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 Hamlets
Published: April 2023
Year of death: 2015
Extracted: 4 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
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.
Extracted recommendations
| # | Recommendation | Addressed to |
|---|---|---|
| 154 | 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. | Local General Practice |
| 155 | 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? | NHS |
| 156 | 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 | London Healthcare NHS Trust |
| 158 | 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. | NHS England |
| Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗ | ||