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
Stoke-on-Trent review
CSP: Stoke-on-TrentPublished: April 2023Year of death: 2015Extracted: 8 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 systemic failures in multi-agency safeguarding responses, including inadequate professional oversight in Adult Social Care, poor inter-agency communication, and a lack of awareness regarding the perpetrator's deteriorating mental health and its impact on the victim, particularly in the context of Folie imposée.
Home Office classifications
35 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - suicidal thoughts
Victim - serious or life limiting illness
Victim - had been a victim of an abuser before
Children - living with victim (including adult children)
Children - living with perpetrator (including adult children)
Children - present at homicide (including adult children)
Child - primary address same as victim
Perpetrator - case heard in court
Perpetrator - was a carer
Perpetrator - carer for victim
Perpetrator - mental ill health
Perpetrator - anxiety
Perpetrator - depression
Perpetrator - panic attacks
Perpetrator - psychosis
Perpetrator - suicidal thoughts
Perpetrator - known to agencies as a domestic abuse perpetrator
Perpetrator - known to social services as a domestic abuse perpetrator
Perpetrator - known to health services as a domestic abuse perpetrator
Perpetrator - known to others as a domestic abuse perpetrator
Perpetrator - known to family as a domestic abuse perpetrator
Perpetrator - supervised by mental health services
Aggravating factors - coercive or controlling behaviour
Aggravating factors - physical abuse
Aggravating factors - economic abuse
DHR process - family contributed to dhr
DHR process - family received draft report
DHR process - social services recommendations
DHR process - health services recommendations
DHR process - technology systems recommendation themes
DHR process - identification of risk recommendation themes
DHR process - training recommendation themes
DHR process - multi agency working recommendation themes
DHR process - record keeping recommendation themes
DHR process - awareness raising recommendation themes
Extracted recommendations
8 recommendations pulled from the report · 6 matched to organisations in the index
That Stoke-on-Trent City Council review and monitor the effectiveness of their arrangements for professional oversight of the Adult Social Care access point and for referrers wishing to discuss their concerns with a Social Worker to be afforded that opportunity.
Addressed to
Stoke-on-Trent Responsible Authorities Group
That the Stoke-on-Trent Responsible Authorities Group includes within the dissemination of learning from this Review a strand which promotes health professional awareness of Folie imposée and its safeguarding implications.
Addressed to
Stoke-on-Trent Responsible Authorities Group
That the Stoke-on-Trent responsible Authorities Group refer carer strain in older people to the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness as a suggested topic for examination within their research programme.
All correspondence from GPs when requested to be sent by fax to Adult Social Care/Safeguarding be scanned into records and confirmation received by Social services.
Advise the GP surgery to review the criteria used to determine when to make a Safeguarding referral when there are concerns about a patient whose health and or vulnerability is impacting upon another vulnerable person with care and support needs
Advise that Safeguarding Training undertaken in primary care includes information on how a vulnerable adult looking after another vulnerable adult has the potential to increase risks and need for care and support.