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

West Lancashire review

CSP: West Lancashire Published: November 2024 Year of death: 2021 Extracted: 7 recs

Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.

View full report (PDF) ↗ Source: Home Office DHR Library

Summary

The review highlights concerns regarding the victim's complex health needs, social isolation, and inconsistent disclosures of domestic abuse. It also identifies missed opportunities by some agencies in risk assessment, follow-up, and inter-agency information sharing, exacerbated by pandemic conditions.

Extracted recommendations

7 recommendations pulled from the report

#	Recommendation	Addressed to
1	The Panel recommends that the West Lancashire Community Safety Partnership: • Encourages all agencies that have formed a part of this Panel to seek out training and education opportunities to become ‘trauma informed’ in their day-to-day practice and to develop a knowledge base and best practice procedures concerning the impact of Adverse Experiences in Childhood on adult clients. • Encourages services that have formed a part of this Panel to consider developing policies and practices to achieve a standard of ‘Trauma Informed Practice’ in the delivery of their service to reflect the ambition of the LVRN. • Encourages services that have formed a part of this Panel to examine published and peer reviewed examples of good practice and, where feasible, to replicate them. • Encourages services that have formed a part of this Panel to appoint a specific point of contact to report back to WLCSP on progress against the implementation of the above ‘trauma informed recommendations.	West Lancashire Community Safety Partnership
2	The Panel recommends the West Lancashire Community Safety Partnership: • Shares the 'suicidal ideation' learning opportunity with the Lancashire and South Cumbria Integrated Care Board (ICB) and other lead officers for suicide prevention in the Local Authorities to enable a shared and co-ordinated work plan that will allow this learning opportunity to be shared with health professionals across Lancashire. Lancashire and South Cumbria Health and Care Partnership :: Start the conversation (healthierlsc.co.uk) • To share this learning opportunity with the pan-Lancashire DHR Task and Finish Group. In order to encourage services to consider the possible links between 'suicidal ideation' and Domestic Abuse as part of the intelligence gathering process to identify services “victim suicides” who should be considered for the DHR process. Lancashire and South Cumbria Health and Care Partnership :: Suicide prevention (healthierlsc.co.uk)	West Lancashire Community Safety Partnership
3	The Panel recommends that the West Lancashire Community Safety Partnership: • Encourage all agencies that have formed part of this Panel to ensure a process is in place to identify victim suicides and ensure they are considered for a DHR • WLCSP to share this learning opportunity with the MARAC and other safeguarding responses, and requests they consider the findings of the Home Office Report with the aim of developing an assessment process that identifies any risk of victim suicide, i.e., where coercion and control (and according to the evidence – non-fatal strangulation) are present in the case they are reviewing.	West Lancashire Community Safety Partnership
4	The Panel recommends that the West Lancashire Community Safety Partnership: Shares the learning from this review with Lancashire Constabulary and the Office of the Police and Crime Commissioner so that they may jointly consider the most appropriate Domestic Abuse Risk Assessment tool for improved risk identification.	West Lancashire Community Safety Partnership
5	The Panel recommends that the West Lancashire Community Safety Partnership: • Encourage all agencies that have formed part of this Panel to consider the evaluation of the Wrightington, Wigan and Leigh NHS Trust IDVA service and encourages the relevant partners to build a case for replicating this good practice and expanding and/or enhancing the provision of specialist hospital based IDVA services; • WLCSP shares this learning with the Office of the Police and Crime Commissioner and health Sector commissioning services in Lancashire, including the NHS Integrated Care Board with a view to explore the feasibility of developing an operating procedure to allow the co-location of these services within hospital based IDVA services; • WLCSP to share the research undertaken by Safe Lives and Gentoo examining the role of housing providers in helping victims of domestic abuse with the WLBC Housing Service.	West Lancashire Community Safety Partnership
6	The Panel recommends that the West Lancashire Community Safety Partnership: • WLCSP to seek assurance from all partner agencies that have formed part of this Panel, that front line staff in all agencies are trained to recognise the indicators of domestic violence and abuse and to ask relevant questions that enable people to feel safe to disclose their past or current experiences of such violence or abuse and to know how to signpost victims of domestic abuse for suitable support. • WLCSP to encourage the NHS Lancashire Integrated Care Board to re-emphasise and promote awareness of the safeguarding duty of independent clinical practitioners.	West Lancashire Community Safety Partnership
7	The Panel recommends that the West Lancashire Community Safety Partnership: • WLCSP to seek assurance from General Practice and the MARAC, that the template currently used to share MARAC information with General Practice is effective and efficient; • If areas of improvement are identified, to construct a means to deliver these changes.	West Lancashire Community Safety Partnership
Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗