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

Cornwall review

CSP: Cornwall Published: November 2023 Year of death: 2020 Extracted: 12 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 missed opportunities for agency intervention, particularly regarding interpreter services and follow-up for victims from diverse communities. It highlights the impact of coercive control, financial abuse, and alcohol misuse, alongside issues with routine enquiry and MARAC processes.

Home Office classifications

29 tags

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

  • Victim - alcohol misuse
  • Victim - mental ill health
  • Victim - depression
  • Victim - suicide attempts
  • Victim - serious or life limiting illness
  • Victim - had been a victim of an abuser before
  • Victim - referred to marac at any time
  • Victim - case heard at marac before homicide
  • Victim - immigration involvement
  • Perpetrator - alcohol misuse
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Perpetrator - known to idva or other domestic abuse support service as a domestic abuse perpetrator
  • Perpetrator - known to others as a domestic abuse perpetrator
  • Perpetrator - known to family as a domestic abuse perpetrator
  • Perpetrator - immigration involvement
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical abuse
  • Aggravating factors - economic abuse
  • DHR process - police recommendations
  • DHR process - health services recommendations
  • DHR process - housing services recommendations
  • DHR process - community safety partnership recommendations
  • DHR process - training 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

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

Recommendation 1

Addressed to Safer Cornwall | Kernow Clinical Commissioning

Safer Cornwall and Kernow Clinical Commissioning to work together to improve the responses of General Practices to domestic abuse through training, the establishment of care pathways, and an increase in GP referrals to specialist services and the MARAC.

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

Recommendation 2

Addressed to Safer Futures

Safer Futures to audit and review current recording practices to ensure that the decisions to close cases are defensible and that MARAC actions are finalised effectively and the rationale recorded.

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

Recommendation 3

Addressed to Safer Futures | DASV commissioners

Safer Futures and DASV commissioners to review current referral pathways and identify opportunities for improving services for individuals engaged in abusive behaviour.

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

Recommendation 4

Addressed to Safer Futures

Safer Futures to review and amend current recording practices to ensure that nationalities are accurately recorded for all cases.

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

Recommendation 5

Addressed to Safer Cornwall Partnership | Health providers | Safer Futures | Housing | Adult Social Care

Safer Cornwall Partnership to work with Health providers, Safer Futures, Housing and Adult Social Care to review and implement changes to improve local interpreter services in the County.

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

Recommendation 6

Addressed to Devon and Cornwall Police

Devon and Cornwall Police to review current commissioning arrangements for interpreters and conduct an audit of domestic abuse cases that required an interpreter in terms of impact upon the outcomes for victims.

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

Recommendation 7

Addressed to Safer Cornwall Partnership | Health providers | Safer Futures | Housing | Adult Social Care

Safer Cornwall Partnership to work with Health providers, Safer Futures, Housing and Adult Social Care to review viability of training for local interpreters in domestic abuse.

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

Recommendation 8

Addressed to Safer Cornwall Partnership | Health providers | Safer Futures | Housing | Adult Social Care

Safer Cornwall Partnership to work with Health providers, Safer Futures, Housing and Adult Social Care to review and improve local domestic abuse literature for appropriate foreign national groups based on the demographics in the community.

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

Recommendation 9

Addressed to Safer Cornwall Partnership | local specialist service providers

Safer Cornwall Partnership, working with local specialist service providers who have experience of supporting Eastern European women experiencing domestic violence/abuse, to identify the most effective way to increase awareness of domestic abuse, and support services, within that community and to develop an action plan to implement this.

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

Recommendation 10

Addressed to RCHT

RCHT to review the effectiveness of the MARAC flagging process and where appropriate implement identified changes.

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

Recommendation 11

Addressed to Safer Futures

Safer Futures to review current processes to ensure that staff make contact with specialist support services on behalf of clients.

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

Recommendation 12

Addressed to Safer Cornwall | Multi-Agency, Equality, diversity and Hate crime Group

Safer Cornwall should work with the Multi-Agency, Equality, diversity and Hate crime Group to identify and implement opportunities to improve domestic abuse services , align strategies and improve the training of frontline staff in the County.

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