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
Tower Hamlets review
CSP: Tower HamletsPublished: April 2023Year of death: 2015Extracted: 4 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
Key concerns include missed opportunities for early diagnosis and intervention for the perpetrator's paranoid schizophrenia due to a lack of information sharing and integrated assessment between his General Practice and his employer's Occupational Health services.
Home Office classifications
21 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - mental ill health
Victim - cognitive disorder (dementia or alzheimer's disease)
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 - mental ill health
Perpetrator - anxiety
Perpetrator - depression
Perpetrator - panic attacks
Perpetrator - psychosis
DHR process - family contributed to dhr
DHR process - family consulted about terms of reference
DHR process - family received draft report
DHR process - family attended dhr panel
DHR process - health services recommendations
DHR process - employer recommendations
DHR process - policy recommendation themes
DHR process - record keeping recommendation themes
DHR process - other recommendation themes
Extracted recommendations
4 recommendations pulled from the report · 2 matched to organisations in the index
The internal learning identified from the local General Practice IMR is to consider using words like ‘paranoid’ only in the paranoid delusional sense and remember to record suicidality if the patient is depressed. Record presence/absence of thought disorder and hallucinations if recording paranoid ideation and review taking a forensic history. This recommendation has been implemented by the Practice.
For wider consideration: in an organisation like the NHS, does the occupational health physician have responsibility to share information for the safety of patients and staff?
The internal learning from the Healthcare Trust IMR questions whether delays in the OH service appear to have been related to the limited resources available to manage cases promptly. The Trust commissioned a strategic review of OH services which has recently been completed (November 2017). The Trust needs to consider the implementation of recommendations from this report. Managers need to ensure that conduct issues and staff grievances are dealt with promptly and effectively
That NHS England study the Domestic Homicide Review overview report into the death of the victim in Tower Hamlets in August 2015 to identify a policy and protocol for the sharing of information between NHS Occupational Health physicians and Primary Care Practices for the safety of patients and staff.