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-Trent
Published: April 2023
Year of death: 2015
Extracted: 8 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 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.
Extracted recommendations
| # | Recommendation | Addressed to |
|---|---|---|
| 8.74 | 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. | Stoke-on-Trent City Council |
| 8.75 | 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. | Stoke-on-Trent Responsible Authorities Group |
| 8.76 | 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. | Stoke-on-Trent Responsible Authorities Group |
| NHS England 1 | 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. | NHS England |
| NHS England 2 | 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 | NHS England |
| NHS England 3 | 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. | NHS England |
| NHS England 4 | Advise GP primary care practice meetings to discuss the theme of safeguarding when reflecting on the needs of patients who are a cause of concern. | NHS England |
| SSSHFT 1 | Develop a field for “address for communication” on the Rio (electronic patient record) system. | South Staffordshire and Shropshire Healthcare NHS Foundation Trust |
| Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗ | ||