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
Lincoln review
CSP: LincolnPublished: April 2023Year of death: 2014Extracted: 18 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The report highlights inadequate inter-agency information sharing, particularly police PND checks and health visitor handovers, leading to incomplete domestic abuse risk assessments. It also notes insufficient professional curiosity and cultural sensitivity in practitioner responses.
Home Office classifications
35 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - mental ill health
Victim - anxiety
Victim - panic attacks
Victim - serious or life limiting illness
Victim - had been a victim of an abuser before
Victim - immigration involvement
Children - under 18 shared parental responsibility (victim and perpetrator)
Children - under 18 shared parental responsibility (between victims)
Children - under 18 shared parental responsibility (between perpetrators)
Children - living with victim (including adult children)
Children - living with perpetrator (including adult children)
Child - primary address same as victim
Perpetrator - case heard in court
Perpetrator - issued life sentence
Perpetrator - known to agencies as a domestic abuse perpetrator
Perpetrator - known to police 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 friends as a domestic abuse perpetrator
Perpetrator - known to family as a domestic abuse perpetrator
Aggravating factors - separation
Aggravating factors - coercive or controlling behaviour
Aggravating factors - psychological or emotional abuse
Aggravating factors - physical abuse
Aggravating factors - economic abuse
DHR process - police recommendations
DHR process - health services recommendations
DHR process - school recommendations
DHR process - community safety partnership recommendations
DHR process - technology systems recommendation themes
DHR process - training recommendation themes
DHR process - policy recommendation themes
DHR process - record keeping recommendation themes
DHR process - awareness raising recommendation themes
DHR process - other recommendation themes
Extracted recommendations
18 recommendations pulled from the report · 2 matched to organisations in the index
SIOs should be reminded of the need to consider safeguarding policies and procedures during murder investigations and of the resources available to them in the Public Protection Unit Central Referral Unit for advice, guidance and co-ordination with partner agencies.
Lincolnshire Police should take steps to raise the awareness of all officers and staff as to the value of the PND and ensure that policies, procedures and guidelines in respect of its use in DA cases are complied with.
To audit paediatric and A & E records to assess whether information relating to those who are accompanying a child into hospital is adequately recorded.
Lessons learned from this review will be taken forward through the newly formed contract management arrangements and assurance sought that the necessary protocols and controls are in place to ensure that practitioners have the requisite competence and skill to recognise and act upon DA.
Where DA within a family is recognised and entered into the child`s records through Children’s Services e.g. HV SN and maternity services or following a conviction a further entry should be recorded, flagged and linked to the parents records.
The school to provide evidence that it has an effective system in place for allocating cases to the Parent Support Advisor and for monitoring, recording and feeding back to senior management.
Schools will review their Safeguarding Policy in line with the recently amended model policy provided by the Local Authority and taking into consideration the guidance on the new Ofsted inspections.
Ensure all staff inviting both parents to joint meetings understand that where parents are estranged and there is potential for conflict or coercive control that the potential risk of that activity is recognised and merited and careful consideration is given to how such a meeting is managed
Addressed to
Northern Lincolnshire and Goole NHS Foundation Trust Health Visiting Service
The Domestic Abuse Screening Tool now used in Health visiting in NLAG to be expanded to also be used for "movement in contacts" to assist in the early identification of DA.
Addressed to
Northern Lincolnshire and Goole NHS Foundation Trust Health Visiting Service
Health Visiting Managers to remind practitioners to utilise The Interpreting and Translation Services Policy for work with those for whom English is not their first language in accordance with North Lincolnshire and Goole NHS Foundation Trust Policy.
Addressed to
Northern Lincolnshire and Goole NHS Foundation Trust Health Visiting Service
Review the North Lincolnshire and Goole NHS Foundation Trust guidance for the transfer of community health records for children with additional/safeguarding needs.
The Community Safety Partnership through the DA protocol and training to ensure practitioners are aware of the need to consider the effect of cultural differences experienced by those suffering DA to improve service delivery and understanding.
To offer training to Solicitors who work on divorce, custody and contact arrangements where DA is an issue. The purpose of the training would be to improve the awareness that parental separation is a known risk factor which increases risk in DA situations and to challenge the thinking that abusive behaviour can be separated from parenting ability in the assessment of risk.
Consider developing DA help lines in a range of languages for those for whom English is not a first language in order to facilitate the disclosure of DA and enable access to services that aim to support and work towards protection of the victim and family.