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: Harrow
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 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.
Extracted recommendations
| # | Recommendation | Addressed to |
|---|---|---|
| 1 | 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 Borough Operational Command Unit Senior Leadership Team |
| 2 | Harrow CCG to ensure better communication of cross boundary mental health provision and individual funding request | Harrow CCG |
| 3 | 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 | Harrow Public Health |
| 4 | 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 | NHS England |
| 5 | 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 | London North West Healthcare NHS Trust |
| 6 | 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 | London North West Healthcare NHS Trust |
| 7 | 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 | Harrow Safer Communities |
| 8 | 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 | Harrow Local Adult Safeguarding Board |
| Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗ | ||