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.

View full report (PDF) ↗ Source: Home Office DHR Library

Summary

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.

Extracted recommendations

4 recommendations pulled from the report

#	Recommendation	Addressed to
1	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.	All agencies
2	That organisations ensure it is a key role of supervision to ensure the discipline of documenting regular reviews is maintained.	All organisations
3	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.	Norfolk and Suffolk NHS Foundation Trust
4	That a clear County-wide partnership governance structure be established for the strategic leadership of domestic abuse within Suffolk.	Suffolk County-wide partnership
Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗