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 Cambridgeshire review

CSP: South Cambridgeshire Published: November 2023 Year of death: 2021 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 long-term domestic abuse, including emotional and economic control, as a significant factor in the victim's suicide. Agencies missed opportunities to identify the victim as a domestic abuse victim and carer, provide appropriate support for suicidal ideation, and ensure effective information sharing and recording.

Home Office classifications

28 tags

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

  • Victim - died by suicide
  • Victim - was a carer
  • Victim - carer for perpetrator
  • Victim - mental ill health
  • Victim - depression
  • Victim - suicidal thoughts
  • Victim - had been a victim of an abuser before
  • Perpetrator - physical disability
  • Perpetrator - mental ill health
  • Perpetrator - anxiety
  • Perpetrator - panic attacks
  • Perpetrator - serious or life limiting illness
  • 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 family as a domestic abuse perpetrator
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - economic abuse
  • DHR process - family contributed to dhr
  • DHR process - family consulted about terms of reference
  • DHR process - family received draft report
  • DHR process - health services recommendations
  • DHR process - technology systems recommendation themes
  • DHR process - identification of risk recommendation themes
  • DHR process - policy recommendation themes
  • DHR process - record keeping recommendation themes
  • DHR process - awareness raising recommendation themes

Extracted recommendations

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

Recommendation 1

Addressed to Cambridgeshire Safeguarding Board

Policy and protocol to reflect that an individual should not be left alone until further assistance has arrived when high risk/immediate safeguarding needs are identified and this should be built into the commissioning of homecare providers.

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

Recommendation 2

Addressed to Cambridgeshire County Council

Cambridgeshire County Council to consider the Community Response Framework that Hourglass operate in other areas of the country (including neighbouring Norfolk) and how this could be implemented in Cambridgeshire.

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

Recommendation 3

Addressed to Cambridgeshire County Council

Cambridgeshire County Council to include domestic abuse as part of the carer’s strategy.

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

Recommendation 4

Addressed to Cambridgeshire County Council

Cambridgeshire County Council to implement a communication strategy to inform and remind statutory agencies and professionals to:

* Increase their awareness of carers to refer them on to specialist services and to help them identify themselves as carers
* Re-affirm that there is a choice regarding being a carer and not to assume family members will automatically take on this role
* Increase their understanding of the ‘whole family’ rather than solely focussing on the patient and their needs
* Inform a carer that they can undergo a carers needs assessment for the purpose of their own wellbeing without having to disclose their finances

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

Recommendation 5

Addressed to Caring Together | Lifecraft

Caring Together and Lifecraft to increase promotion of their services to enhance awareness amongst the public and professionals of what services are available.

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

Recommendation 6

Addressed to GP practice

With support of Cambridgeshire and Peterborough Integrated Care Group, the GP practice is to review the practice’s safeguarding policy to ensure it includes older adults domestic abuse and professional curiosity.

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

Recommendation 7

Addressed to GP practice

With support of Cambridgeshire and Peterborough Integrated Care Board, the GP practice to review how practice staff build in questioning around impact on mental health where disclosures of abuse are made.

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

Recommendation 8

Addressed to Cambridgeshire Safeguarding Board

Statutory agencies to review recording protocol and policy to ensure that a separate file is recorded for each individual of concern under their given name and in any case of safeguarding.

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

Recommendation 9

Addressed to Cambridgeshire Safeguarding Board

Statutory agencies and voluntary sector to include in their policies the need for professional curiosity for domestic abuse and any stress relating to possible caring responsibilities.

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

Recommendation 10

Addressed to CPFT

CPFT to ensure that their procedure and protocol for discharge includes a discharge plan that incorporates ‘think family’ and that consultation with the family takes place as well as the patient to identify any issues or needs the discharge into their care may cause.

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

Recommendation 11

Addressed to Cambridgeshire and Peterborough DASV partnership

All statutory and non-statutory agencies within Cambridgeshire to review the use of the older persons DASH and always consider its use alongside the standard DASH when dealing with older persons.

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

Recommendation 12

Addressed to CPFT | GP surgery

CPFT and GP surgery to ensure their processes and pathways are reviewed when dealing with domestic abuse to ensure appropriate advice is provided.

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