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
Harrow review
CSP: HarrowPublished: 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 missed opportunities in risk assessment, information sharing, and service accessibility by agencies regarding escalating domestic abuse and the perpetrator's alcohol dependence. It highlights challenges in cross-boundary service provision and the need for consistent professional curiosity in such cases.
Home Office classifications
30 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - alcohol misuse
Victim - had been a victim of an abuser before
Perpetrator - case heard in court
Perpetrator - alcohol misuse
Perpetrator - mental ill health
Perpetrator - depression
Perpetrator - self harm
Perpetrator - serious or life limiting illness
Perpetrator - known to agencies as a domestic abuse perpetrator
Perpetrator - known to police 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 workplace (employer) as a domestic abuse perpetrator
Aggravating factors - separation
Aggravating factors - coercive or controlling behaviour
Aggravating factors - physical abuse
DHR process - family contributed to dhr
DHR process - family consulted about terms of reference
DHR process - family supported by expert specialist advocate
DHR process - family received draft report
DHR process - police recommendations
DHR process - social services recommendations
DHR process - health services recommendations
DHR process - community safety partnership recommendations
DHR process - identification of risk recommendation themes
DHR process - training recommendation themes
DHR process - policy recommendation themes
DHR process - multi agency working recommendation themes
DHR process - awareness raising recommendation themes
DHR process - other recommendation themes
Extracted recommendations
8 recommendations pulled from the report · 3 matched to organisations in the index
Addressed to
Harrow Borough Operational Command Unit Senior Leadership Team
Harrow Borough Operational Command Unit Senior Leadership Team (SLT) debrief officers involved to disseminate the lessons learnt regarding: • The completion of CRIMINT reports • DASH • Coercive Control • Conditional Cautions
Harrow Public Health to agree clear guidance in relation to patient choice access issues for the cross boundary provision of local drug and alcohol services
NHS England to ensure clinical staff in GP practices have training in domestic abuse as specified within 2014 NICE guidance hhtps://www.nice.org.uk/guidance/ph50
Addressed to
London North West Healthcare NHS Trust
London North West Healthcare NHS Trust to improve increased capability for community alcohol teams to deliver rapid assessment and treatment for difficult to reach patients who attend hospital in a crisis
Addressed to
London North West Healthcare NHS Trust
London North West Healthcare NHS Trust to lead a review of the pathway between mental health and alcohol presentations in the acute setting and implement improvements
Harrow Safer Communities to review the Harrow Council website and to provide clear pathways to advice on domestic abuse whether themselves subject of abuse or known to be happening to a friend, relative or work colleague, including in languages relevant to the local community
Addressed to
Harrow Local Adult Safeguarding Board
The Harrow Local Adult Safeguarding Board to develop a joint practice guidance for Alcohol Dependence Syndrome in domestic abuse cases that ensures consistency of: • Risk assessment; • Information sharing; and • Professional curiosity With further consideration for learning nationally