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 Worcestershire review
CSP: South WorcestershirePublished: August 2023Year of death: 2016Extracted: 9 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
Key concerns include the failure of multiple agencies to share and utilise information about the perpetrator's violent history, leading to missed opportunities for risk assessment and intervention. There was a lack of professional awareness of domestic abuse, particularly for individuals with learning disabilities, and insufficient opportunities for the victim to speak confidentially with support services.
Home Office classifications
28 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - had been a victim of an abuser before
Perpetrator - case heard in court
Perpetrator - issued life sentence
Perpetrator - alcohol misuse
Perpetrator - mental ill health
Perpetrator - suicidal thoughts
Perpetrator - known to agencies as a domestic abuse perpetrator
Perpetrator - known to police as a domestic abuse perpetrator
Perpetrator - known to probation 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
DHR process - family contributed to dhr
DHR process - family received draft report
DHR process - health services recommendations
DHR process - housing services recommendations
DHR process - employer recommendations
DHR process - community safety partnership recommendations
DHR process - technology systems recommendation themes
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 - awareness raising recommendation themes
DHR process - other recommendation themes
Extracted recommendations
9 recommendations pulled from the report · 7 matched to organisations in the index
Addressed to
Worcestershire Safeguarding Adults Board
That Worcestershire Safeguarding Adults Board seeks assurance that clear guidance is provided to staff from all relevant agencies over the need to check previous assessments when conducting a fresh assessment.
Addressed to
Worcestershire Safeguarding Adults Board
That Worcestershire Safeguarding Adults Board seeks assurance that all relevant partner agencies have robust processes for the handover and closure of cases and effective managerial oversight of those processes.
Addressed to
Worcestershire Safeguarding Adults Board | North and South Worcestershire Community Safety Partnerships | Public Health
That Worcestershire Safeguarding Adults Board and North and South Worcestershire Community Safety Partnerships request that Public Health establish and co-ordinate a joint task and finish group to make use of the learning from this review to ensure that the safeguarding adults and domestic abuse agendas are more closely aligned and that professional practice in respect of safeguarding adults and tackling domestic abuse is as integrated as possible. Amongst the issues that the task and finish group could consider are: ensuring that staff understand that many circumstances are both safeguarding situations and domestic abuse, and that they have a range of social work and legal options with which to work with people ensure that organisational policies, protocols and procedures about safeguarding explain the links with domestic abuse and, similarly, policies, protocols and procedures about domestic abuse refer to safeguarding. considering integrated training that covers both safeguarding and domestic abuse rather than treating them as separate issues.
Addressed to
Worcestershire Safeguarding Adults Board | North and South Worcestershire Community Safety Partnerships
That Worcestershire Safeguarding Adults Board and North and South Worcestershire Community Safety Partnerships ensure that the learning from this case is disseminated widely and informs single and multi-agency training and amongst other key issues, highlights the impact of the rule of optimism in this case.
Addressed to
Worcestershire Safeguarding Adults Board | local CCG’s | GP Confederations
That Worcestershire Safeguarding Adults Board requests local CCG’s and GP Confederations incorporate questions on domestic abuse into the learning disability annual review and seeks assurance that GP surgery staff and partner agencies receive the training and support required to enquire about domestic abuse.
Addressed to
WSAB | local CCGs | GP Confederations
That WSAB seeks assurance from local CCGs and GP Confederations and partner agencies that all patients with a learning disability are identified by their GP in order that they can receive the learning disability annual review to which they are entitled.
Addressed to
Worcestershire Safeguarding Adults Board
That Worcestershire Safeguarding Adults Board obtain assurance that assessments of service users with care and support needs are carried out in as holistic a manner as is practicable and that all agencies providing relevant support to the person being assesses are consulted as part of the assessment.
Addressed to
North and South Worcestershire Community Safety Partnerships | Home Office
That North and South Worcestershire Community Safety Partnerships write to the Home Office to ask them to consider how to tailor awareness raising messages about domestic abuse to people with a learning disability. That those Community Safety Partnerships also review their own domestic abuse publications and consider whether “easy read” versions should be made available.
Addressed to
Worcestershire County Council | Lifeways
That Worcestershire County Council challenges Lifeways to produce a single agency action plan which substantially addresses their learning from this review and also considers how to obtain assurance that Lifeways and other providers of care and support have the policies and staff training in place to enable them to address domestic abuse effectively.