Brent review

That the Ministry of Defence identifies a role within the organisation that would act as single point of contact for future DHRs and that this role is sufficiently briefed about the importance of DHRs.

That SWBCU Senior Leadership Team remind officers that they are to complete the required five-year intelligence checks for Domestic Abuse incidents. This should include mandatory searches of databases including PNC, CRIS, MERLIN and CRIMINT ensuring that the intelligence check results are recorded on the CRIS report.

That SWBCU Senior Leadership Team monitor compliance of completed intelligence checks by dip sampling DA flagged CRIS reports.

That the Department of Health continues to remind primary care providers of the requirement to co-operate with Domestic Homicide Reviews.

That the CCG raises awareness of the process of engaging primary care in the learning from this review to ensure that each practice can consider the implications and actions to promote ongoing professional development in this area.

That formal consideration of risk should take place, not only at the initial assessment but at any review of treatment and at the end of treatment. This would ensure clear documentation of the risk assessment process.

That if people are referred from a source other than a GP, then there should be an automatic request to the GP for background information. Information from other sources will be requested depending on individual circumstances.

That the Trust should explore whether trainee psychologist entries in electronic clinical records should be validated by their supervisor and the technological feasibility of doing this.

That all Talk Wandsworth clinicians are reminded of the NHS England guideline and the commitment of the service to prioritise war veterans for treatment at Steps 2 and 3 thereby ensuring minimal waiting times for clients in this group.

That when veterans or other clients report at the telephone triage or any point during treatment that they have recently stopped or changed their medication, the resulting changes in symptomatology (eg re-emergence of sleep patterns) should be explored and reviewed with the client and their GP should be made aware via a telephone call or letter. In instances when a client reports a significant re-emergence of depression and anxiety symptoms following the discontinuation of or changes to their medication regime, a referral to a secondary care psychiatrist for a medication review should be considered and discussed with the GP.

That Brent Community Safety Partnership reviews its engagement with faith groups in the area and identifies where relationships could be strengthened.

That Brent Community Safety Partnership works with the Clinical Commissioning Group to ensure that there is clarity about the engagement of primary care with Domestic Homicide Reviews.