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 Ribble
Published: July 2023
Year of death: 2019
Extracted: 11 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
View full report (PDF) ↗
Source: Home Office DHR Library
Summary
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.
Extracted recommendations
| # | Recommendation | Addressed to |
|---|---|---|
| 1 | 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. | 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 |
| 2 | 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. | 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 |
| 3 | The learning from this review should be shared with Lancashire Safeguarding Adult Board. | South Ribble Community Safety Partnership |
| None | Robust use of Carer’s Register and “Think Family” approach. | Chorley and South Ribble CCG |
| None | Domestic abuse enquiry, use of professional curiosity. | Chorley and South Ribble CCG |
| None | Management of complex cases and use of multi-disciplinary meetings. | Chorley and South Ribble CCG |
| None | Guidance for non-attendance where vulnerability is a feature. | Chorley and South Ribble CCG |
| None | Safety of practitioners when lone working. | Chorley and South Ribble CCG |
| None | Effective responses to communication and information sharing between Primary Care and gtd via use of special patient notes. | Chorley and South Ribble CCG |
| None | Victim Support will review its policy and processes to ensure that where appropriate a referrer is notified when a victim declines support. | Victim Support |
| None | 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. | Lancashire Adult Social Care |
| Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗ | ||