Woman's death prompts call for better care advice

Juliet was a known victim of domestic abuse up to her death

The death of a woman who struggled with alcoholism and was in an abusive relationship has prompted calls for better guidance for official organisations.

Juliet (not her real name), from Taunton in Somerset, was subjected to violence when she refused to have sex with her partner, a report said.

The report, by the Somerset Safeguarding Adults Board (SSAB) found that Juliet's alcoholism prevented her from getting the right support from social care services.

SSAB chair, Michael Preston-Shoot, said agencies have waited for "some time" for stronger mental health guidance on treating those with long-term substance abuse.

Mr Preston-Shoot added: "It's very challenging to assess mental capacity in relation to people who have a long history of substance misuse."

Just two months before Juliet's death in 2022 she had to be taken to hospital with breathing difficulties after being forced to have sex by her partner.

According to the report, there were also concerns she was experiencing coercion and was being financially exploited.

In addition to alcohol dependence, Juliet experienced depression, was a heavy smoker, was diagnosed with chronic obstructive pulmonary disease and was registered partially sighted in 1995.

'Stronger guidance needed'

Avon and Somerset Police was able to get a domestic violence prevention order which offered Juliet some protection, but she "tended to gravitate" back to her partner up until her death.

The SSAB is made up of all the organisations which have a role in preventing the neglect and abuse of adults, including Somerset Council, NHS Somerset Integrated Care Board, Avon & Somerset Police and Somerset NHS Foundation Trust.

Mr Preston-Shoot said the organisation is waiting for revised guidance on mental capacity assessments from the government.

"We are hoping it will give a stronger direction in how to assess in the context of prolonged substance misuse," he added.

The Department for Health and Social Care has been contacted for comment.