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
Sefton review
CSP: SeftonPublished: April 2023Extracted: 18 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 long-term impact of childhood domestic abuse, substance misuse, and mental health issues on both the victim and perpetrator. It identifies gaps in routine domestic abuse enquiry by some agencies, inconsistent information sharing, and challenges in safeguarding children exposed to complex family dynamics.
Home Office classifications
46 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - alcohol misuse
Victim - substance misuse
Victim - physical disability
Victim - mental ill health
Victim - depression
Victim - panic attacks
Victim - self harm
Victim - suicidal thoughts
Victim - suicide attempts
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 - under 18 shared parental responsibility (between perpetrators)
Children - living with victim (including adult children)
Children - subject to child protection or domestic abuse prior to homicide
Children - removed into care
Perpetrator - case heard in court
Perpetrator - alcohol misuse
Perpetrator - substance misuse
Perpetrator - mental ill health
Perpetrator - anxiety
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 - 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 - 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 - policy recommendation themes
DHR process - multi agency working recommendation themes
DHR process - record keeping recommendation themes
DHR process - awareness raising recommendation themes
DHR process - other recommendation themes
Extracted recommendations
18 recommendations pulled from the report · 8 matched to organisations in the index
That Sefton Safer Communities Partnership (SSCP) raise with Merseyside Local Criminal Justice Board (LCJB) the issue of the disclosure of expert health reports and request the LCJB consider whether, when such reports are commissioned by the court, the defence or the prosecution, steps can be taken to ensure they are also provided to the subjects GP;
When it is identified that a person involved in a ‘domestic incident’, is suspected of suffering with mental health issues, then that person must be referred to Adult Social Services.
(NEW) GPs and practice nurses to embed routine questioning about domestic abuse into consultations – particularly in ante natal and post-natal situations and in mental health presentations.
Ensure appropriate recording is in place. A particular emphasis on accurate recording of professionals involved in the case, response to risk, sharing information in a timely manner, evidence of information shared, and achieved outcomes. To ensure consistent input of information.
That a briefing is completed in relation to the learning from this IMR which is shared with all Team and Practice Managers within Lancashire Children’s Social Care for inclusion on team briefings with front-line practitioners. In particular this will highlight: The need for accurate and clear recording in relation to the action taken when following up any safeguarding concerns. That risk assessments must clearly identify the risk posed by an adult to a child and how this will be managed, in order to ensure children are appropriately safeguarded. The requirement that Social Workers regularly see both parents as part of their ongoing assessment of the safety and well-being of children subject to home placement arrangements. The need to undertake an assessment of siblings of the same household where a child is subject to home placement regulations. The requirement to hold Child in Need Reviews in accordance with procedural requirements and to hold a Child in Need Review where consideration is being given to stepping down the case to universal services.
SSCP work with partner agencies, and request them to review their own services in respect of domestic abuse and ensure they meet the needs of persons with similar issues to the victim. In particular as a child who had himself survived abuse and as someone who suffered with drugs, alcohol and mental health problems through his adolescent and adult years.
When dealing with repeated low key ‘domestic incidents’ that involve alcohol abuse as a continued factor, then interventions and referrals to other agencies must be considered.
REVIEW Practice to consider in-house meeting to discuss – with facilitation from safeguarding team if the practice wish. Practice to ensure that safeguarding concerns are routinely considered for the “child behind the adult”, particularly when toxic trio risk factors are present in the adult they are seeing (or reading correspondence about)
The learning from this IMR will be shared with IROs at a team learning and development event. Specific consideration to be given to decision making in child protection conferences and the criteria for making a child subject to a Child Protection Plan.
SSCP to share the findings of this review as a case study with other agencies so as to ensure they recognise the long term impact of domestic abuse on children and understand the impact it can have upon them and their behaviours as they reach maturity.
Consider changes to the manner in which the Force records the part played by individual parties involved in ‘domestic incidents’ to encompass the situation when there is no clear victim or perpetrator.
SSCP ask the Home Office whether they are able to identify the profile of offenders that have committed a domestic homicide (i.e. age, sex, relationship) and whether there are any emerging patterns such as an increase in the number of siblings who commit such offences.