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: SandwellPublished: April 2023Year of death: 2012Extracted: 5 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The review identified concerns regarding the monitoring of the perpetrator's mental health, particularly in relation to repeat prescriptions and communication between mental health services and the GP. It also questioned the suitability of DHR guidance for cases without prior identified domestic abuse.
Home Office classifications
22 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - physical disability
Victim - serious or life limiting illness
Perpetrator - case heard in court
Perpetrator - was a carer
Perpetrator - carer for victim
Perpetrator - alcohol misuse
Perpetrator - substance misuse
Perpetrator - mental ill health
Perpetrator - anxiety
Perpetrator - depression
Perpetrator - panic attacks
Perpetrator - psychosis
Perpetrator - self harm
Perpetrator - serious or life limiting illness
Perpetrator - known to agencies as a domestic abuse perpetrator
Perpetrator - known to police as a domestic abuse perpetrator
DHR process - family contributed to dhr
DHR process - health services recommendations
DHR process - training recommendation themes
DHR process - policy recommendation themes
DHR process - record keeping recommendation themes
DHR process - other recommendation themes
Extracted recommendations
5 recommendations pulled from the report · 4 matched to organisations in the index
Addressed to
Black Country Partnership NHS Foundation Trust
To ensure that discharges are appropriate, both for the patient’s well-being and that of their family and the wider community, the DNA (did not attend) policy to be revised and re-launched and compliance monitored
Addressed to
Sandwell and West Birmingham Clinical Commissioning Group
The practice to review their repeat prescribing protocol in respect of antidepressant prescribing to include requirements for periodic medication review to ensure that the patient receives effective treatment.
Addressed to
Sandwell and West Birmingham Clinical Commissioning Group
The practice to receive training on record keeping and consider implementing templates to assist in consultations for those patients with mental health needs in order to ensure effective record keeping is in place and that the patient receives appropriate care.
Addressed to
NHS England, Birmingham, Solihull and Black Country Area Team
That, in order to improve safe practice and patient care, the Safer Sandwell Partnership asks NHS England, Birmingham, Solihull and Black Country Area Team to remind all GPs practices of the potential risks of repeat prescribing protocols, particularly for patients with mental health issues. To support and inform best practice the NHS England, Birmingham, Solihull and Black Country Area Team will also circulate the Medical Protection Society guidance “Repeat prescribing for GPs” (March 2013) to all GPs practices.
That; in order to optimise the use of agencies’ resources (notably time and money) most effectively and efficiently, whilst still achieving the purpose of the domestic homicide review; the Safer Sandwell Partnership asks the Home Office to consider the option of different approaches to the undertaking DHRs in different circumstances (cf: the new guidance in relation to children’s reviews ).