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
Stevenage review
CSP: StevenagePublished: April 2023Year of death: 2012Extracted: 14 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
Agencies failed to consistently identify domestic abuse, use risk assessment tools, and share information effectively, leading to missed opportunities for safeguarding the victim and her child.
Home Office classifications
50 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - alcohol misuse
Victim - substance misuse
Victim - housing issues
Victim - pregnancy
Victim - mental ill health
Victim - anxiety
Victim - depression
Victim - panic attacks
Victim - self harm
Victim - suicidal thoughts
Victim - suicide attempts
Victim - had been a victim of an abuser before
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 - present at homicide (including adult children)
Children - subject to child protection or domestic abuse prior to homicide
Child - primary address same as victim
Perpetrator - case heard in court
Perpetrator - issued life sentence
Perpetrator - substance misuse
Perpetrator - housing issues
Perpetrator - physical disability
Perpetrator - known to agencies as a domestic abuse perpetrator
Perpetrator - known to police as a domestic abuse perpetrator
Perpetrator - known to social services as a domestic abuse perpetrator
Perpetrator - known to health services as a domestic abuse perpetrator
Perpetrator - known to mental health services as a domestic abuse perpetrator
Perpetrator - known to idva or other domestic abuse support service as a domestic abuse perpetrator
Perpetrator - known to housing services as a domestic abuse perpetrator
Perpetrator - known to others 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 - family contributed to dhr
DHR process - family received draft report
DHR process - police recommendations
DHR process - health services recommendations
DHR process - idva or other domestic abuse support service recommendations
DHR process - housing services 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 - record keeping recommendation themes
DHR process - awareness raising recommendation themes
Extracted recommendations
14 recommendations pulled from the report · 4 matched to organisations in the index
Herts Women’s Centre should review their procedures to ensure that they use DASH as a means of assessing and providing clear pathways for assistance to victims of domestic abuse.
Hertfordshire Constabulary should re-enforce with staff, current procedures in respect of recording Domestic Violence crime and non-crime cases, and completing risk assessments.
Hertfordshire Community NHS Trust should ensure health visitors carry out screening for domestic abuse in line with their existing best practice guidance.
Addressed to
Hertfordshire and South Midlands Area Team, NHS England
Hertfordshire and South Midlands Area Team, NHS England should ensure that GP records contain sufficient detail for the purpose of completing adequate individual management reviews.
Addressed to
Hertfordshire County Council Children’s Services
Hertfordshire County Council Children’s Services should examine their practice in this case and ensure that policies and procedures on safeguarding and domestic abuse are followed.
Addressed to
Hertfordshire Domestic Violence Strategic Programme Board
Hertfordshire Domestic Violence Strategic Programme Board should establish an information sharing protocol in cases of domestic abuse to include agencies and voluntary organisations involved in this review. The protocol should include the role and purpose and timing of referrals to MARAC and IDVA’s.
Addressed to
Hertfordshire Domestic Violence Strategic Programme Board
Hertfordshire Domestic Violence Strategic Programme Board should ensure that the MARAC is promoted amongst staff and managers of the agencies which are most likely to encounter victims of domestic abuse.
Addressed to
Hertfordshire Domestic Violence Strategic Programme Board
Hertfordshire Domestic Violence Strategic Programme Board should facilitate learning events to ensure the findings of this review are disseminated within agencies.