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
Leeds review
CSP: Leeds
Published: April 2023
Extracted: 2 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 review identified a lack of apparent domestic abuse history or significant agency involvement prior to the victim's death, yet several MARAC risk factors were present. This led to recommendations for GP practices to enhance understanding and identification of domestic abuse, including controlling behaviour, and to review related policies and training.
Extracted recommendations
| # | Recommendation | Addressed to |
|---|---|---|
| 1 | Surgery 1 to assess and respond to identified training and resource needs for GPs and practice staff, relating to domestic violence and abuse Surgery 1 to adopt a practice specific protocol for domestic violence and abuse - to include a checklist of relevant interventions to offer, and current role and contact information for external specialist support agencies - practice response to disclosure of domestic abuse and understanding of the referral route and role of GPs in MARAC Surgery 1 to ensure practitioners are aware of potential risks and links between misuse of alcohol and domestic abuse - Information relating to external sources of support for those people misusing alcohol should be available to practitioners to make informed referrals, and accessible in public areas for patients Practice booklet, newsletter and public areas in Surgery 1 to reflect practice responses to disclosures of domestic violence and abuse; and highlight internal and external support available Measure The practice should review their compliance with Safe Lives/IRIS (Early Intervention in Psychosis) and NICE (National Institute for Health and Care Excellence) Guidance (2014) for general practices and submit a short report to NHSE on these findings and an action plan for service improvements to be made. | Surgery 1 |
| 2 | Safeguarding lead in Surgery 1 to review the significant event process to ensure all significant events are reviewed. This will include unexpected death or serious injury of a patient, or where wider learning and improvements to safeguarding practice can be obtained to ensure multi-disciplinary discussions of the learning identified in the IMR are undertaken, and learning is effectively disseminated to all practice staff Measure Surgery 1 has relevant protocols and pathways for domestic violence and abuse which identifies the process for undertaking a significant event review, and practice responses to any identified safeguarding risk or risk of serious harm Systems are in place to effectively disseminate learning from significant event reviews to practice staff and to monitor identified actions Whilst Alison did not present as an adult at risk, the panel thought that practice staff need to be conversant with the domestic abuse resources and material available from www.leedsdomesticviolenceandabuse.co.uk; which include the West Yorkshire Adult policy and procedure, practice guidance and joint working protocols. Other useful sites for local information are the following and these again should be sites with which the staff should ensure they are familiar:- Women as Victims • http://www.lhp.leedsth.nhs.uk/referral_info/detail.aspx?ID=186 Men as Victims • http://www.lhp.leedsth.nhs.uk/referral_info/detail.aspx?ID=185 Guidance for GPs • http://www.rcgp.org.uk/clinical-and-research/clinical-resources/domestic-violence.aspx | Surgery 1 |
| Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗ | ||