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: KentPublished: December 2022Year of death: 2017Extracted: 4 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The review identified missed opportunities for carer's assessments under the Care Act 2014, a lack of comprehensive patient information available to out-of-hours medical services, and a failure by police to display professional curiosity and avoid cognitive bias in the initial assessment of the victim's death.
Home Office classifications
19 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - mental ill health
Victim - suicide attempts
Victim - serious or life limiting illness
Perpetrator - was a carer
Perpetrator - carer for victim
Perpetrator - mental ill health
Perpetrator - anxiety
Perpetrator - depression
Perpetrator - suicidal thoughts
Perpetrator - suicide attempts
Perpetrator - supervised by mental health services
Perpetrator - died by suicide
DHR process - family contributed to dhr
DHR process - family received draft report
DHR process - police recommendations
DHR process - health services recommendations
DHR process - technology systems recommendation themes
DHR process - training recommendation themes
DHR process - awareness raising recommendation themes
Extracted recommendations
4 recommendations pulled from the report · 1 matched to organisations in the index
Addressed to
Kent Community Safety Partnership | NHS Clinical Commissioning Group
Ensure staff awareness of the impact of being a carer and when the need for a carer’s assessment is required. (Kent & Medway Safeguarding Adults Board (KMSAB), GPs and Local Hospice.)
To ensure that awareness training around cognitive bias is provided to all Police Officers who attend sudden or suspicious deaths, highlighting the findings of the report “a study into decision making at the initial scene of unexpected death”.