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
Durham review
CSP: DurhamPublished: April 2023Extracted: 11 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 missed opportunities by agencies to recognise domestic abuse indicators, explore Adult A's social circumstances, and share information effectively, particularly given Adult A's vulnerabilities related to mental health and alcohol use. Concerns were also raised about the risks associated with online dating for vulnerable individuals.
Home Office classifications
34 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - alcohol misuse
Victim - substance misuse
Victim - mental ill health
Victim - depression
Victim - self harm
Victim - suicidal thoughts
Victim - suicide attempts
Victim - had been a victim of an abuser before
Children - living with victim (including adult children)
Children - living with perpetrator (including adult children)
Child - primary address same as victim
Perpetrator - case heard in court
Perpetrator - alcohol misuse
Perpetrator - substance misuse
Perpetrator - mental ill health
Perpetrator - self harm
Perpetrator - suicide attempts
Perpetrator - known to others as a domestic abuse perpetrator
Aggravating factors - coercive or controlling behaviour
Aggravating factors - psychological or emotional abuse
Aggravating factors - economic abuse
DHR process - family contributed to dhr
DHR process - family supported by expert specialist advocate
DHR process - police recommendations
DHR process - health services recommendations
DHR process - idva or other domestic abuse support service recommendations
DHR process - community safety partnership recommendations
DHR process - technology systems recommendation themes
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
11 recommendations pulled from the report · 7 matched to organisations in the index
A coordinated national response is needed to increase public awareness around the dangers related to the use of certain internet sites and how these may be used to target and prey on individuals with vulnerabilities.
Addressed to
Police and Crime Commissioner | Sexual Violence Implementation Group | Safe Durham Partnership
Police and Crime Commissioner, Sexual Violence Implementation Group, and Safe Durham Partnership to implement a local action plan to increase public awareness around the dangers related to the use of certain internet sites (as outlined in the previous recommendation).
Addressed to
Durham Constabulary | Tees, Esk and Wear Valleys NHS Foundation Trust | North Durham Clinical Commissioning Group
All agencies to ensure that the key lessons learned from this review are disseminated to staff and included in existing and future training. These key areas include: • Ability to recognise domestic abuse indicators. • Importance of further exploration regarding an individual’s home/social circumstances. • Need to undertake enquiry when information is shared indicating abuse from the victim or third parties, even if no direct disclosure is made. • Importance of ensuring action is being taken to address concerns and not assume it is being dealt with elsewhere. • Understanding of the dangerous interplay between substance use, mental health and domestic abuse and the need to ensure that focus on other difficulties does not prevent domestic abuse from being recognised or victims engaged with. • Awareness and understanding of domestic abuse referral pathways.
Development of the Multi-Agency Safeguarding Hub (MASH) to be progressed as a matter of urgency, and to include procedures in place to ensure adequate feedback mechanisms to agencies regarding their referrals.
The Constabulary must reinforce to front line staff. o Mandatory minimum standards for submission of a Vulnerable Adult Form where there is a concern (if not related to a domestic abuse incident as vulnerable adult issues will be addressed on the domestic violence form). o Mandatory minimum standards for submission of a Vulnerable Adult Form where the incident involves incidents involving self harm and attempted suicide (or threats of).
With immediate effect all incidents tagged domestic abuse, or closed as domestic abuse, by communications staff will be reviewed by the domestic abuse specialist sergeants for compliance. Safeguarding Detective Sergeants will read all domestic related incidents reported to the Police during the prior 24 hour period. The incidents are defined by the National Standard or Incident Recording (NSIR) closing code and domestic abuse qualifier. The Safeguarding Detective Sergeants will ensure all domestic incidents have been dealt with appropriately, such as positive action taken in relation to domestic incidents, crime correctly recorded within time scales and investigated, Domestic Violence forms and risk assessments submitted. If these actions have not been completed the matter will be brought to the attention of the Senior Management Team at the Daily Management Meeting and the incident reallocated to the attending officer or uniform response for completion of actions. These checks will continue until such times as the force is satisfied that the Front Line understands and complies with force policy with regard to submission of Domestic Violence forms and carrying out proactive arrests of perpetrators.
To circulate written guidance to operational officers regarding the minimum standards as to when a Vulnerable Adult form should be submitted and educate staff around issues of mental health, self harm and alcohol.
Relevant safeguarding National Centre for Applied Learning Technologies (NCALT) packages to be reviewed by the Safeguarding SMT to ensure all relevant training packages are mandatory for all officers, not only safeguarding officers.
Addressed to
North Durham Clinical Commissioning Group
Best Practice would be to ensure that Adult Safeguarding and Children’s Safeguarding training strategies and training programmes include appropriate levels of Domestic Violence training for staff in Primary Care.
Addressed to
North Durham Clinical Commissioning Group
Ensure that when reviewing policies and procedures that they are sensitive to the special risks to and needs of older women who are victims of domestic abuse. This is an on-going action from previous DHRs.