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
Sefton review
CSP: SeftonPublished: August 2023Extracted: 14 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The report identifies systemic failures in recognising domestic abuse indicators within a mother-daughter relationship, inadequate inter-agency information sharing, and misapplication of confidentiality policies. Agencies also failed to fully explore the impact of alcohol misuse on family dynamics.
Home Office classifications
36 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - alcohol misuse
Victim - mental ill health
Victim - depression
Victim - self harm
Victim - suicide attempts
Victim - had been a victim of an abuser before
Children - living with victim (including adult children)
Children - living with perpetrator (including adult children)
Children - present at homicide (including adult children)
Child - primary address same as victim
Perpetrator - case heard in court
Perpetrator - alcohol misuse
Perpetrator - housing issues
Perpetrator - mental ill health
Perpetrator - depression
Perpetrator - suicidal thoughts
Perpetrator - suicide attempts
Perpetrator - known to agencies 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 friends as a domestic abuse perpetrator
Perpetrator - known to family as a domestic abuse perpetrator
Perpetrator - supervised by mental health services
Aggravating factors - psychological or emotional abuse
Aggravating factors - physical abuse
DHR process - family contributed to dhr
DHR process - health services recommendations
DHR process - other educational institution 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 - awareness raising recommendation themes
DHR process - other recommendation themes
Extracted recommendations
14 recommendations pulled from the report · 3 matched to organisations in the index
Review domestic abuse policies, and work with partners to review their policies, so as to ensure it is clear when confidentiality can be breached and how suspicions of crime should be reported;
Recommendation (internal and external) Within six months, approach SWACA to see whether they can provide a training session to the team in Sefton – to team covering the three areas (i) confirm the team’s understanding of appropriate responses to disclosures of domestic violence, (ii) describe the support that they can offer and in the circumstances in which they can provide support, and (iii) support us to reflect on whether our usual responses to disclosures of domestic violence should be any different if the perpetrator is the victim’s child, sibling, etc.
Review domestic abuse policies, and work with partners to review their policies so as to ensure that the circumstances in which behaviour amounts to abuse is clear and how it should be reported;
Publish learning lessons from this review in the ‘Clear Vision’ Bulletin. Write an article highlighting the importance of risk assessment and information sharing in relation to domestic abuse.
Review staff awareness of their role in responding to disclosures of domestic abuse, and confidence in fulfilling these roles – with individual development plans to address any identified needs
Work with partners to review their domestic abuse policies so as to ensure that direct questions are asked of those who abuse alcohol to establish if they present a risk of being a perpetrator or victim of domestic abuse;
In delivering these recommendations reinforce to partner agencies the complexities of family violence within a domestic abuse framework. In doing so they should consider using the death of the victim as a case study. It illustrates well that domestic abuse occurs in many different relationships between family members and not just between those who are, or have been, in an intimate relationship.
Implement a new model of delivering conduct, welfare and support in College. Review roles, responsibilities and delivery models for conduct, welfare and support and make appropriate structural changes.
Addressed to
Commissioned Services within Sefton CSP
That agencies who are commissioned to provide services should be required to inform their Commissioners when they become engaged in a DHR and of any recommendations arising.