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

East Staffordshire review

CSP: East Staffordshire Published: December 2022 Extracted: 8 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 recognise and understand coercive control and economic abuse, particularly the heightened risk during separation. This led to missed opportunities to safeguard the victim, with professional focus often on the perpetrator's mental health rather than the victim's safety.

Extracted recommendations

8 recommendations pulled from the report

#	Recommendation	Addressed to
i.	East Staffordshire Community Safety Partnership should write to the Executive Director of Operations at Citizens Advice (enclosing a copy of the final report) to ask them to review whether their advisors receive appropriate training on domestic abuse (including information on coercive control and economic abuse).	East Staffordshire Community Safety Partnership
ii.	Midlands Partnership NHS Foundation Trust should evidence that clinical staff are adhering to the Carer Engagement Standards as well as the "Our Service User and Carer Charter".	Midlands Partnership NHS Foundation Trust
iii.	Reassurance should be sought by Staffordshire Police that 'prevention interviews' following missing persons episodes consider safeguarding measures and referrals to appropriate services.	Staffordshire Police
iv.	It should be standard practice that as soon as the threshold for a domestic homicide review is met, a letter should be sent on behalf of the independent chair to request access to the perpetrator's medical records.	East Staffordshire Community Safety Partnership
v.	The adult safeguarding training delivered by the Clinical Commissioning Group to primary care staff on domestic abuse should include coercion and control. This should be evidenced by research findings such as 'Counting Dead Women' 20 and 'Partner Femicide’.21	East Staffordshire Clinical Commissioning Group
vi.	The GP Practice should seek additional support and training on domestic abuse, and it should include the signs of coercive control. This will ensure that the staff are aware of their duties to explore and document discussion following disclosures such as marital breakdown.	GP Practice
vii.	The Domestic Abuse and Commissioning Development Board (DACDB) should seek assurance that training and development in relation to domestic abuse for GPs is meeting its objectives. The specific areas of development include coercion and control, escalation of risk linked to recent studies around the preceding steps to domestic homicide.	Domestic Abuse and Commissioning Development Board
viii.	The Domestic Abuse Commissioning and Development Board should assure the East Staffordshire CSP that awareness of domestic abuse (especially coercion & control and economic abuse) is being enhanced across a wide landscape of agencies particularly the Voluntary, Community and Social Enterprise (VCSE) community. This should further safeguard their service users and the public, in line with the findings of this review.	Domestic Abuse Commissioning and Development Board
Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗