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

Doncaster review

CSP: Doncaster Published: December 2022 Year of death: 2017 Extracted: 22 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

Agencies failed to identify domestic abuse, including financial exploitation, within the relationship, lacked professional curiosity regarding sexual abuse disclosures, and had inconsistent multi-agency approaches to risk assessment and information sharing. Referral pathways for sexual abuse victims were not sufficiently accessible or flexible.

Extracted recommendations

22 recommendations pulled from the report
# Recommendation Addressed to
1 That the Safer Stronger Doncaster Partnership conducts a domestic abuse campaign highlighting the different aspects of domestic abuse – including financial abuse, and referral pathways. Safer Stronger Doncaster Partnership
10 That the Safer Stronger Doncaster Partnership continues to promote the message that the risk to victims of domestic abuse increases when the power dynamics changed in favour of the victim. Safer Stronger Doncaster Partnership
11 That the Safer Stronger Doncaster Partnership ensures that agencies referral pathway for victims of sexual abuse is accessible for all victims. Safer Stronger Doncaster Partnership
19.2.1 To educate drug and alcohol staff and raise awareness on identifying and signposting when trauma /domestic violence is disclosed during clinical contact with patients. RDaSH
19.2.10 Circulate guidance to parishes to advise them on making links with local agencies supporting victims of domestic abuse Sheffield Diocese
19.2.11 Advise the Diocesan Board of Finance to consider a review of its process for obtaining information in relation to those housed in diocesan premises Sheffield Diocese
19.2.2 Provide practitioner refresher briefings for working with a range of familial abuse, including broader typologies, relating to adult safeguarding and including financial abuse. South Yorkshire Community Rehabilitation Company
19.2.3 Provide practitioner refresher briefings for working with substance misusers - to reinforce the need to address and not lose sight of broader risk management issues due to the continuous focus on substance abuse for example other relationships, associates and accommodation. South Yorkshire Community Rehabilitation Company
19.2.4 The learning from this review to be disseminated to all staff involved in this case, including in their Supervision, to ensure that the lessons identified are embedded into practice.’ South Yorkshire Community Rehabilitation Company
19.2.5 Learning from this review to be addressed directly with those involved and to be reflected in the training module Domestic Abuse ‘Responding well to Domestic Abuse’ amended to reflect the learning from this review Sheffield Diocese
19.2.6 Discuss the learning from this review with the national safeguarding team and advise that the national guidance be amended to take into account the learning from this review Sheffield Diocese
19.2.7 Advise the incumbent in each parish that neither the clergy person nor their spouse should be the Parish Safeguarding Officer in line with House of Bishop's guidance and support in identifying an independent person Safeguarding Officer Sheffield Diocese
19.2.8 Dates set to deliver ‘Responding well to Domestic Abuse’ training to a training session delivered Sheffield Diocese
19.2.9 The requirement for each parish to produce and publicise a statement on Domestic Abuse to be monitored via the Parish Safeguarding Audit in 2019 Sheffield Diocese
2 That the Safer Stronger Doncaster Partnership updates domestic abuse website with more information about how family/friends and colleagues can support victims and perpetrators of domestic abuse. Safer Stronger Doncaster Partnership
3 That the Safer Stronger Doncaster Partnership ensures that agencies policies and procedures identify all aspects of domestic abuse and that all staff are aware of their roles and responsibilities in respect of implementing these policies. Safer Stronger Doncaster Partnership
4 That the Safer Stronger Doncaster Partnership share the Domestic Homicide Review report with its substance misuse group to ensure that the learning is incorporated into practice, and the importance of professional curiosity highlighted. Safer Stronger Doncaster Partnership
5 That the Safer Stronger Doncaster Partnership incorporates the learning from this Domestic Homicide Review to into the new sexual abuse training currently being developed. Safer Stronger Doncaster Partnership
6 That the Safer Stronger Doncaster Partnership produces a Joint Domestic Abuse protocol with the Doncaster Safeguarding Boards highlighting the importance of professional curiosity and risk assessment and how to deal with disclosures of sexual abuse. Safer Stronger Doncaster Partnership | Doncaster Safeguarding Boards
7 That Doncaster Clinical Commissioning Group disseminate the learning from this review to all GP’s in respect of the requirement to fully explore and document within patient records where anti-depressants are prescribed, including where there is a diagnosis of depression. Doncaster Clinical Commissioning Group
8 That Doncaster Clinical Commissioning Group ensures that the learning from this review is incorporated into the domestic and sexual abuse training delivered to GP’s. Doncaster Clinical Commissioning Group
9 That the Safer Stronger Doncaster Partnership determines whether its risk assessment tools, and agencies use of them, are effective when dealing with relationships where money and or drugs are exchanged for sex, and whether new interventions are needed. Safer Stronger Doncaster Partnership
Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗