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

Sunderland review

CSP: Sunderland Published: December 2022 Year of death: 2018 Extracted: 32 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 identified missed opportunities for agencies to apply professional curiosity and intervene early, an over-reliance on victim engagement rather than perpetrator accountability, and inconsistencies in information sharing and recording practices. It also highlighted gaps in workplace domestic abuse policies and the need for better understanding of victim non-engagement.

Home Office classifications

44 tags

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

  • Victim - was a carer
  • Victim - alcohol misuse
  • Victim - substance misuse
  • 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
  • Perpetrator - alcohol misuse
  • Perpetrator - substance misuse
  • Perpetrator - mental ill health
  • Perpetrator - anxiety
  • Perpetrator - depression
  • Perpetrator - suicidal thoughts
  • Perpetrator - suicide attempts
  • 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 others as a domestic abuse perpetrator
  • Perpetrator - known to friends as a domestic abuse perpetrator
  • Perpetrator - known to family as a domestic abuse perpetrator
  • Perpetrator - known to workplace (employer) as a domestic abuse perpetrator
  • Perpetrator - died by suicide
  • Aggravating factors - separation
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - physical abuse
  • Aggravating factors - economic abuse
  • DHR process - family contributed to dhr
  • DHR process - family consulted about terms of reference
  • DHR process - family supported by expert specialist advocate
  • DHR process - family received draft report
  • DHR process - police recommendations
  • DHR process - health services recommendations
  • DHR process - idva or other domestic abuse support service 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 - record keeping recommendation themes
  • DHR process - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

32 recommendations pulled from the report · 5 matched to organisations in the index

Recommendation 1

Addressed to Northumbria Police

Northumbria Police to ensure consistent and timely sharing of DVPO information to key partner agencies so as to maximise partnership opportunities to enhance victim engagement and safety.

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

Recommendation 2

Addressed to Safer Sunderland Partnership

Safer Sunderland Partnership to engage with local solicitors to identify, better understand and, where necessary, improve the advice, guidance and support they provide to victims of domestic abuse.

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

Recommendation 3

Addressed to Safer Sunderland Partnership

Safer Sunderland Partnership to encourage local public and private sector organisations to review and implement a refreshed Domestic Abuse Workplace Policy

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

Recommendation 4

Addressed to Safer Sunderland Partnership

Safer Sunderland Partnership to commission training sessions to ensure staff with management responsibilities are equipped with the necessary advice and skills to confidently support employees when faced with a disclosure of domestic abuse

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

Recommendation 5

Addressed to Safer Sunderland Partnership

Safer Sunderland Partnership to re-introduce a targeted Sanctuary Scheme that consists of home security measures and outreach support.

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

Recommendation 6

Addressed to Safer Sunderland Partnership

Agencies should look to implement mechanisms to routinely capture and share information on why victims decline access to support services

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

Recommendation 7

Addressed to Safer Sunderland Partnership

Safer Sunderland Partnership to raise awareness of the impact of destructive and victim blaming language when responding to domestic abuse.

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

Recommendation 8

Addressed to Safer Sunderland Partnership

Safer Sunderland Partnership to raise awareness of the signs of domestic abuse; encourage bystanders to report domestic abuse; and promote where to seek advice and support.

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

Recommendation 9

Addressed to Safer Sunderland Partnership

Safer Sunderland Partnership to explore options for earlier intervention with perpetrators of domestic abuse

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

Recommendation 10

Addressed to Safer Sunderland Partnership

Safer Sunderland Partnership to widely disseminate key learning and themes emanating from this Review to promote awareness that the prevention of domestic abuse is 'everybody’s business'.

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

Recommendation 11

Addressed to Safer Sunderland Partnership

Safer Sunderland Partnership to write to the Ministry of Justice, the Law Society and the Bar Council requesting they flag to solicitors across England and Wales that separation from an abusive partner can also lead to an increased risk to victims

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

Recommendation 12

Addressed to Safer Sunderland Partnership

Safer Sunderland Partnership to write to the Home Office and the College of Policing to request improvements are made to the Domestic Abuse, Stalking and Honour-based abuse (DASH) risk indicator checklist (RIC)

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

Recommendation NP-1

Addressed to Northumbria Police

Static Risk Factors: To consider how static risk factors are identified by officers where present in a relationship and that this specific identified risk factor remains as a constant in all future RIC and risk assessment work.

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

Recommendation NP-2

Addressed to Northumbria Police

Coercive Control: To continue to improve awareness and understanding of Coercive Control which has a serious impact on the victim as well as being a likely underlying factor of domestic abuse incidents and investigations.

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

Recommendation NP-3

Addressed to Northumbria Police

Bail: To ensure all officers investigating domestic abuse related rape investigations where the suspect is arrested, consider an application for bail with conditions rather than release under investigation (RUI) and decision making is fully documented. If this is not granted, further consideration of a DVPN/O should be given if criteria is met.

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

Recommendation SCCG-1

Addressed to Sunderland Clinical Commissioning Group

To recommend that GPs ensure that patients with complex medical health issues are offered face-to-face appointments.

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

Recommendation SCCG-2

Addressed to Sunderland Clinical Commissioning Group

To ensure the learning from this review is highlighted to those leading digital transformation across primary care.

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

Recommendation SCCG-3

Addressed to Sunderland Clinical Commissioning Group

To promote and monitor implementation of best practice in prescribing management in relation to anti-depressants.

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

Recommendation SCCG-5

Addressed to Sunderland Clinical Commissioning Group

To ensure the GP practice has a robust process for coding patients when they are informed of a DVPO.

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

Recommendation SCCG-6

Addressed to Sunderland Clinical Commissioning Group

To ensure that enough information is provided to health staff on MARAC templates so that the context of domestic abuse is understood.

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

Recommendation SCCG-7

Addressed to Sunderland Clinical Commissioning Group

To incorporate the learning from this review into the Domestic Abuse Health Advocates Pilot in Primary Care.

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

Recommendation SCCG-8

Addressed to Sunderland Clinical Commissioning Group

To ensure that the high-level information from the review is shared with all Sunderland GPs and Practice staff.

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

Recommendation SCSL-1

Addressed to Sunderland Care and Support Ltd

To raise awareness of domestic abuse within the company and to promote and ensure that support is provided to victims of domestic abuse

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

Recommendation SCSL-2

Addressed to Sunderland Care and Support Ltd

To remind all managers of their responsibilities when a member of staff is reporting an absence and ensure full details are passed to the line manager.

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

Recommendation SCSL-3

Addressed to Sunderland Care and Support Ltd

Ensure managers are skilled and equipped to provide guidance and advice to victims of domestic abuse.

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

Recommendation SCSL-4

Addressed to Sunderland Care and Support Ltd

Ensure domestic abuse is included as part of the company’s safeguarding refresher training for its employees (with specific reference to the company’s own Domestic Abuse Workplace Policy).

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

Recommendation VFN-1

Addressed to VictimsFirst Northumbria

To refresh procedures to ensure Risk Indicator Checklists are completed by Case Coordinators with victims of domestic abuse for all future referrals.

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

Recommendation VFN-2

Addressed to VictimsFirst Northumbria

To ensure perpetrators history is reviewed by the Case Coordinator as part of future domestic abuse referrals.

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

Recommendation VFN-3

Addressed to VictimsFirst Northumbria

To update the Victim Needs Assessment to include a reason/rationale for a victim declining support/referral.

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

Recommendation WWiN-1

Addressed to Wearside Women in Need | Northumbria Police

To explore with Northumbria Police the possibility of future domestic abuse referrals including perpetrator risk indicator measures (to help pre-populate Risk Indicator Checklist and offer greater understanding of a perpetrator’s propensity to violence);

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