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
Braintree review
CSP: Braintree
Published: December 2022
Year of death: 2017
Extracted: 5 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
The review identifies critical gaps in inter-agency information sharing, particularly between police and mental health services, leading to an incorrect incident grading and delayed emergency response. It also highlights issues with mental health care handover and risk management during the perpetrator's service transfer and medication changes.
Extracted recommendations
| # | Recommendation | Addressed to |
|---|---|---|
| 5.1 | That a formal process should be developed by which the police can notify mental health professionals of an individual’s deteriorating mental health where it does not meet the threshold for Section 135/136 of the Mental Health Act 1983 or the Mental Capacity Act 2005. The review reiterates the recommendation made in previous DHRs published in 2017. | Essex Police | EPUT |
| 5.2 | That Essex Police and EPUT consider basing a mental health practitioner in the force control room with access to mental health records. Had this been in place on the night of the incident, then the force control room would have been able to assess the concerns of the perpetrator’s parents alongside the perpetrator’s mental health history. | Essex Police | EPUT |
| 5.3 | That NHS England and CCGs remind primary care services to complete a transfer summary in the electronic medical records (regarding patients with mental issues) when a surgery becomes aware that a patient is moving to a new locality. | NHS England | Mid Essex Clinical Commissioning Group |
| 5.4 | That all health agencies are reminded of the significance of information sharing with primary care services (GPs) to ensure clarity of information and continuity of care. It would be helpful if GPs are made aware when patients do not attend (DNA) appointments with other services. | EPUT | Mid Essex Clinical Commissioning Group | Open Road |
| 5.5 | That NHS England and CCGs remind GPs to complete a mental capacity assessment when there appears to be a lack of capacity. | NHS England | Mid Essex Clinical Commissioning Group |
| Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗ | ||