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: 4 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 insufficient proactive support and mental health assessment for the perpetrator as a carer, despite escalating distress and threats. There were missed opportunities for multi-agency coordination, comprehensive risk assessment, and clear communication regarding the victim's care and the perpetrator's Power of Attorney.

Home Office classifications

16 tags

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

  • Victim - mental ill health
  • Victim - cognitive disorder (dementia or alzheimer's disease)
  • Perpetrator - case heard in court
  • Perpetrator - was a carer
  • Perpetrator - carer for victim
  • Perpetrator - mental ill health
  • Perpetrator - depression
  • Perpetrator - suicidal thoughts
  • DHR process - family contributed to dhr
  • DHR process - family supported by expert specialist advocate
  • DHR process - family received draft report
  • DHR process - health services recommendations
  • DHR process - identification of risk recommendation themes
  • DHR process - training recommendation themes
  • DHR process - record keeping recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

4 recommendations pulled from the report · 3 matched to organisations in the index

Recommendation 1

Addressed to Kent and Medway CCG

That someone diagnosed with dementia should be offered a one-to-one discussion shortly after diagnosis so that their hopes, wishes, fears concerns can be recorded in an assessment that can be referred to throughout the duration of their illness. This can be updated as circumstances change.

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

Recommendation 2

Addressed to KCC Adult Social Care and Health

That provision is made for carers to be spoken to on their own about how they are managing/coping. This should be a structured conversation where a realistic assessment of capability is made according to the pressures that the individual carer is subject to and should be offered a carers assessment. Any decision to complete the carers assessment or not should be accurately recorded. The agency most familiar with the carer should offer the session. The suggestion should always be made to a carer that they could work with an advocate if that would be helpful to them.

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

Recommendation 3

Addressed to Kent and Medway CCG | KCC Adult Social Care and Health

That a lead agency be identified in complex cases and an appropriate person from that agency will hold a leadership role in managing a case.

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

Recommendation 4

Addressed to Kent and Medway CCG | KCC Adult Social Care and Health

That a professional working with a carer sees a copy of the POA and communicates the contents to others working with a person/family. It follows that there should be a good understanding of POA and agencies may need to deliver training to ensure that their staff/contractors have a clear understanding of POA. This understanding should also cover the circumstances in which a POA may need to be reviewed/revoked.

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