Safeguarding Adult Reviews

1. Section 44 of the Care Act sets out that Safeguarding Boards must arrange a Safeguarding Adults Review when an adult in its area, with care or support needs, dies as a result of abuse or neglect, whether known or suspected, and there is concern that partner agencies could have worked more effectively to protect the adult.

2. The Board must also arrange a Safeguarding Adults Review where an adult is still alive but has experienced serious neglect or abuse, and there is concern that partner agencies could have worked more effectively to protect them. Safeguarding Adults Boards are free to arrange for a Safeguarding Adults Review in other situations where it feels there is a value in doing so, for example to prevent or reduce abuse or neglect or explore practice.

3. The purpose of the Review is to determine what the relevant agencies and individuals involved in the case might have done differently that could have prevented harm or death. This is so that lessons can be learnt and applied to future cases to prevent similar harm occurring in future. It is not to hold any individual or organisation to account.

4. The Safeguarding Adults Board should include the findings from any Safeguarding Adults Reviews in its Annual Report and report what actions it has taken / intends to take in relation to those findings. Where the Board decides not to implement an action from the findings it must state the reason for that decision in the Annual Report.

These procedures aim to ensure that there is a consistent approach to the process and practice in undertaking Safeguarding Adults Reviews (SARs).

If you would like to refer a case to be considered for a review, contact the ESAB support team: esab@essex.gov.uk to request a review form (any personal information should be password protected).

Domestic Homicide Reviews

When someone has been killed as a result of domestic violence and abuse a Domestic Homicide Review (DHR) should be carried out. Professionals need to understand what happened in each homicide and to identify what needs to change to reduce the risk of future tragedies.


Basildon Domestic Homicide Overview Report - This report of a Domestic Homicide Review examines agency responses and support given to Sarah, a resident of Essex prior to the point of her death.

Tendring Domestic Violence Homicide Review Executive Summary & Tendring Domestic Homicide Overview Report -

Outlines the process undertaken by the Tendring Community Safety Partnership Domestic Homicide Review Panel in reviewing the murder of a resident in the Tendring District Council area.

Castle Point DHR Executive Summary - outlines the process undertaken by the Castle Point & Rochford Community Safety Partnership Domestic Homicide Review Panel in reviewing the murder of a resident in the Castle Point Borough Council area.

Castle Point DHR Overview Report - examines agency responses and support given to a resident prior to the point of her death in November 2015. The review will consider agencies' contact and involvement with the resident and the perpetrator.

Tendring DHR Executive Summary - This summary outlines the process undertaken by the Tendring Community Safety Partnership Domestic Homicide Review Panel in reviewing the murder of a resident who lived in the Tendring local authority area.

Downton DHR Summary - This summary outlines the process undertaken by the Downton Domestic Homicide Review Panel in reviewing the murder of Fiona Johnson, and her daughter Olivia.

Downton Domestic Homicide Overview Report - This report of a Domestic Homicide Review examines agency responses and support given to Fiona Johnson, a resident of Essex prior to the point of her death on 6th June 2011.

Chelmsford Domestic Homicide Executive Summary - This is a review report into the murder of Sally in February 2012 looking at the review process, agency involvement, outcomes and recommendations

Chelmsford Domestic Homicide Overview Report - This report of a Domestic Homicide Review examines agency responses and support given to the victim and the perpetrator prior to the point of the victims death on 7th February 2012.

Epping Forest Domestic Homicide Review Report - This report looks at the lessons learnt, conclusions and recommendations surrounding the death of the victim in July 2012.

Harlow Domestic Homicide Overview Report EB - This report of a Domestic Homicide Review examines agency responses and support given to Eystna Blunnie, a resident of Harlow, Essex prior to the point of her and her unborn childs death on 27th June 2012.

Tendring Domestic Homicide Executive Summary - This review report looks into the death of Mrs F in November 2012 looking at the review process, agency involvement, outcomes, and recommendations - Please click here to access the Action Plan

Harlow Domestic Homicide Overview Report CP - This report of a Domestic Homicide Review examines agency responses and support given to CP, a resident of Harlow, Essex prior to the point of her death on 15th July 2012.

Epping Forest Domestic Homicide Report Gemma - This report of a Domestic Homicide Review examines agency responses and support given to the victim and perpetrator prior to their deaths on 7th October 2013

Colchester Domestic Homicide Overview Report - This overview report, of a Domestic Homicide Review, examines agency responses and support given to Mr A and Mrs A; who were residents of Colchester, Essex prior to their death on 24 May 2014.

Basildon Domestic Homicide Review - This Executive Summary of a Domestic Homicide Review examines agency responses and support given to the victim Dorothy to the point of her death by son Billy who then committed suicide in September 2012.

Basildon Domestic Homicide Review - This full Overview Report of a Domestic Homicide Review examines agency responses and support given to the victim Anne up to the point of her death committed by son David in 2013.