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

Solihull review

CSP: Solihull Published: June 2023 Year of death: 2015 Extracted: 5 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 a lack of comprehensive risk assessment and poor multi-agency information sharing regarding the perpetrator's escalating violent behaviour. Interventions were often insular, focusing on containment rather than addressing root causes or escalating concerns to appropriate specialist services.

Home Office classifications

29 tags

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

  • Children - living with victim (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 - substance misuse
  • Perpetrator - mental ill health
  • Perpetrator - neurodiverse condition diagnosis
  • Perpetrator - anxiety
  • Perpetrator - depression
  • Perpetrator - psychosis
  • 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 others as a domestic abuse perpetrator
  • Perpetrator - known to family as a domestic abuse perpetrator
  • Perpetrator - supervised by mental health services
  • Aggravating factors - separation
  • Aggravating factors - physical abuse
  • DHR process - family contributed to dhr
  • DHR process - family received draft report
  • DHR process - health services recommendations
  • DHR process - community safety partnership recommendations
  • DHR process - training recommendation themes
  • DHR process - policy recommendation themes
  • DHR process - multi agency working recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

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

Recommendation 1

Addressed to Home Office

The Home Office issue guidance to schools (Academies, Free Schools or Independent Schools) not under the governance of a Local Authority in respect of participation and release of information for the purpose of Domestic Homicide Reviews.

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

Recommendation 2

Addressed to Safer Solihull Partnership

Safer Solihull Partnership to oversee the implementation of the generic Information Sharing Agreement and to ensure that agencies accept responsibility to agree and ensure that staff are trained to fully understand the importance of when, why and how to make and respond to information exchange between agencies.

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

Recommendation 3

Addressed to Solihull Clinical Commissioning Group

General Medical Practitioners to be reminded of the limitations of the service provided by Healthy Minds which is a primary health service and further training to be provided in respect of Improving Access to Psychological Therapy (IPT)

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

Recommendation 4

Addressed to Safer Solihull

Safer Solihull to seek assurance and evidence from agencies involved with the Youth Offending and Prevention Service, School Panels, The Local Safeguarding Board Threshold Guidance and Schools Behaviour and Discipline Policy, that these developments are regularly monitored, assessed and amended to ensure effective and improved multi agency service delivery.

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

Recommendation 5

Addressed to Solihull Safer Partnership

Solihull Safer Partnership to ensure that the lessons learnt during this review and previous learning from Domestic Homicide Reviews locally, regionally and nationally be disseminated to all agencies, managers and practitioners by way of learning events to be held across the Borough.

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