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: 3 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 identified missed opportunities by health and social care agencies to recognise and respond to escalating domestic abuse, particularly concerning the perpetrator's deteriorating mental health and the victim's disclosures. There was a lack of integrated risk assessment and adherence to domestic abuse guidance.

Home Office classifications

28 tags

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

  • Victim - alcohol misuse
  • Victim - serious or life limiting illness
  • Victim - had been a victim of an abuser before
  • Perpetrator - case heard in court
  • Perpetrator - alcohol misuse
  • Perpetrator - mental ill health
  • Perpetrator - cognitive disorder (dementia or alzheimer's disease)
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Perpetrator - known to others as a domestic abuse perpetrator
  • Perpetrator - known to family as a domestic abuse perpetrator
  • Perpetrator - supervised by mental health services
  • 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 consulted about terms of reference
  • DHR process - family supported by expert specialist advocate
  • DHR process - family received draft report
  • DHR process - police recommendations
  • DHR process - health services recommendations
  • DHR process - idva or other domestic abuse support service recommendations
  • DHR process - community safety partnership recommendations
  • 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

3 recommendations pulled from the report · 2 matched to organisations in the index

Recommendation 1

Addressed to NHS England | NHS Redditch and Bromsgrove CCG | NHS Wyre Forest CCG | NHS South Worcestershire Clinical Commissioning Groups

NHS England should circulate the NICE Guidance 2014 and the RCGP 2012 guidance on Domestic Abuse to all Worcestershire GPs. NHS England and NHS Redditch and Bromsgrove, NHS Wyre Forest and NHS South Worcestershire Clinical commissioning Groups (CCGs) should support local GPs to implement guidance and offer additional training.

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

Recommendation 2

Addressed to West Mercia Police

West Mercia Police to confirm with Worcestershire Community Partnership within 6 months of the date of this report that information regarding the dissemination of the use of Domestic Violence Protection Notices has been completed for all officers within the force.

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

Recommendation 3

Addressed to Worcestershire Forum Against Domestic Abuse

Worcestershire Forum Against Domestic Abuse to review and update the Multi Agency Procedures to ensure that they are visible to professionals on the website on the ‘Information for Professionals’ page.

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