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

Blackburn With Darwen review

CSP: Blackburn With Darwen Published: April 2023 Year of death: 2013 Extracted: 9 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 highlights concerns regarding the adequacy of risk assessment processes for serial domestic violence offenders, delays in information sharing between agencies, and procedural issues in emergency service responses, including scene safety protocols and advice given to witnesses and perpetrators.

Home Office classifications

25 tags

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

  • Victim - alcohol misuse
  • Victim - mental ill health
  • Victim - depression
  • Victim - serious or life limiting illness
  • Children - under 18 shared parental responsibility (between victims)
  • 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 - issued life sentence
  • Perpetrator - alcohol misuse
  • Perpetrator - housing issues
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Perpetrator - known to probation services as a domestic abuse perpetrator
  • Perpetrator - supervised by probation services
  • DHR process - family contributed to dhr
  • DHR process - police recommendations
  • DHR process - health services recommendations
  • DHR process - technology systems recommendation themes
  • DHR process - identification of risk recommendation themes
  • DHR process - training recommendation themes
  • DHR process - policy recommendation themes
  • DHR process - record keeping recommendation themes

Extracted recommendations

9 recommendations pulled from the report · 5 matched to organisations in the index

Recommendation 1

Addressed to H.M.C.S.

Where, in a case involving domestic violence/abuse, a court is intending to sentence an offender to either a suspended prison sentence or other community punishment involving a supervision requirement, it should be a mandatory requirement that the court is supplied with a suitable address to which to release the individual concerned. The address supplied should be subject of a risk assessment prior to case conclusion. Where no such address is able to be supplied, agency support should be available to assist the offender in securing approved accommodation. Having regard to the ongoing restructure of the providers of rehabilitation services, the Home Office may wish to undertake a study to identify the most appropriate vehicle with which to deliver this recommendation.

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

Recommendation 1

Addressed to West Yorkshire Constabulary

West Yorkshire Constabulary review their internal processes to ensure that the analysis of Domestic Violence Cases, particularly within their Safeguarding Units, is sufficiently robust so as to identify serial offenders and correctly apply the rating matrix, to ensure that appropriate cases are referred to MARAC/MAPPA.

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

Recommendation 1

Addressed to Lancashire Care NHS Foundation Trust

The Community Nursing Service review procedures in regard to bereavement visits/family contact to ensure support for families following any death not just those receiving end of life care.

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

Recommendation 2

Addressed to H.M.C.S.

In recognition of the increased risk of reoffending associated with those convicted of domestic violence offences, in order to further protect the victims, consideration should be given to the introduction of a National Service Level requirement to ensure that all convictions for domestic related matters are updated on the relevant IT systems within 24 hours. This move would align the process to that of other high risk groups.

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

Recommendation 2

Addressed to Northwest Ambulance Service Trust

Northwest Ambulance Service Trust To review their policy/procedure/training in respect of directing members of the public to examine patients in situations such as the one subject of this review, to ensure that consideration is given to the vulnerability of the person being directed.

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

Recommendation 2

Addressed to Lancashire Care NHS Foundation Trust

Findings of the report are fed back into the Professional Nursing Forum and AHP forums to support learning across all the services and recognition of the good practices identified

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

Recommendation 3

Addressed to NHS Ambulance Trusts

The Ambulance Service review the risk assessment process undertaken in respect of their attendance at incidents, to establish whether it achieves the correct balance between the safety of their staff and the needs and welfare of the patient.

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

Recommendation 3

Addressed to Lancashire Constabulary

Lancashire Constabulary To review the advice given, in this incident, for the perpetrator to return to the crime scene and establish whether this incident is an isolated mistake or highlights a general training issue in respect of Call Takers and Radio Operators.

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

Recommendation 3

Addressed to Lancashire Care NHS Foundation Trust

Reduce the incidence of loss / destruction of patient held records by reiterating verbally and in writing to each patient how patient held records are cared for and retained.

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