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
South Ribble review
CSP: South RibblePublished: July 2023Year of death: 2019Extracted: 11 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The review identified that agencies primarily focused on the victim's health and social care needs and carer breakdown, often overlooking or inadequately addressing direct allegations of domestic abuse. There was a lack of multi-agency coordination and specialist domestic abuse input in responding to escalating concerns.
Home Office classifications
41 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - died by suicide
Victim - physical disability
Victim - mental ill health
Victim - anxiety
Victim - depression
Victim - panic attacks
Victim - suicidal thoughts
Victim - suicide attempts
Victim - serious or life limiting illness
Victim - had been a victim of an abuser before
Children - living with victim (including adult children)
Children - living with perpetrator (including adult children)
Child - primary address same as victim
Perpetrator - was a carer
Perpetrator - carer for victim
Perpetrator - alcohol misuse
Perpetrator - mental ill health
Perpetrator - anxiety
Perpetrator - depression
Perpetrator - suicidal thoughts
Perpetrator - known to agencies 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 others as a domestic abuse perpetrator
Perpetrator - known to family as a domestic abuse perpetrator
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 supported by expert specialist advocate
DHR process - family received draft report
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 - training recommendation themes
DHR process - policy recommendation themes
DHR process - multi agency working recommendation themes
DHR process - record keeping recommendation themes
DHR process - other recommendation themes
Extracted recommendations
11 recommendations pulled from the report · 2 matched to organisations in the index
Addressed to
Lancashire Constabulary | Lancashire Adult Social Care | Chorley and South Ribble CCG | Lancashire and South Cumbria NHS Foundation Trust | Lancashire Teaching Hospitals NHS Foundation Trust | gtd Healthcare | Victim Support | North West Ambulance Service
Agencies contributing to the review should provide South Ribble Community Safety Partnership with evidence that their staff have been provided with information in relation to the link between domestic abuse and suicide risk.
Addressed to
Lancashire Constabulary | Lancashire Adult Social Care | Chorley and South Ribble CCG | Lancashire and South Cumbria NHS Foundation Trust | Lancashire Teaching Hospitals NHS Foundation Trust | gtd Healthcare | Victim Support | North West Ambulance Service
Agencies contributing to the review should provide South Ribble Community Safety Partnership with detailed information on their plans to train staff in the coercion and control elements of domestic abuse.
Adult Social Care should review its policy and processes in relation to cases where domestic abuse is disclosed and produce a new pathway and guidance for staff dealing with such cases. The introduction of the new pathway should be supported by case audit to ensure that appropriate progress in implementing the pathway is maintained.