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 Worcestershire Published: August 2023 Year of death: 2014 Extracted: 5 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 review identifies concerns regarding the victim's disengagement with statutory health services for the perpetrator's medical and mental health needs, leading to missed intervention opportunities. It highlights limitations in agency powers for Elective Home Education, challenges with non-compliant families, and issues with robust follow-up for missed appointments and patient de-registration.

Home Office classifications

22 tags

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

  • Victim - mental ill health
  • Victim - had been a victim of an abuser before
  • Children - under 18 shared parental responsibility (between victims)
  • 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 - mental ill health
  • Perpetrator - psychosis
  • Perpetrator - serious or life limiting illness
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical abuse
  • DHR process - social services recommendations
  • DHR process - health services recommendations
  • DHR process - community safety partnership recommendations
  • DHR process - technology systems recommendation themes
  • DHR process - policy recommendation themes
  • DHR process - multi agency working recommendation themes
  • DHR process - record keeping recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

5 recommendations pulled from the report · 3 matched to organisations in the index

Recommendation 1

Addressed to Safer Community Partnership | Department of Education

The Chair of the Safer Community Partnership writes to Minister for Education expressing continuing concerns that the guidance for Elective Home Education is not fit for purpose and requires an urgent review by the Department of Education to ensure that a more positive supervision and monitoring policy is introduced.

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

Recommendation 2

Addressed to All agencies

All agencies to ensure that all front line professionals are aware of the West Mercia Inter-Agency Child Protection Procedures especially the Chapter adopted in April 2014, ‘Working with Hostile .Non-Compliant Clients and those who use Disguised Compliance’.

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

Recommendation 3

Addressed to Worcestershire Safeguarding Adult Board

Worcestershire Safeguarding Adult Board to consider formulating guidance similar to West Mercia Inter-Agency Child Protection Procedures ‘Working with Hostile, Non-Compliant Clients and those who use Disguised Compliance’ when works with adult children and their parents.

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

Recommendation 4

Addressed to NHS England | GPs

NHS England will alert GPs locally to ensure any non-attendance of appointments are robustly followed up through the organisations ‘Did Not Attend/Was not brought Policy ‘ . GPs should ensure their Practice has a documented process in place to liaise with HV/SN’s about transfers in or out of their Practice of children where there are safeguarding concerns.

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

Recommendation 5

Addressed to NHS England

NHS England will raise the issue of ‘de-registration’ at a national level as it pertains to the wider national patient records system with a recommendation to work towards an electronic solution of monitoring of de-registration.

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