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: July 2023 Year of death: 2018 Extracted: 4 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
Health agencies failed to routinely identify domestic abuse, particularly coercive control, and address the victim's complex needs (mental health, substance misuse) holistically. There was a lack of integrated working and underestimation of risk from the perpetrator.

Home Office classifications

31 tags

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

  • Victim - alcohol misuse
  • Victim - substance misuse
  • Victim - mental ill health
  • Victim - anxiety
  • Victim - depression
  • Victim - self harm
  • Victim - suicidal thoughts
  • Victim - suicide attempts
  • Victim - had been a victim of an abuser before
  • Children - living with victim (including adult children)
  • Child - primary address same as victim
  • Perpetrator - case heard in court
  • Perpetrator - issued life sentence
  • Perpetrator - alcohol misuse
  • 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 friends as a domestic abuse perpetrator
  • Perpetrator - known to family as a domestic abuse perpetrator
  • 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 - family supported by expert specialist advocate
  • DHR process - family received draft report
  • DHR process - community safety partnership recommendations
  • DHR process - identification of risk recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

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

Recommendation 1

Addressed to Birmingham and Solihull Clinical Commissioning Group | University Hospitals Birmingham | Birmingham and Solihull Mental Health NHS Foundation Trust

Relevant agencies listed should provide assurance to the Safer Solihull Partnership that they have in place local arrangements to ensure that their professionals ‘ask the question’ of people presenting with the health indicators of domestic abuse (in line with NICE Guidance and Quality Standards) together with suitable audit tools or measurements to demonstrate a change in outcomes.

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

Recommendation 2

Addressed to Safer Solihull Partnership

The Safer Solihull Partnership seeks assurance from the Commissioners of the IRIS project within GP surgeries that funding will be given due consideration beyond the current agreed period and that in order to embed this service, it will be brought into mainstream funding in the future.

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

Recommendation 3

Addressed to Safer Solihull Partnership

The Safer Solihull Partnership would propose to the Domestic Abuse Commissioner that any Action Plan to address domestic abuse recognises that lasting and permanent change cannot be achieved without a sustained and concerted approach to address behaviour change and cultural norms.

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

Recommendation 4

Addressed to Safer Solihull Partnership

This Domestic Homicide Review noted the effectiveness of hospital-based IDVAs in supporting women with complex needs experiencing domestic abuse. The Safer Solihull Partnership would seek assurances from the commissioners of these services that they will be recommissioned in hospitals in Solihull.

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