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

Dorset review

CSP: Dorset Published: April 2023 Year of death: 2012 Extracted: 11 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 a lack of understanding of child-to-parent abuse, inconsistent multi-agency information sharing, and failures in assessing the perpetrator's mental health and educational needs. It also notes a missed opportunity to recognise adolescent neglect and assess the victim's risk.

Home Office classifications

30 tags

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

  • Victim - mental ill health
  • Victim - depression
  • Victim - serious or life limiting illness
  • Victim - had been a victim of an abuser before
  • Children - under 18 shared parental responsibility (between victims)
  • Children - living with victim (including adult children)
  • Children - present at homicide (including adult children)
  • Children - subject to child protection or domestic abuse prior to homicide
  • Child - primary address same as victim
  • Perpetrator - case heard in court
  • Perpetrator - issued life sentence
  • Perpetrator - alcohol misuse
  • Perpetrator - substance misuse
  • 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 idva or other domestic abuse support service as a domestic abuse perpetrator
  • Aggravating factors - separation
  • Aggravating factors - psychological or emotional abuse
  • DHR process - family contributed to dhr
  • DHR process - family received draft report
  • DHR process - social services recommendations
  • DHR process - health services recommendations
  • DHR process - school recommendations
  • DHR process - community safety partnership recommendations
  • DHR process - identification of risk 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

Extracted recommendations

11 recommendations pulled from the report · 2 matched to organisations in the index

Recommendation 6.1

Addressed to Dorset Safeguarding Children Board | Dorset Community Safety Partnership

Dorset Safeguarding Children Board and the Dorset Community Safety Partnership should work together to develop a strategy which provides a clear pathway for intervention, taking account of the needs of the parent and the child.

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

Recommendation 6.2

Addressed to Dorset Safeguarding Children Board | Dorset Community Safety Partnership

Practitioners working with children and adults should receive information about parent abuse and appropriate structures and tools to assist their practice.

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

Recommendation 6.3

Addressed to Dorset Safeguarding Children Board

Dorset Safeguarding Children Board should promote a greater understanding of the signs, indicators and impact of adolescent neglect, and the potential confusion between expected adolescent behaviour and behaviour resulting from compromised parenting.

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

Recommendation 6.4

Addressed to Dorset Safeguarding Children Board

Dorset Safeguarding Children Board should work with partner agencies to ensure that senior managers are clear with front line staff about the expected response to adolescent neglect and that this is taken into account when reviewing priorities and resources.

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

Recommendation 6.5

Addressed to NHS Dorset

The strategy for the delivery of CAMHS services across Dorset should be reviewed in line with the recommendations of Lord Carlile’s review of The Edlington case with a view to developing links between Children’s Services and CAMHS to achieve the best possible assessment and response to conduct disorder.

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

Recommendation 6.6

Addressed to Schools in Dorset

Schools should ensure that every effort is made to retrieve information from previous schools when pupils move into the Dorset area.

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

Recommendation 6.7

Addressed to Dorset Children’s Services | Youth Offending Team

Children’s Services should promote assessment practice within Children’s Social Care and YOT that gathers information about family history and background from the young person themselves as well as significant family members.

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

Recommendation 6.8

Addressed to Dorset Children’s Services

Children’s Services should ensure that a full assessment that addresses risk issues is carried out for any pupil whom it has been impossible to engage in education. This should take account of any known information from Education, Social Care, YOT and health organisations.

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

Recommendation 6.9

Addressed to NHS Dorset

The importance of the current GP self-assessment tool implemented by NHS Dorset should be reinforced in respect of question 13, which focuses on linking family members within GP records.

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

Recommendation 6.10

Addressed to Dorset Community Safety Partnership

The Community Safety Partnership in Dorset should request that the MARAC Steering Group review the MARAC Operating Protocol in order to ensure that they address the use of MARAC in situations of parent abuse.

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

Recommendation 6.11

Addressed to Dorset Community Safety Partnership

The Chair of the Community Safety Partnership should bring the findings of this review to the attention of the MARAC Steering Group who will liaise with CAADA (Co-ordinated Action Against Domestic Abuse) to inform national guidelines.

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