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

Wolverhampton review

CSP: Wolverhampton Published: August 2023 Year of death: 2014 Extracted: 45 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
Agencies repeatedly failed to recognise and assess the high risk of harm to the victim, leading to missed opportunities for multi-agency intervention and safeguarding, particularly regarding coercive control, threats to kill, and cultural pressures. There was also a lack of focus on perpetrator management.

Home Office classifications

52 tags

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

  • Victim - housing issues
  • Victim - had been a victim of an abuser before
  • Victim - immigration involvement
  • Children - under 18 shared parental responsibility (victim and perpetrator)
  • Children - under 18 shared parental responsibility (between victims)
  • Children - under 18 shared parental responsibility (between perpetrators)
  • Children - living with victim (including adult children)
  • Children - subject to child protection or domestic abuse prior to homicide
  • Child - primary address same as victim
  • Perpetrator - case heard in court
  • Perpetrator - issued life sentence
  • Perpetrator - alcohol misuse
  • Perpetrator - housing issues
  • Perpetrator - mental ill health
  • Perpetrator - anxiety
  • Perpetrator - depression
  • Perpetrator - panic attacks
  • Perpetrator - suicidal thoughts
  • Perpetrator - serious or life limiting illness
  • 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 friends as a domestic abuse perpetrator
  • Perpetrator - known to workplace (employer) as a domestic abuse perpetrator
  • Perpetrator - immigration involvement
  • Aggravating factors - separation
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - honour based violence
  • Aggravating factors - sexual abuse
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical abuse
  • Aggravating factors - economic abuse
  • DHR process - family contributed to dhr
  • DHR process - police recommendations
  • DHR process - social services recommendations
  • DHR process - health services recommendations
  • DHR process - idva or other domestic abuse support service recommendations
  • DHR process - housing services recommendations
  • DHR process - school 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

45 recommendations pulled from the report · 9 matched to organisations in the index

Recommendation Haven: 2

Addressed to The Haven Wolverhampton

Multi agency working and Sharing information will be a standing agenda on team meetings. Staff to present good practice examples and potential queries to discuss as a holistic approach.

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

Recommendation Haven: 5

Addressed to The Haven Wolverhampton

The Haven Wolverhampton to contact and seek advice with Children Services if it is disclosed by parents that children have been present when a domestic violence incident has occurred.

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

Recommendation S:1

Addressed to Safeguarding Children Board | Safeguarding Adults Boards | Safer Wolverhampton Partnership

The Safeguarding Children Board, Safeguarding Adults Boards and Safer Wolverhampton Partnership will develop plans for skilling up workers to have confidence to undertake safety planning.

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

Recommendation S:2

Addressed to Safeguarding Children Board | Safeguarding Adults Board | Safer Wolverhampton Partnership

The Safeguarding Children Board, Safeguarding Adults Board and Safer Wolverhampton Partnership will develop an effective assurance process to ensure that all member agencies are implementing and complying with the agreed Overarching Domestic Violence Protocol and its principles.

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

Recommendation S:3

Addressed to Safer Wolverhampton Partnership

Safer Wolverhampton Partnership will put in place a strategy for a co-ordinated approach to perpetrator and offender management.

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

Recommendation S:4

Addressed to Safeguarding Children Board | Safeguarding Adults Boards | Safer Wolverhampton Partnership

The Safeguarding Children Board, Safeguarding Adults Boards and Safer Wolverhampton Partnership will: o Deliver a programme of multi-agency, culturally aware training; o Actively engage partners and communities to identify and respond to barriers of service access; o Deliver targeted communications to promote the rights of victims and availability of support within communities where services are under-utilised.

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

Recommendation S:5

Addressed to Safeguarding Children Board | Safeguarding Adult Board | Safer Wolverhampton Partnership

The Safeguarding Children Board and Safeguarding Adult Board will monitor compliance with the Overarching Domestic Violence Protocol through Section 11 audits and annual assurance statements respectively; The Safeguarding Children Board, Safeguarding Adult Board and Safer Wolverhampton Partnership will extend the availability of training for front-line practitioners.

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

Recommendation S:6

Addressed to Executive Board of the Wolverhampton Domestic Violence Forum

The Executive Board of the Wolverhampton Domestic Violence Forum will: o Improve coordination and development of MARAC in line with CAADA self-assessment findings; o Ensure the MARAC development plan is fully implemented; o Monitor agency referrals to MARAC and completion of MARAC actions.

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

Recommendation The Children’s Centr

Addressed to The Children’s Centre

Cases discussed with Senior staff whether informally or formally e.g. during Supervision or Reflective Practice sessions should be recorded on the family’s Case Notes as per the Case File Audit Policy.

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

Recommendation The Children’s Centr

Addressed to The Children’s Centre

The Worker’s name who delivered / was responsible for group delivery such as Stay and Play, Nail and Beauty course is recorded consistently on the Synergy database.

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

Recommendation West Midlands Police

Addressed to West Midlands Police

West Midlands Police to ensure through training days and the West Midlands Police force intranet site that all police officers and staff are to reinforce the Domestic Abuse Policy (2013).

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

Recommendation Wolverhampton Childr

Addressed to Wolverhampton Children’s Social Care

Front line practitioners are able to undertake a DASHH risk assessment or have an agreed referral pathway for a DASHH risk assessment to be undertaken as part of any social work assessments that relate to domestic violence.

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

Recommendation Wolverhampton Childr

Addressed to Wolverhampton Children’s Social Care

Practitioners need to be clear on stepping up and down arrangements between Early Help Services and Children’s Social Care Services to ensure families continue to be supported.

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

Recommendation Wolverhampton Childr

Addressed to Wolverhampton Children’s Social Care

Practitioners and managers to ensure a holistic approach is implemented to assessment and action planning to ensure the needs of the children, victims and perpetrators are considered where they wish to remain together.

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

Recommendation Wolverhampton Homes:

Addressed to Wolverhampton Homes

Consider the inclusion of a question specific to issues surrounding domestic violence/abuse as part of the application individuals/households have to make to . register with WH for accommodation

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