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
Northampton review
CSP: NorthamptonPublished: April 2023Year of death: 2015Extracted: 6 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 missed opportunities for mental health admission and robust care planning, poor inter-agency communication, and inconsistent police responses to domestic abuse and mental health incidents. It also notes issues with multi-agency risk assessment and carer support.
Home Office classifications
33 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
Children - living with victim (including adult children)
Children - present at homicide (including adult children)
Child - primary address same as victim
Perpetrator - case heard in court
Perpetrator - alcohol misuse
Perpetrator - substance misuse
Perpetrator - housing issues
Perpetrator - mental ill health
Perpetrator - psychosis
Perpetrator - self harm
Perpetrator - suicidal thoughts
Perpetrator - suicide attempts
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 family as a domestic abuse perpetrator
Perpetrator - supervised by mental health services
Aggravating factors - psychological or emotional abuse
Aggravating factors - physical abuse
DHR process - family contributed to dhr
DHR process - family consulted about terms of reference
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 - multi agency working recommendation themes
DHR process - other recommendation themes
Extracted recommendations
6 recommendations pulled from the report · 1 matched to organisations in the index
Addressed to
Northampton Community Safety Partnership
Northampton Community Safety Partnership to consider requesting the Health agencies currently undertaking the Sustainability Transformation Plan Review, to incorporate the issues regarding information exchange identified in this review.
Northampton Adult Safeguarding Board to consider commissioning a review of multi-agency training for professionals from all statutory and voluntary agencies on the completion of DASH Risk assessment forms to help ensure a standardised approach when dealing with victims of Domestic Abuse. The training should emphasise the importance of considering previous behaviour which may impact on the escalation of risk. The Adult Safeguarding Board should report to the Community Safety Partnership with the outcomes of the training.
Northamptonshire Police to ensure that officers are able to recognise vulnerable people and possibly those with mental instability, especially in domestic abuse related incidents, and are equipped with sufficient training and knowledge to make the necessary and correct referrals to support agencies. This will include the appropriate use of Section 136 Mental Health Act 1983.
NHFT to review the discharge procedure following an admission under Section 2 Mental Health Act, ensuring a more robust system of communication with GPs to avoid delay and therefore potential loss of timely information as well as providing continuity of care provision.
Addressed to
Northampton Adult Social Care | Children’s Social Care
Northampton Adult Social Care and Children’s Social Care review the needs of C and her family in view of the circumstances of this case and provide any appropriate ongoing care and support required
Addressed to
Northampton Community Safety Partnership Board
The Northampton Community Safety Partnership Board ensures that agency recommendations contained within this review are implemented by the dates indicated and that each agency confirm with the Partnership that actions have been completed.