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
North Yorkshire review
CSP: North YorkshirePublished: December 2022Year of death: 2018Extracted: 6 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The review identifies concerns regarding inconsistent domestic abuse risk assessments, failure to correctly identify the nature of the relationship, and inadequate information sharing between agencies. These issues led to missed opportunities for multi-agency intervention and support for the victim.
Home Office classifications
37 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - housing issues
Victim - physical disability
Victim - mental ill health
Victim - anxiety
Victim - depression
Victim - suicidal thoughts
Victim - suicide attempts
Victim - serious or life limiting illness
Victim - had been a victim of an abuser before
Perpetrator - case heard in court
Perpetrator - alcohol misuse
Perpetrator - housing issues
Perpetrator - mental ill health
Perpetrator - depression
Perpetrator - suicidal thoughts
Perpetrator - known to agencies as a domestic abuse perpetrator
Perpetrator - known to police as a domestic abuse perpetrator
Perpetrator - known to health services as a domestic abuse perpetrator
Perpetrator - known to idva or other domestic abuse support service as a domestic abuse perpetrator
Perpetrator - known to housing services as a domestic abuse perpetrator
Perpetrator - known to others as a domestic abuse perpetrator
Perpetrator - known to family as a domestic abuse perpetrator
Aggravating factors - separation
Aggravating factors - coercive or controlling behaviour
Aggravating factors - stalking
Aggravating factors - psychological or emotional abuse
Aggravating factors - physical abuse
Aggravating factors - economic abuse
DHR process - family contributed to dhr
DHR process - family supported by expert specialist advocate
DHR process - social services recommendations
DHR process - community safety partnership recommendations
DHR process - identification of risk recommendation themes
DHR process - training recommendation themes
DHR process - policy recommendation themes
DHR process - multi agency working recommendation themes
DHR process - awareness raising recommendation themes
Extracted recommendations
6 recommendations pulled from the report · 1 matched to organisations in the index
Addressed to
All agencies within the North Yorkshire Community Safety Partnership
All agencies within the North Yorkshire Community Safety Partnership should review their risk assessment training arrangements for domestic abuse cases. The training should ensure staff are confident in making risk assessments based on victim responses, known facts and professional judgement. All training must include a review of the relationship history and any changes in the circumstances of the victim and perpetrator.
Addressed to
All agencies within the North Yorkshire Community Safety Partnership
All front line staff should receive training in the early identification and recording of domestic abuse. Such training should include the importance of enquiring routinely and sensitively about a person’s experience in private and exploring intimate relationships / partners or ex-partners, same-sex relationships and wider family structures. It is vital that domestic abuse is identified by practitioners at an early stage if the right specialist services are to be offered to victims and perpetrators; and that the physical and psychological factors experienced as a result of violence and abuse are recognised and appropriately supported by practitioners involved in ongoing general health and care services. The training should include recognition of psychological abuse, economic abuse, harassment and coercive control.
Addressed to
North Yorkshire Community Safety Partnership
The North Yorkshire Community Safety Partnership should conduct a review of the arrangements for its Community Impact Team/ Community Safety Hubs multi-agency meetings. This review to include governance arrangements and a particular focus on the aims and objectives of the Community Impact Team/ Community Safety Hub. Any review to ensure delegates are aware of their responsibilities in relation to preparation, interrogation of their systems, contribution at multi-agency meetings and post meeting responsibilities.
Addressed to
All agencies involved in protecting the vulnerable
All agencies involved in protecting the vulnerable should work together to confirm the most appropriate organisation is working with a vulnerable victim/patient /client /service user. This requires a full understanding of different risk assessment methods and confidence in Information Sharing Protocols.
Addressed to
Community Safety Partnership | Safeguarding Adults Board | Safeguarding Children Partnership
The Community Safety Partnership, Safeguarding Adults Board and Safeguarding Children Partnership should map out structures and governance arrangements to reduce duplication, build a mutual understanding and get the right services to vulnerable people. This process should include an illustration of referral pathways.
Addressed to
North Yorkshire Community Safety Partnership
The North Yorkshire Community Safety Partnership should review its Information Sharing Protocols (ISPs) so that staff are confident in making lawful and proportionate requests for inter-agency information to help protect the vulnerable. Any revised Information Sharing Protocol to be circulated as widely as possible.