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
Salford review
CSP: Salford
Published: June 2025
Year of death: 2020
Extracted: 18 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 identified inconsistent and uncoordinated agency responses to domestic abuse, including a failure to conduct risk assessments and refer to specialist services. It also highlighted missed opportunities to assess the victim's complex care needs and a lack of understanding of the links between domestic abuse, mental health, and suicidality, exacerbated by cross-border information sharing issues.
Extracted recommendations
| # | Recommendation | Addressed to |
|---|---|---|
| 1 | The Chairs of the Salford Community Safety Partnership and Safeguarding Adults Board should formally write to the Home Office setting out the difficulties experienced by this review in relation to different legislative processes pertaining in the two countries. | Salford Community Safety Partnership | Salford Safeguarding Adults Board |
| 1 | The Health and Social Care Partnership in Scotland should seek to review policies and practice in relation to referring to adult services. | Health and Social Care Partnership in Scotland |
| 2 | Salford Safeguarding Adults Board should review and enhance the multi-agency policy and procedures to reflect the importance of Think Family which will enable parents with care and support to be identified under the Care Act safeguarding duties. | Salford Safeguarding Adults Board |
| 2 | The Health and Social Care Partnership, together with Information Governance and NHS agencies in Scotland should urgently review their processes and procedures to ensure that case transfer and information sharing across all agency’s procedures are fit for purpose. This should include the transfer of all relevant current and historical information and should ensure that differences in policy, practice and terminology are understood when transferring cases. | Health and Social Care Partnership | Information Governance | NHS agencies in Scotland |
| 3 | Salford Community Safety Partnership should seek assurance from relevant agencies involved in this review that their local policy and procedures are clear and robust to ensure a timely and effective handover of information when an adult moves from one area to another. | Salford Community Safety Partnership |
| 3a | The Adult Protection Committee in Scotland should oversee the development and facilitation of a series of Learning Reviews to be delivered to a wide range of staff across the Health and Social Care Partnership and the NHS. | Adult Protection Committee in Scotland |
| 3b | Children’s Services in Scotland should review their practice in relation to transfer of cases across national boundaries. | Children’s Services in Scotland |
| 4a | Salford Community Safety Partnership should ensure that there is a clear expectation of collaborative working with non-commissioned services. | Salford Community Safety Partnership |
| 4a | The Health and Social Care Partnership Scotland should take action to ensure that disclosures of domestic abuse are recorded, responded to, and acted upon (i.e. enabling the victim an opportunity for safety assessment and follow up, including referral to specialist services). | Health and Social Care Partnership Scotland |
| 4b | Salford Community Safety Partnership should ensure that information regarding referral pathways is widely disseminated and understood. | Salford Community Safety Partnership |
| 4b | The Health and Social Care Partnership in Scotland should ensure that practitioners know about post-separation abuse and recognise it as a risk factor for victims who have separated from perpetrators. | Health and Social Care Partnership in Scotland |
| 5a | Salford Community Safety Partnership should ensure that services develop and adopt trauma informed approaches to mental health interventions. | Salford Community Safety Partnership |
| 5a | NHS agencies and Health and Social Care Partnership in Scotland should ensure that services develop and adopt trauma informed approaches to mental health interventions. | NHS agencies in Scotland | Health and Social Care Partnership in Scotland |
| 5b | Salford Community Safety Partnership should ensure that all services are fully informed about the impact of domestic abuse on mental health and links to self-harm and suicide. | Salford Community Safety Partnership |
| 5b | Health and Social Care Partnership in Scotland should ensure that mental health services are fully informed about the impact of domestic abuse on mental health and links to self-harm and suicide. | Health and Social Care Partnership in Scotland |
| 5c | Salford Community Safety Partnership should ensure that practitioners know about post-separation abuse and recognise it as a risk factor for victims who have separated from perpetrators and that this is reflected in practice. | Salford Community Safety Partnership |
| 5d | The GM Suicide Prevention Strategy training programme should continue to be implemented and evaluated. | Salford Community Safety Partnership |
| 6 | Salford Community Safety Partnership should seek assurance from the Salford Safeguarding Children Partnership that all learning from the Children’s Safeguarding case review has been acted on. | Salford Community Safety Partnership |
| Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗ | ||