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

Wolverhampton review

CSP: Wolverhampton Published: March 2024 Year of death: 2013 Extracted: 16 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 systemic failures in multi-agency responses to a high-risk domestic abuse case involving reciprocal violence and severe alcohol/mental health issues. Concerns included inconsistent risk assessment, poor information sharing, lack of engagement with services, and ineffective criminal justice interventions, leading to a predictable tragic outcome.

Home Office classifications

40 tags

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

  • Victim - was a carer
  • Victim - carer for perpetrator
  • Victim - alcohol misuse
  • Victim - substance misuse
  • Victim - housing issues
  • Victim - mental ill health
  • Victim - depression
  • Victim - suicidal thoughts
  • 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
  • Children - under 18 shared parental responsibility (between perpetrators)
  • Children - living with perpetrator (including adult children)
  • Children - subject to child protection or domestic abuse prior to homicide
  • Perpetrator - case heard in court
  • Perpetrator - issued life sentence
  • Perpetrator - alcohol misuse
  • Perpetrator - housing issues
  • Perpetrator - physical disability
  • Perpetrator - mental ill health
  • Perpetrator - depression
  • Perpetrator - suicidal thoughts
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Perpetrator - known to social services 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 friends as a domestic abuse perpetrator
  • Perpetrator - attended drug and alcohol services
  • Aggravating factors - physical abuse
  • DHR process - family contributed to dhr
  • DHR process - community safety partnership recommendations
  • DHR process - identification of risk recommendation themes
  • DHR process - training recommendation themes
  • DHR process - policy recommendation themes
  • DHR process - multi agency working recommendation themes
  • DHR process - record keeping recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

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

Recommendation 1

Addressed to Safer Wolverhampton Partnership

That an independent review of the Wolverhampton MARAC is undertaken after systemic, organisational and staffing issues have been addressed, to ensure compliance with best practice.

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

Recommendation 1a

Addressed to Safer Wolverhampton Partnership | Agencies contributing to MARAC

Escalation policies for both the MARAC and the agencies contributing to it when interventions or safety plans are judged ineffective.

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

Recommendation 1c

Addressed to Safer Wolverhampton Partnership | Agencies contributing to MARAC

Actions to be linked to risk, with agencies to be more accountable for completion of actions and escalation of the case where appropriate

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

Recommendation 1e

Addressed to Safer Wolverhampton Partnership | West Midlands Police

Ensure that the presence of offender managers at future MARACs leads to SMART offender management actions

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

Recommendation 1g

Addressed to Safer Wolverhampton Partnership

Ensure MARAC minutes are CAADA compliant and that they are available to agencies involved in the safety plan.

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

Recommendation 1h

Addressed to Safer Wolverhampton Partnership | IDVA services

Ensure that in cases with reciprocal violence a different IDVA is available for each party

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

Recommendation 1i

Addressed to Safer Wolverhampton Partnership

Monitor attendance of agencies with recommendations regarding representation at MARAC

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

Recommendation 1j

Addressed to Safer Wolverhampton Partnership | All agencies

Promote use of DASH by all agencies with training where necessary

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

Recommendation 1k

Addressed to Safer Wolverhampton Partnership | West Midlands Police | IDVA services | Safeguarding Boards

A learning event to be delivered to all attendees at MARAC, coordinator, IDVAs, Support workers and WMP domestic abuse and safeguarding teams, specialist DV teams and agency frontline practitioners across all agencies represented on safeguarding Boards

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

Recommendation 1l

Addressed to Safer Wolverhampton Partnership

Repeat the CAADA self-assessment to ensure that all outstanding areas for development have been addressed.

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

Recommendation 2

Addressed to Wolverhampton Community Safety Partnership

Wolverhampton CSP to highlight the need for sufficient IDVA capacity to be provided by city-wide commissioners in line with CAADA recommendations that IDVA teams should have specialisms across the team in the criminal justice system, family courts, substance use, mental health, young people, safeguarding, sexual violence, housing, and BME and male victims.

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

Recommendation 3a

Addressed to Wolverhampton Community Safety Partnership | Safeguarding Adults Board | Safeguarding Children Board

Wolverhampton Community Safety Partnership to ensure domestic violence features as part of the Safeguarding Adults and Children Board’s development of a multi-agency early alert system

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

Recommendation 3b

Addressed to Wolverhampton Community Safety Partnership

That Wolverhampton Community Safety Partnership highlight gaps in academic research on reciprocal violence where identifying the primary victim/offender is problematic.

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