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
Pendle review
CSP: PendlePublished: February 2024Year of death: 2020Extracted: 6 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The review identified missed opportunities by agencies to recognise and respond to domestic abuse involving an older male victim and an adult child perpetrator with mental health and substance misuse issues. Key concerns include inadequate risk assessment, lack of safeguarding for the victim, and poor accessibility of support information.
Home Office classifications
32 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 - 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 - issued life sentence
Perpetrator - alcohol misuse
Perpetrator - substance misuse
Perpetrator - mental ill health
Perpetrator - anxiety
Perpetrator - depression
Perpetrator - psychosis
Perpetrator - self harm
Perpetrator - suicidal thoughts
Perpetrator - known to agencies as a domestic abuse perpetrator
Perpetrator - known to police as a domestic abuse perpetrator
Perpetrator - known to health services as a domestic abuse perpetrator
Perpetrator - known to mental 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
Perpetrator - supervised by mental health services
Aggravating factors - physical abuse
DHR process - family contributed to dhr
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 - community safety partnership recommendations
DHR process - identification of risk recommendation themes
DHR process - other recommendation themes
Extracted recommendations
6 recommendations pulled from the report · 2 matched to organisations in the index
Addressed to
Blackburn with Darwen and East Lancashire Clinical Commissioning Group
That Blackburn with Darwen and East Lancashire Clinical Commissioning Group provides updates to Pendle Community Safety Partnership on the rollout of the routine enquiry template within GP practices.
That all agencies provide reassurances and evidence to Pendle Community Safety Partnership that the learning from this case, in relation to the recognition of domestic abuse including the identification of domestic abuse in males and the older generation, has been disseminated.
That Lancashire Constabulary provides an update to Pendle Community Safety Partnership on the action plan and learning from the recent DHR concluded in Blackpool in 2021.
Addressed to
Lancashire and South Cumbria NHS Foundation Trust
That Lancashire and South Cumbria NHS Foundation Trust provides progress updates to Pendle Community Safety Partnership regarding their internal investigation action plan – these will be at 3, 6 and 9 months, with a presentation to the CSP at the 12 months’ stage to assure the CSP of progress, and inform of any ongoing challenges.
That Pendle Community Safety Partnership ensures that access to information on support services which can respond to concerns regarding an individual’s mental health, whether the concerns are in relation to the individual’s own mental health or for someone they know, is available for all members of the community.