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

Elmbridge review

CSP: Elmbridge Published: April 2023 Year of death: 2015 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
The report identifies concerns regarding inconsistent engagement of health services, missed opportunities by police to assess domestic abuse risk and identify children, and a lack of domestic abuse awareness in schools and GP practices. It also highlights issues with private healthcare provider accountability and care gaps.

Home Office classifications

25 tags

Source-supplied classifications used by the Home Office to catalogue this review.

  • Victim - serious or life limiting illness
  • 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 - living with perpetrator (including adult children)
  • Children - present at homicide (including adult children)
  • Child - primary address same as victim
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Perpetrator - died by suicide
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical abuse
  • DHR process - police recommendations
  • DHR process - health services recommendations
  • DHR process - school recommendations
  • DHR process - community safety partnership 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 - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

14 recommendations pulled from the report · 6 matched to organisations in the index

Recommendation 1

Addressed to Elmbridge Community Safety Partnership

CSP analyse their existing response to domestic abuse and seek to develop a more complete and enhanced approach to this issue through the mechanism of a Coordinated Community Response to domestic abuse.

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

Recommendation 2

Addressed to Elmbridge Community Safety Partnership

Develop and trial individual and community interventions using the concept of co-production, to enhance the borough’s response to victims of domestic abuse.

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

Recommendation 3

Addressed to Elmbridge Community Safety Partnership

Ensure that the agreed intention of providing Police information about vulnerable people to relevant agencies, including schools is promulgated with urgency.

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

Recommendation 4

Addressed to Elmbridge Community Safety Partnership

Undertake a cost-benefit analysis to establish the viability of implementing an additional referral pathway between police and Domestic Abuse Outreach services in cases where the DASH risk assessment system has not been successfully completed.

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

Recommendation 5

Addressed to Surrey Police

Deliver training for Contact Centre staff to ensure a sound grasp of the dynamics of domestic violence and to equip them with the skills and information necessary to respond appropriately to victims of domestic abuse.

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

Recommendation 6

Addressed to Surrey Police

Develop for all frontline staff (including staff in contact centres and control rooms) clear referral pathways to specialist domestic abuse support services and related agencies.

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

Recommendation 7

Addressed to Surrey Police

Provide enhanced risk identification and awareness training to ensure Public Protection Unit supervisors have adequately informed oversight of domestic abuse cases.

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

Recommendation 8

Addressed to Surrey Police

Surrey Police to use this DHR process and the development from the recommendations to audit its policies and practice to ensure the developments are embedded in practice (within 6 months of publication of the report).

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

Recommendation 9

Addressed to Independent Secondary School

Integrate domestic abuse awareness into safeguarding training for all staff (and ensure those staff already trained in safeguarding receive this training).

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

Recommendation 10

Addressed to Independent Secondary School

Integrate the Spiralling toolkit into PSHE (personal, social, health and economic) education.

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

Recommendation 11

Addressed to NHS General Practice in the local Borough

Request the Joint Commissioning Board to commission the IRIS programme within the area.

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

Recommendation 12

Addressed to Debt advisory services

Debt advisory services to develop a system where those individuals with County Court Judgements (or similar) relating to debt are provided with information about domestic abuse support services and support to assist in the resolution of the case.

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

Recommendation 13

Addressed to HM Government

HM Government to develop the statutory guidance for DHRs to specifically include private medical care and oblige such organisations to participate in the DHR process.

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

Recommendation 14

Addressed to NHS England

NHS England to respond to the gaps that emerge between private and national health care providers which may threaten the safety of adult and child survivors of domestic abuse.

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