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

Bolton review

CSP: Bolton Published: April 2023 Year of death: 2012 Extracted: 9 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 report identifies systemic failures in multi-agency information sharing, risk assessment, and coordination, particularly regarding the perpetrator's unsupervised release from prison and the victim's obscured status as a domestic violence victim. Opportunities for MARAC referrals were missed, and a narrow agency focus impeded safeguarding efforts.

Extracted recommendations

9 recommendations pulled from the report

#	Recommendation	Addressed to
1	That the narrow single agency focus which impeded efforts to safeguard Adult A is comprehensively challenged. When the Bolton Domestic Violence Strategy is revised it should set out in the clearest possible terms expectations that colleagues are expected to take a holistic approach, work effectively together and share information so that risks are accurately assessed and professionally managed.	Bolton Community Safety Partnership
2	That the range of single agency plans to improve information sharing are monitored by Bolton Community Safety Partnership to ensure that information sharing necessary to safeguard the victims and potential victims of domestic violence is as effective as possible. In order to fulfil this recommendation the Community Safety Partnership should consider focussed audit activity.	Bolton Community Safety Partnership
3	That Bolton Community Safety Partnership assures itself that the individual agency failings identified in this Domestic Homicide Review are remedied by monitoring of single agency action plans. Where system failings are apparent, the Partnership gains assurance that systems have been put in place or existing systems strengthened to prevent a recurrence of the failings identified by this Review.	Bolton Community Safety Partnership
4	That Bolton Community Safety Partnership write to the Home Office to propose an analysis of the Domestic Homicide Reviews completed so far in an effort to identify the reasons why a number of domestic homicide cases are unknown to the MARAC process. This analysis could then be used to further develop and enhance the MARAC process.	Bolton Community Safety Partnership
5	That the procedure by which cases are referred to the MARAC process is reviewed to ensure that cases are not overlooked because they do not obviously fit the criteria and that the scope for referring cases on the grounds of professional judgement is reinforced.	Bolton Community Safety Partnership
6	That Greater Manchester Probation Trust review its use of RAMA in cases where high risk offenders will be released at sentence expiry date, and to put a further stage in the process where a RAMA should take place a few weeks prior to release to ensure that a risk management plan is in place, agreed by all agencies.	Greater Manchester Probation Trust
7	That multi-agency and single agency domestic violence training is informed by this case. In particular, the issues raised in paragraphs 8.61(contrasting decisions in respect of Adult A and Adult F), 9.8 (“forensic curiosity”) and 9.9 (the obscuring of Adult A’s status as a victim) should be addressed in such training.	Bolton Community Safety Partnership
8	That Bolton Community Safety Partnership work with partners to improve the planning and co-ordination of work carried out across a range of agencies to challenge the behaviour of violent and aggressive offenders.	Bolton Community Safety Partnership
9	That Bolton Community Safety Partnership ensure that all staff who have roles in safeguarding the victim of domestic violence are able to readily access information about the range of refuge provision available.	Bolton Community Safety Partnership
Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗