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

Sandwell review

CSP: Sandwell Published: April 2023 Extracted: 11 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 highlights missed opportunities by agencies to identify risks related to the perpetrator's alcohol misuse and controlling behaviour, coordinate support for the child, and address communication barriers for the victim.

Extracted recommendations

11 recommendations pulled from the report

#	Recommendation	Addressed to
1	Sandwell Safeguarding Children Board provides assurance that the Lead Professional role (as outlined in Working Together 2015) is understood by all local partner organisations and embedded in practice.	Sandwell Safeguarding Children Board
1	To review a referral form against good practice exemplars from other similar providers and propose amendments	Black Country Partnership NHS Foundation Trust
1	Safeguarding Training to be provided for clinicians in primary care settings on how to approach difficult topics with patients to include the toxic trio, the impact of alcohol misuse on parenting capacity and the signs, symptoms and behaviours children may display when living in a household where there is domestic abuse, and Record Keeping.	Sandwell and West Birmingham Clinical Commissioning Group
2	By September 2017, Safer Sandwell Partnership Board will ensure that work to address domestic abuse, alcohol issues and work with Polish and other Eastern European communities and families is better integrated across the Board’s sub groups and in the delivery plans of key partners, so that we better engage them in preventing and reducing domestic abuse, and in alcohol misuse prevention, treatment and support programmes. We will set specific outcomes and actions to achieve effective support for Polish and Eastern European domestic abuse victims and their families.	Safer Sandwell Partnership Board
2	Propose that the Tier 2 provider routinely checks ECAF upon receipt of particular referrals to ensure Early Help contacts and risks are collated	Black Country Partnership NHS Foundation Trust
2	A safeguarding advice and support pathway for primary care to be developed and disseminated to GP practices in Sandwell and West Birmingham.	Sandwell and West Birmingham Clinical Commissioning Group
3	The Safer Sandwell Partnership to contact key organisations involved with this DHR and the Domestic Abuse Strategic Partnership partners and remind them of the learning from both DHRs regarding the use of interpreters; the importance of the appropriate use of interpreters and asking for assurance (with evidence) that interpreters are being appropriately used.	Safer Sandwell Partnership
3	Review of a specific policy DNA /standard operating procedure against good practice exemplars from other similar providers and update as necessary	Black Country Partnership NHS Foundation Trust
3	GP practices in Sandwell and West Birmingham will be advised that best practice indicates the use of interpreting services (face to face or language line) during health consultations with clients whose first language is not English, and that domestic abuse resources in alternative languages will be displayed in all GP practices.	Sandwell and West Birmingham Clinical Commissioning Group
4	A ‘new to practice’ patient protocol is developed by the GP safeguarding forum for use by practices in Sandwell and West Birmingham.	Sandwell and West Birmingham Clinical Commissioning Group
5	Every practice should have a DNA to include ‘Was Not Brought’ (for children) policy that contains guidance on record keeping.	Sandwell and West Birmingham Clinical Commissioning Group
Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗