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

East and Mid Devon review

CSP: East and Mid Devon Published: July 2023 Year of death: 2012 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 report identifies agency errors in responding to the perpetrator's prior domestic abuse, including inappropriate cautioning and inadequate social work assessments. It highlights issues with inter-agency information sharing, risk assessment, and the need for better support and awareness for parents of adult substance misusers and abusers.

Home Office classifications

29 tags

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

  • Children - under 18 shared parental responsibility (between perpetrators)
  • Children - living with victim (including adult children)
  • Children - present at homicide (including adult children)
  • Children - subject to child protection or domestic abuse prior to homicide
  • Perpetrator - case heard in court
  • Perpetrator - issued life sentence
  • Perpetrator - alcohol misuse
  • Perpetrator - substance misuse
  • Perpetrator - mental ill health
  • Perpetrator - depression
  • 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 school 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 - sexual abuse
  • DHR process - family contributed to dhr
  • DHR process - police recommendations
  • DHR process - social 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 - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

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

Recommendation R1

Addressed to Devon & Cornwall Police

Ensure that the use of cautioning across the Force in domestic abuse cases is in line with national guidance and local benchmarks.

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

Recommendation R2

Addressed to Devon County Council

Ensure that social workers retrieve paper based records, where available, as well as electronic records of historic contact with families when assessing current cases.

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

Recommendation R3

Addressed to Devon County Council

Ensure social workers assessing the risk to children understand the impact of domestic abuse, recognising the harm to children from witnessing it and the heightened risk after the perpetrator has left the family home.

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

Recommendation R4

Addressed to Safer Devon Partnership

Encourage agencies working with domestic abuse victims to be alert to evidence of perpetrators having more than one victim.

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

Recommendation R5

Addressed to Safer Devon Partnership

Provide guidance to clinicians and other frontline staff on how to respond to disclosure of past abuse, including adults disclosing abuse in childhood, and on how to point such survivors to appropriate support.

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

Recommendation R6

Addressed to Safer Devon Partnership

Ensure effective communication to all front line professionals of what services addressing alcohol misuse, drug misuse and domestic abuse are available, and of how to refer or signpost clients to them.

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

Recommendation R7

Addressed to Safer Devon Partnership

Encourage learning by professional staff and their supervisors through an appreciative enquiry approach wherever possible.

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

Recommendation R8

Addressed to Safer Devon Partnership

Safer Devon Partnership to consider abuse of parents by adult children among the themes for periodic domestic abuse awareness raising campaigns.

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

Recommendation R9

Addressed to Safer Devon Partnership

Make information about support groups for families of substance misusers more widely available, recognising that not all will be in contact with treatment services.

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

Recommendation R10

Addressed to Public Health England

(National – Public Health England) Encourage Public Health England to work with Narcotics Anonymous and Alcoholics Anonymous, though their national bodes, to review their Safeguarding processes and protocols to assist in responding to serious incidents involving anyone attending one of their groups.

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