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

Hartlepool review

CSP: Hartlepool Published: December 2022 Year of death: 2018 Extracted: 20 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 report identifies missed opportunities by agencies to recognise and respond to the victim's domestic abuse and coercive control. Key concerns include inadequate multi-agency information sharing, a lack of understanding of risk assessment processes like the Potentially Dangerous Person (PDP) framework, and the victim's fear of child removal as a barrier to disclosure.

Extracted recommendations

20 recommendations pulled from the report

#	Recommendation	Addressed to
1	Cleveland Police review their domestic abuse training for officers and staff to satisfy themselves and the Safer Hartlepool Partnership that it effectively encompasses and addresses the hidden signs of domestic abuse.	Cleveland Police
10	TEWV to review their risk assessment arrangements to ensure it captures new information and intelligence.	TEWV
11	NHS England (North) share the MHHR report when finalised with the Safer Hartlepool Partnership to ensure co-ordination between relevant recommendations.	NHS England (North)
12	The Safer Hartlepool Partnership to seek assurance that the 11 recommendations from the Cleveland Police internal review are implemented.	Safer Hartlepool Partnership
13	Cleveland Police should engage with partner agencies, particularly the National Probation Service, in reviewing multi-agency knowledge and where appropriate involvement in the identification and management of a PDP.	Cleveland Police
14	Once the above has been achieved all agencies to ensure that their staff are aware of the PDP policy and process.	All relevant agencies
15	All agencies to review their policy on encouraging professional challenge and ensure staff are confident to do so including encouraging and listening to challenge from third sector organisations.	All relevant agencies
16	The Safer Hartlepool Partnership to review the effectiveness of Prevent training and that multi-agency staff recognise when and how to make a referral.	Safer Hartlepool Partnership
17	All agencies to ensure that staff recognise the increased vulnerability of carers who have a child(ren) taken into a care and how they may not seek help or disclose risks to themselves when in the process of seeking to get the child(ren) back.	All relevant agencies
18	As above but for carers worried about having a child(ren) taken into care.	All relevant agencies
19	The Safer Hartlepool Partnership to share this DHR report with the Commission on Domestic & Sexual Violence and Multiple Disadvantage.	Safer Hartlepool Partnership
2	Cleveland Police ensure that the decision-making rationale for prioritisation of investigations is clearly recorded.	Cleveland Police
3	Cleveland Police review the governance and oversight of investigations with regard to timeliness and ensuring all available evidence is captured.	Cleveland Police
4	TEWV to ensure all frontline staff attend Domestic Abuse training focussing on staff always considering potential vulnerabilities of other members of the household when undertaking assessments of a patient’s mental health and associated risks encouraging the adoption of a think family approach..	TEWV
5	TEWV to provide guidance to staff when working with the perpetrator of domestic violence and including this within the Domestic Abuse policy.	TEWV
6	TEWV to ensure effective supervision processes are in place so that when a carers assessment is offered that it is completed.	TEWV
7	When there is multi-agency involvement in a patient’s case, TEWV to ensure open channels of communication should be maintained with all agencies involved.	TEWV
8	When there is multi-agency involvement in a patient’s case, TEWV to ensure any alerts pertaining to potential risks should be shared across all agencies.	TEWV
9	All safeguarding concerns should be recorded in line with TEWV processes, policies and procedures.	TEWV
National Recommendat	The Home Office to consider placing the guidance for the identification and management of PDP’s on a statutory footing to mirror MAPPA to prevent differing practices across England and Wales	Home Office
Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗