Chiltern review

Parenting assessments on adults resulting in significant findings should be recorded and accessible when relevant.

To include men as victims of domestic abuse in the content of the organisation’s domestic abuse training.

Update the Domestic Abuse Policy to reflect current legislation and guidance.

To raise awareness of the Emergency Department domestic abuse flowchart.

To complete a Trust Domestic Violence Training needs analysis

Develop a Trust Domestic Violence training strategy identifying specific levels of training required for identified staff groups/ clinical areas.

L&Q Housing to maintain awareness of cases and contribute to MARAC where appropriate.

Any agency can arrange a professionals’ meeting when there is a need for a collaborative response.

Department of Health to consider a central database for hospitals to access accurate and timely information about treatments and medications a patient has received when attending either their GP or another hospital.

To undertake a review of information and advice available to men about Domestic Abuse locally and nationally.

Thames Valley Police to review the TVP Safeguarding Policy which is currently dated 15/10/2009.

SCAS to review the Service guidance on requesting Police attendance for 999 calls where there is a concern about safety of staff or violence is possible.

Individual agencies are responsible for submitting MARAC referrals regardless of whether other agencies have referred.

To review guidance for risk assessment information for Information Research Bureau (IRB) staff.

Services which deal with clients who have complex needs are signposted towards the e-learning package for Complicated Matters – Domestic and Sexual Violence, Problematic Substance Misuse and Mental Ill-Health.

Review and improve the process of information sharing between CMHT (Community Mental Health Team) and inpatient services.

GP practices which receive correspondence about patients who are not registered with them should contact the sender to advise them of this.

To ensure follow up letters to GP practices are sent and recorded.

BCC Children’s Services undertakes a review of the processes for recording and indexing information received and of referrals made, to ensure that key information is recorded and acted on appropriately.

Review Chaperoning Policy to ensure that all domestic abuse victims, regardless of gender, have an opportunity to have a private consultation.

SCAS to implement a process to engage with MARAC.

Ensure that all SCAS staff are trained to a level commensurate with their role in Adult Safeguarding.

To provide assurance that the new Electronic Patient Records system is being followed appropriately.

SCAS to review the provision of mental health expertise within the Emergency Call Centre

Provision of domestic abuse and MARAC training to all SMART teams.

Training on risk assessment delivered to all SMART staff within the local team meeting schedule.

All SMART staff to be aware of the local domestic abuse champions/ leads within their service and referral pathways where there are concerns or disclosure.

Develop Information Sharing and recording processes from MARAC meetings involving service users.

SMART & STARS to develop integrated working practices over recording and sharing information about MARAC cases.

A review of record keeping practices should be undertaken across the organisation to ensure consistent quality of case notes and record storage. This is to be initially undertaken via local case notes file audits

Targeted and proactive outreach work should be employed with service users identified as having multiple and complex needs.

Audit and improvement plan to be carried out to ensure all reviews are carried out in line with agreed pathways of care.

All staff to complete child protection training commensurate with their role.

Team leaders attending MARAC to record the MARAC discussions in the client record on ILLY and feedback information from keyworkers.

Inclusion services to develop processes to inform the client’s GP of involvement with services.

Thames Valley Police to review its capacity to manage high risk domestic abuse victims. This should look at the recent increase in victims being assessed as high risk and the reasons behind this.

Thames Valley Police to clarify roles and responsibilities of custody officers when detaining a person pending a mental health assessment.

All custody officers to complete the mental health training module ‘Safer detention’ which relates to detainees who are suspected of suffering from mental health issues.

Neighbourhood Policing Teams to record any actions (multiagency or otherwise) taken as part of safety planning for a Domestic Abuse victim in the victim’s Risk Management Occurrence on NICHE.

Thames Valley Police to ensure compliance with the SOP requirement for DAIU DI’s to review high risk domestic abuse cases within 72 hours.

Thames Valley Police to provide guidance in relation to what a holistic supervisory review of a high risk domestic abuse victim should include.

Thames Valley Police to ensure there is clarity for MARAC Co-ordinators and DAIU staff of the process and responsibilities for repeat referrals into MARAC.

Thames Valley Police to develop a system through NICHE/MINERVA (record management system) to alert the DAIU Detective Inspectors when a high risk domestic abuse victim’s review is required.

Thames Valley Police to ensure MARAC co-ordinators include a summary of MARAC discussions and actions in the Risk Management Occurrence.

Thames Valley Police MARAC co-ordinators to provide a list of allocated actions following MARACs within three working days.

Domestic Abuse Risk Assessors training to include the risks of gender bias and the risks associated with dual perpetrators.

Thames Valley Police to support and develop consistent practice of Domestic Abuse Risk Assessors.

To implement operating procedures for staff to follow when providing services.

The IDVA Manager to ensure that notes are taken and kept of all group case management meetings.

The IDVA Manager to regularly audit random case files to establish consistency and conformity of the service provided by the IDVA team.

Wycombe Women’s Aid Leadership Team to consider further ways of engaging with clients who are hard to reach.