPS substances with a view to sharing this learning across the partnership to prevent harm.

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