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

Kent review

CSP: Kent Published: December 2022 Year of death: 2018 Extracted: 14 recs

Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.

Original review (PDF) ↗ Source: Home Office DHR Library

Summary AI-generated

Verify against the full report at the source link
The review identifies concerns regarding delayed multi-agency risk assessment, missed opportunities for perpetrator arrest, and a lack of understanding among professionals about coercive control and its impact on the victim's decisions. It also highlights issues with inter-agency information sharing and the provision of accurate information to the victim.

Home Office classifications

33 tags

Source-supplied classifications used by the Home Office to catalogue this review.

  • Victim - died by suicide
  • Victim - physical disability
  • Victim - mental ill health
  • Victim - anxiety
  • Victim - depression
  • Victim - serious or life limiting illness
  • Victim - had been a victim of an abuser before
  • Victim - referred to marac at any time
  • Victim - case heard at marac before homicide
  • Perpetrator - substance misuse
  • Perpetrator - housing issues
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Perpetrator - known to social services 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 probation services as a domestic abuse perpetrator
  • Perpetrator - supervised by probation services
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - forced marriage
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical abuse
  • Aggravating factors - economic abuse
  • DHR process - family contributed to dhr
  • DHR process - family received draft report
  • DHR process - police recommendations
  • DHR process - idva or other domestic abuse support service recommendations
  • DHR process - training recommendation themes
  • DHR process - policy recommendation themes
  • DHR process - multi agency working recommendation themes
  • DHR process - record keeping recommendation themes
  • DHR process - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

14 recommendations pulled from the report · 6 matched to organisations in the index

Recommendation 1

Addressed to Kent Police

Kent Police must ensure that all VIT officers and staff know where MARAC referrals must be sent.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 2

Addressed to Kent Police

Kent Police must ensure that its Witness Care staff know that when the Crown Prosecution Service appeal a decision made by magistrates to grant bail, the defendant will be remanded in custody pending the outcome of the appeal.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 3

Addressed to Kent Police

Kent Police’s Witness are policy and procedures must state clearly that if Witness Care staff have any doubt about the outcome of a court case, they must contact the court for clarification at the earliest opportunity and advise victims and/or witnesses of the uncertainty until it is resolved.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 4

Addressed to Centra

Centra should consider adopting the Kent Police policy that results in a domestic abuse victim who has been assessed at being at High risk, remaining High risk for at least 12 months, regardless of whether one or more subsequent risk assessments results in a lower grade.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 5

Addressed to Centra

Centra must instruct their IDVAs to record the rationale for their decision whether to meet a victim face to face.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 6

Addressed to Kent County Council

Kent County Council must, as part of the performance monitoring of its contract with Centra, consider how the concerns identified in this report are being addressed by Centra to ensure that the service provided to high risk victims of domestic abuse is improved.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 7

Addressed to Area A Council

AAC should ensure that Revenue & Benefits Team staff seek all the relevant safeguarding information known within AAC about a client they are interviewing.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 8

Addressed to Area A Council

AAC should consider and decide whether, in the light of this case, Revenue & Benefits Team staff should attend the face to face domestic abuse training module.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 9

Addressed to KCC ASCH

KCC ASCH must ensure that when completion of a KASAF 2 is delayed due to exceptional circumstances, the fact that it is outstanding cannot be overlooked.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 10

Addressed to KCC ASCH

KCC ASCH must ensure that staff dealing with the safeguarding of high-risk domestic abuse victims understand and act on the fact that apparent reconciliation between a victim and alleged perpetrator may be because of coercion and control, and indicative of the victim being at increased risk.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 11

Addressed to KM DASVG

Kent and Medway Domestic Abuse and Sexual Violence Group must agree a process that ensures all MARAC meetings are accurately minuted and that the allocation and implementation of actions are recorded. The agreed process should be included in the Kent and Medway MARAC Operating Protocol and Guidelines.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 12

Addressed to Kent County Council

Kent County Council to consider using their commissioning relationship with the domestic abuse service providers to require that all front facing staff (IDVAs, outreach workers etc) complete face to face suicide prevention training.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 13

Addressed to Agencies subject of this review

All agencies involved in this review should add suicide prevention training to their directory of training available to staff and encourage take up.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 14

Addressed to The Home Office

The Home Office must produce leaflets for family members and friends that are suitable for reviews using the DHR methodology in cases where a person has taken their own life.

Verified wording from the published review · Original review (PDF) ↗