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 CambridgeshirePublished: November 2023Year of death: 2021Extracted: 12 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
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
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.
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.
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
Caring Together and Lifecraft to increase promotion of their services to enhance awareness amongst the public and professionals of what services are available.
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.
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.
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.
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.
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.
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.