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

Waveney review

CSP: Waveney Published: April 2023 Year of death: 2014 Extracted: 4 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 challenges in managing the perpetrator's long-term mental illness, including issues with historical risk documentation and care plan adherence. It also noted gaps in information sharing between health and social care regarding the victim's needs and the perpetrator's capacity as a carer, alongside a need for improved county-wide strategic governance for domestic abuse.

Home Office classifications

30 tags

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

  • Victim - was a carer
  • Victim - carer for perpetrator
  • Victim - neurodiverse condition diagnosis
  • 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)
  • Child - primary address same as victim
  • Perpetrator - case heard in court
  • Perpetrator - was a carer
  • Perpetrator - carer for victim
  • Perpetrator - mental ill health
  • Perpetrator - anxiety
  • Perpetrator - depression
  • Perpetrator - psychosis
  • Perpetrator - self harm
  • Perpetrator - suicidal thoughts
  • Perpetrator - suicide attempts
  • Perpetrator - serious or life limiting illness
  • Perpetrator - supervised by mental health services
  • DHR process - family contributed to dhr
  • DHR process - family consulted about terms of reference
  • DHR process - social services recommendations
  • DHR process - health services recommendations
  • DHR process - community safety partnership recommendations
  • DHR process - technology systems recommendation themes
  • DHR process - identification of risk recommendation themes
  • DHR process - training recommendation themes
  • DHR process - record keeping recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

4 recommendations pulled from the report · 1 matched to organisations in the index

Recommendation 1

Addressed to All agencies

Risk Assessments by agencies. Consideration and care should be given to the specific factor of historical risk. It should be convenient for all clinicians and staff to document such risks and for a summary to be electronically ‘pulled through’ and included in all subsequent risk assessments. Even if the risk not considered to be contemporary, a summary will allow future clinicians and staff ease of access to the information, prompt staff to ask about the risk and not allow staff to omit historical risk once it has been identified.

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

Recommendation 2

Addressed to All organisations

That organisations ensure it is a key role of supervision to ensure the discipline of documenting regular reviews is maintained.

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

Recommendation 3

Addressed to Norfolk and Suffolk NHS Foundation Trust

Risk assessment training – should emphasise the importance of historical risk assessment, in the Timescale: This should be considered as part of the next review of the Trust’s risk assessment training programme or within 3 months. Measure: Specific inclusion of the importance of assessing dynamic risks in risk assessment training.

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

Recommendation 4

Addressed to Suffolk County-wide partnership

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) ↗