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

New Forest review

CSP: New Forest Published: April 2023 Year of death: 2013 Extracted: 21 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 a lack of consistent identification and understanding of domestic abuse, particularly between the victim and the perpetrator, and inadequate multi-agency coordination for complex cases. Deficiencies in police risk assessment, insufficient specialist support services, and gaps in staff training were also highlighted.

Home Office classifications

17 tags

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

  • Victim - alcohol misuse
  • Victim - had been a victim of an abuser before
  • Children - under 18 shared parental responsibility (between perpetrators)
  • Children - subject to child protection or domestic abuse prior to homicide
  • Perpetrator - case heard in court
  • Perpetrator - issued life sentence
  • Perpetrator - alcohol misuse
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Aggravating factors - coercive or controlling behaviour
  • DHR process - police recommendations
  • DHR process - health services recommendations
  • DHR process - probation services recommendations
  • DHR process - identification of risk recommendation themes
  • DHR process - training recommendation themes
  • DHR process - policy recommendation themes
  • DHR process - multi agency working recommendation themes

Extracted recommendations

21 recommendations pulled from the report · 12 matched to organisations in the index

Recommendation 1

Addressed to West Hampshire CCG

Implement the NICE guidance on domestic violence and abuse, understanding that the ethos of the guidance is based on effective multi-agency working.

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

Recommendation 2

Addressed to West Hampshire CCG

Review training for health care professionals on domestic abuse to ensure it is available to all staff and includes dynamics, how to undertake targeted screening for domestic abuse and the need for a pro-active responses.

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

Recommendation 3

Addressed to NHS England

NHS England commissioners support primary care providers and staff to respond to domestic violence and abuse by considering adoption of Recommendation 16 of NICE Guidance by commissioning the IRIS project.

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

Recommendation 4

Addressed to West Hampshire CCG

Local health commissioners support secondary care providers to respond to domestic violence and abuse specifically by ensuring that staff undertake targeted or routine enquiry.

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

Recommendation 5

Addressed to Hampshire Constabulary

Hampshire Constabulary to consider reviewing the MARAC procedures with regards to the completion and review of risk reduction plans and to ensure that they meet local needs and exceed Safelives (CAADA) operational standards.

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

Recommendation 6

Addressed to Hampshire Constabulary

Hampshire Constabulary to consider reviewing level of risk assessment training, its frequency and compliance. For instance, Hampshire Constabulary may want to consider using this case as a specific learning workshop case study.

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

Recommendation 7

Addressed to Hampshire Constabulary

Hampshire Constabulary to consider reviewing the Central Referral Unit – Manual of Guidance (Version 6). For instance, the requirement for 6 or more incidents within the last 3 months (including a crime) may be amended.

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

Recommendation 8

Addressed to Hampshire Constabulary

Hampshire Constabulary to consider reviewing training and quality of supervision from Sergeant and Inspector ranks in relation to reports of domestic abuse and in particular to conduct a dip sampling of cases with multiple police callouts.

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

Recommendation 9

Addressed to Hampshire Constabulary

Hampshire Constabulary to consider incorporating Domestic Abuse referrals into the Multi Agency Safeguarding Hub (MASH) to protect the most vulnerable victims of domestic abuse and implement and action more action related to repeat crimes.

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

Recommendation 10

Addressed to Hampshire County Council Children’s and Adults Services Departments

Review training for social workers to ensure there is a high level of understanding of domestic abuse and risk factor and to increase skills to engage with perpetrators of domestic abuse.

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

Recommendation 11

Addressed to Hampshire Safeguarding Unit | Hampshire Police

Hampshire Safeguarding Unit should review in conjunction with Hampshire Police, the interface, functioning and desired outcomes/purpose of a MARAC plan which runs in tandem alongside that of a Child Protection Plan.

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

Recommendation 12

Addressed to New Forest District Council

To nominate a single point of contact within New Forest District Council for staff to refer any suspected cases of domestic abuse to and ensure all staff are trained on this procedure.

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

Recommendation 14

Addressed to New Forest District Council

To provide training to New Forest District Council employees on the issue of domestic abuse and to prioritise this training for council employees who interact with members of the public and in particular Housing.

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

Recommendation 15

Addressed to New Forest District Council

To include a procedure within the New Forest District Council employee handbook detailing what help is available to members of staff suffering from domestic abuse and also to include what other members of staff should do if they suspect any of their work colleagues are experiencing domestic abuse.

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

Recommendation 16

Addressed to Hampshire Probation Trust

Hampshire Probation Trust programme staff to review the TSP post programme report form to more clearly highlight new risks to NOMs nationally.

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

Recommendation 17

Addressed to Hampshire Probation Trust | Police

To conduct a task and finish group with the Police to ensure the sharing of call out information with probation and to review and amend protocols accordingly.

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

Recommendation 18

Addressed to Hampshire Public Health

A review should be undertaken of alcohol support provision in the New Forest to see if the needs of binge drinkers can be more effectively treated.

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

Recommendation 19

Addressed to New Forest MARAC partners

All statutory and non-statutory partners involved in the New Forest MARAC and who sit on the MARAC Steering Committee to hold regular meetings which include robust conversation about the current challenges of MARAC and to devise an action plan related to New Forest MARAC which will ensure the MARAC in New Forest think creatively about how to address safety issues and to build confidence in the survivor to engage with services. This may be a function of the local domestic abuse forum. This meeting should report to both the County wide MARAC Management Group as well as the Safer New Forest Partnership.

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

Recommendation 20

Addressed to All statutory and non-statutory partners

In order to ensure that staff benefit from sharing lessons learned from this review, these findings should be used as case examples and briefings within already established safeguarding and domestic abuse related training programmes.

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

Recommendation 21

Addressed to Home Office Quality Assurance Group

Home Office Quality Assurance Group to consider issuing guidance to GPs outlining their duties to engage with the Domestic Homicide Review process.

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