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: Stevenage Published: April 2023 Year of death: 2012 Extracted: 14 recs

Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.

Original review (PDF) ↗ Source: Home Office DHR Library

Summary AI-generated

Verify against the full report at the source link
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

Recommendation 7.2a

Addressed to Stevenage Community Safety Partnership

have a robust process for identifying domestic abuse, which includes clarity about when DASH should be used and by which agencies

Verified wording from the published review · Original review (PDF) ↗

Recommendation 7.2b

Addressed to Stevenage Community Safety Partnership

have information about services available to victims, which is brought together in a leaflet

Verified wording from the published review · Original review (PDF) ↗

Recommendation 7.2c

Addressed to Stevenage Community Safety Partnership

provide staff with clear pathways for referring victims on to the appropriate services

Verified wording from the published review · Original review (PDF) ↗

Recommendation 7.3

Addressed to Herts Women’s Centre

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.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 7.4

Addressed to Hertfordshire Constabulary

Hertfordshire Constabulary should re-enforce with staff, current procedures in respect of recording Domestic Violence crime and non-crime cases, and completing risk assessments.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 7.5

Addressed to Hertfordshire Constabulary | Herts Women’s Centre

Hertfordshire Constabulary and the Women’s Centre should establish the improved reporting system for victims, which is in the process of development.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 7.6

Addressed to Hertfordshire Community NHS Trust

Hertfordshire Community NHS Trust should ensure health visitors carry out screening for domestic abuse in line with their existing best practice guidance.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 7.7

Addressed to Hertfordshire and South Midlands Area Team, NHS England

Hertfordshire and South Midlands Area Team, NHS England should ensure that GP services adopt the Department of Health Guidance on Domestic abuse.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 7.8

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.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 7.9

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.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 7.10

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.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 7.11

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.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 7.12

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.

Verified wording from the published review · Original review (PDF) ↗