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

Bournemouth review

CSP: Bournemouth Published: June 2023 Year of death: 2016 Extracted: 10 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 identified inconsistent multi-agency coordination, particularly between MARAC and adult safeguarding, and challenges in engaging the victim due to complex needs and the perpetrator's controlling behaviour. Issues included limited exploration of support options, information sharing gaps, and difficulties in prosecuting the perpetrator.

Home Office classifications

37 tags

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

  • Victim - alcohol misuse
  • Victim - substance misuse
  • Victim - mental ill health
  • Victim - self harm
  • Victim - suicidal thoughts
  • Victim - suicide attempts
  • Victim - had been a victim of an abuser before
  • Victim - referred to marac at any time
  • Victim - case heard at marac before homicide
  • Perpetrator - case heard in court
  • Perpetrator - alcohol misuse
  • Perpetrator - substance misuse
  • Perpetrator - mental ill health
  • Perpetrator - self harm
  • Perpetrator - suicidal thoughts
  • 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 health services as a domestic abuse perpetrator
  • Perpetrator - known to idva or other domestic abuse support service as a domestic abuse perpetrator
  • Perpetrator - known to probation services as a domestic abuse perpetrator
  • Perpetrator - known to others as a domestic abuse perpetrator
  • Perpetrator - known to family as a domestic abuse perpetrator
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - sexual abuse
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical abuse
  • Aggravating factors - economic abuse
  • DHR process - police recommendations
  • DHR process - social services recommendations
  • DHR process - health services 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 - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

10 recommendations pulled from the report · 3 matched to organisations in the index

Recommendation R1

Addressed to Bournemouth Community Safety Partnership

Bournemouth Community Safety Partnership to consider using the LGA guidance (chapter 11) to inform a multi-agency audit to establish if good practice is in place locally. (attached appendix B)

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

Recommendation R2

Addressed to Bournemouth and Poole Safeguarding Adult Board | Bournemouth Community Safety Partnership

Bournemouth and Poole Safeguarding Adult Board and Bournemouth Community Safety Partnership to undertake a joint audit of recent MARAC and safeguarding meetings, to establish if changes have taken place following the recent MARAC review.

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

Recommendation R3

Addressed to Dorset Police

Dorset Police to advice officers investigating serious crime that they should ascertain if victims/ witnesses are already open to any safeguarding processes. This is to work with agencies already involved with the individual and assess the impact of their continued involvement in the investigation on the any safeguarding concerns.

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

Recommendation R4

Addressed to Bournemouth Community Safety Partnership

Bournemouth Community Safety Partnership to reinforce that it is good practice for staff from statutory agencies to ascertain if individuals they are working with are already open to any safeguarding processes.

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

Recommendation R5

Addressed to Bournemouth Community Safety Partnership

Bournemouth Community Safety Partnership to advise that MARAC, must also explore the family/friend networks of a victim, to ascertain if they might be able to provide additional support and ensure this is included in the action plan.

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

Recommendation R6

Addressed to Bournemouth Community Safety Partnership

Bournemouth Community Safety Partnership to be assured that within current local policy and procedures there is clarity about the function of the police PPN/ DASH (formally SCARF), to include who should receive such a notification and how they should respond.

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

Recommendation R7

Addressed to Dorset Police

Dorset Police to reinforce the requirement by officer to respond positively to breaches of bail conditions in cases of domestic abuse, with a view to prosecution. To assist decision making, officers should seek advice from the experienced domestic abuse officers.

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

Recommendation R8

Addressed to Bournemouth Borough Council Drug & Alcohol Commission Team

Bournemouth Borough Council Drug & Alcohol Commission Team to review the current MDT panel Public Health Dorset referral form, to ensure it enables additional information from other processes such as safeguarding and MARAC to be clearly referenced.

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

Recommendation R9

Addressed to Bournemouth Community Safety Partnership | NHS Dorset Clinical Commissioning Group

Bournemouth Community Safety Partnership to work with NHS Dorset Clinical Commissioning Group to consider how to improve the involvement of GPs with the MARAC process.

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

Recommendation R10

Addressed to Bournemouth Community Safety Partnerships

Bournemouth Community Safety Partnerships to raise awareness of and promote the use of the Serious Crime Act 2015, when evidence of coercion and control of a victim is identified.

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