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: 10 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 highlights a lack of holistic understanding of the victim's complex vulnerabilities (mental health, cancer, child residency fears) and the impact of coercive control on her engagement with services. Missed opportunities to explore reasons for disengagement and share information across agencies were identified.

Extracted recommendations

10 recommendations pulled from the report

#	Recommendation	Addressed to
1	Kent Police must have processes in place to ensure that intelligence received (from any source) about domestic abuse, particularly if it refers to a high-risk victim, is evaluated and disseminated expeditiously to the relevant department to ensure it is acted upon appropriately.	Kent Police
10	Kent and Medway Domestic Abuse and Sexual Violence Group should: ask the housing association to report on the additional training provided to its staff; and consider circulating details to other housing associations in Kent and Medway.	Kent and Medway DASVG
2	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.	Kent County Council
3	Clinical Commissioning Groups should ensure that when it is known to a GP practice that a patient is a victim of domestic abuse, this is clearly highlighted in their notes if they transfer to another practice.	CCGs in Kent and Medway
4	Kent and Medway CCGs should encourage GP practices that have electronic recording systems for patients’ notes with a flagging facility, to use this to flag patients (and where relevant, children and other family members) who are victims of domestic abuse.	CCGs in Kent and Medway
5	Kent and Medway Domestic Abuse and Sexual Violence Group should consider how best to ensure that a high-risk domestic abuse victim’s GP is invited to attend or contribute to a MARAC meeting at which one their patients will be discussed.	Kent and Medway DASVG
6	KMPT must ensure its doctors understand the need to inform its Safeguarding Lead about patients who are at risk of domestic abuse.	KMPT
7	Area A NHS Trust should ensure that initial and refresher training for staff includes emphasis on asking patients about domestic abuse, including coercive control, when completing the Concern and Vulnerability Form.	Area A NHS Trust
8	KCC Integrated Children’s Services should consider inviting housing providers to Initial Child Protection Conferences.	KCC Integrated Children’s Services
9	KCC ICS must ensure that safeguarding training for its staff includes the safeguarding responsibilities of the service beyond its primary role of child protection, including the need to share safeguarding concerns with other relevant organisations	KCC Integrated Children’s Services
Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗