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Recurance · prevention of future deaths reports

Pre-inquest brief

Marac system ineffective for chaotic victims

Organisation: Home Office · Generated: 26 Oct 2026

Recurance · recurance.com/chains/4f06450bc62c0c4e

The earlier warning

Donna Williamson · 27 Mar 2019 · Andrew Harris, London Inner (South)

“The MARAC process was incapable of facilitating protection and resolution of problems for chaotic non engaging individuals.”

judiciary.uk/prevention-of-future-death-reports/donna-williamson

What was promised

Stated action 1 · response to Donna Williamson (27 Mar 2019) · stated timescale: none stated

“We support your recommendation for a national review of how the MARAC system can afford protection and support for these particularly vulnerable complex individuals.”

judiciary.uk/wp-content/uploads/2019/06/2019-0111-Responses.pdf

What recurred

  • 27 Jun 2022 · Jessica Laverack · Lorraine Harris · Closely related · confidence 0.80 (moderate)

The clearest link, quoted from both reports:

Earlier · Donna Williamson · 27 Mar 2019

“The MARAC process was incapable of facilitating protection and resolution of problems for chaotic non engaging individuals.”

Later · Jessica Laverack · 27 Jun 2022

“There is no single point of contact to oversee the collation of all 2 information, to appropriate assess it and to coordinate a structured proactive approach to people with dual or multi diagnosis.”

What happened next

No evidence found either way · stated action 1

“in their opinion, their MARAC was very effective at enhancing information sharing. Agency representation.”

Supporting high-risk victims of domestic violence: a review ... · researchgate.net/…/332320398_Supporting_high-risk_victims_of_do…

“a review of MARACs would be undertaken in order to improve understanding of how MARACs are working and potential areas of development”

a review of Multi-Agency Risk Assessment Conference · assets.publishing.service.gov.uk/…/horr55-report.pdf

“MARACs are widely used across England and Wales in response to high-risk domestic abuse. There is a paucity of academic research available around MARAC processes”

andrew-whinney.pdf - Institute of Criminology · crim.cam.ac.uk/sites/default/files/andrew-whinney.pdf

No evidence found does not mean the action did not happen.

Every quote is verified word for word against the original report on judiciary.uk. A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person.

Source: Courts and Tribunals Judiciary, Open Government Licence v3.0.