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: May 2023 Year of death: 2013 Extracted: 8 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
Agencies, particularly GPs, missed opportunities to identify domestic abuse indicators and assess risk due to lack of specific policies, training, and cultural awareness. Friends and employers also lacked knowledge on how to respond to disclosures.

Home Office classifications

32 tags

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

  • Victim - housing issues
  • Victim - pregnancy
  • Victim - mental ill health
  • Victim - anxiety
  • Victim - depression
  • Victim - serious or life limiting illness
  • Victim - immigration involvement
  • Child - primary address same as victim
  • Child - immigration involvement
  • Perpetrator - mental ill health
  • Perpetrator - anxiety
  • Perpetrator - depression
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to health services as a domestic abuse perpetrator
  • Perpetrator - known to others as a domestic abuse perpetrator
  • Perpetrator - known to family as a domestic abuse perpetrator
  • Perpetrator - supervised by mental health services
  • Perpetrator - immigration involvement
  • Aggravating factors - separation
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical abuse
  • Aggravating factors - economic abuse
  • DHR process - family contributed to dhr
  • DHR process - family consulted about terms of reference
  • DHR process - health services recommendations
  • DHR process - community safety partnership recommendations
  • DHR process - identification of risk recommendation themes
  • DHR process - training recommendation themes
  • DHR process - policy recommendation themes
  • DHR process - multi agency working recommendation themes
  • DHR process - awareness raising recommendation themes

Extracted recommendations

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

Recommendation 1

Addressed to Guy’s and St Thomas’ NHS Foundation Trust

To raise the awareness of clinicians of their role in offering locally available support to people who disclose domestic abuse through safeguarding adults training

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

Recommendation 2

Addressed to NHS Bolton CCG

Practices should have a clear, simple guide to safeguarding people at risk of domestic abuse

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

Recommendation 3

Addressed to NHS Bolton CCG

Practices should recognise the links between DVA and safeguarding children and young people

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

Recommendation i

Addressed to Be Safe Bolton Strategic Partnership

The Be Safe Bolton Strategic Partnership considers ways in which friends, colleagues and families can better understand the risk factors and indicators in relation to domestic abuse and violence and are provided with clear and simple advice in relation to the action they can take to reduce risk and harm to someone they suspect is at risk of domestic abuse or violence as well as HBV, forced marriage and Female Genital Mutilation (FGM);

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

Recommendation ii

Addressed to Be Safe Bolton Strategic Partnership

The Be Safe Bolton Strategic Partnership engages with private sector employers in their area so as to; (a) Raise awareness amongst employers, managers and their staff about the need to recognise the indicators of domestic abuse and what to do if they suspect it is happening; (b) Encourage employers to have policies or procedures in place for handling disclosures about, or suspicions of, domestic abuse and violence as well as HBV, Forced Marriage and FGM within their workplaces. Such engagement might be achieved by contact with representative organisations such as the Chamber of Commerce or Federation of Small Businesses;

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

Recommendation iii

Addressed to Be Safe Bolton Strategic Partnership

That the Be Safe Bolton Strategic Partnership explores opportunities to improve awareness of domestic abuse amongst communities in general and Black Asian Minority Ethnic Refugee (BAMER) communities in particular Asian people through tactics such as printing leaflets in community languages, and group work including women only sessions, improve access to specialist advice to improve empowerment and help build confidence;

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

Recommendation iv

Addressed to Be Safe Bolton Strategic Partnership

Be Safe Bolton Strategic Partnership to coordinate collaboration between primary care and third sector organisations specialising in Domestic Abuse, to create enhanced identification by GPs of Domestic Abuse Indicators and improved pathways from GPs to specialised Domestic Abuse Services

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