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

Monmouthshire review

CSP: Monmouthshire Published: April 2023 Year of death: 2015 Extracted: 12 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 failure by professionals to recognise coercive and controlling behaviour as a significant risk factor, alongside insufficient multi-agency information sharing regarding the perpetrator's history of violence and mental health issues. It also highlighted the increased danger to the victim when attempting to leave the relationship.

Extracted recommendations

12 recommendations pulled from the report

#	Recommendation	Addressed to
10	All hospitals, clinics, health centres and GP surgeries in Gwent be provided with public information material offering signposting and information regarding domestic abuse including coercive and controlling behaviour.	hospitals \| clinics \| health centres \| GP surgeries in Gwent
11	When family members, friends or other personally interested parties appear at the scene of a homicide, a Duty Supervisor is always appointed to support them, act as an information conduit and explain crime scene procedure. They also ensure that other close relatives are promptly informed either by themselves or by other officers.	Gwent Police
6	All Community Safety Partnerships, police and other agencies have clear, lean protocols to enable Domestic Homicide Reviews to commence as quickly as possible after death.	Community Safety Partnerships \| police \| other agencies
7	A briefing note to be compiled to raise awareness of coercive and controlling behaviour and to be signposted to Gwent GPs.	Gwent GPs
8	All practising solicitors in Gwent dealing with marital and family issues to be signposted to information to highlight the dangers are trained to understand the dangers that may be faced by a woman leaving an abusive relationship.	practising solicitors in Gwent
9 (a)	Initial interviewing of suspected victims of domestic abuse, whether violence or coercive and controlling behaviour always takes place out of sight and hearing of the suspected perpetrator.	Gwent Police
9 (b)	Intervention visits e.g. by Gwent Police Domestic Abuse Officers or by National Probation Service officers take place in a neutral location, well away from the suspected and/or convicted perpetrator. Such visits are always made after Community Orders finish and following incidents where police have attended.	Gwent Police \| National Probation Service
ABUHB 1	In line with the National Training Framework (NTF), ABUHB ensure Ask and Act training is implemented across own organisation	Aneurin Bevan University Health Board
ABUHB 2	ABUHB ensure Ask and Act training focused initially on targeting Primary Care Services, specifically GPs.	Aneurin Bevan University Health Board
ABUHB 3	Domestic Abuse included within the planned Continuous Professional Development (CPD) sessions for GPs on Safeguarding.	Aneurin Bevan University Health Board
ABUHB 4	The WARRN (Wales Applied Risk Research Network) training package is reviewed to include the importance of completing the WARRN as soon as possible during the assessment process for all people accessing a Community Mental Health Team (CMHT).	Aneurin Bevan University Health Board
ABUHB 5	An alert is sent to Community Mental Health Teams (CMHTs) teams reminding them of the importance of completing an agreed risk assessment at initial assessment for all people accessing a CMHT, and a documented risk assessment is completed for all people accessing Primary Care Mental Health Support Services (PCMHSS).	Aneurin Bevan University Health Board
Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗