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
Kent review
CSP: KentPublished: April 2023Year of death: 2012Extracted: 9 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The review found that agencies could not have reasonably foreseen the homicide. However, it identified systemic failures in policies and procedures, staff training, and information sharing regarding disclosures of historical child abuse and domestic abuse perpetration, as well as issues with medical record management and case handovers.
Home Office classifications
19 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Children - subject to child protection or domestic abuse prior to homicide
Perpetrator - case heard in court
Perpetrator - substance misuse
Perpetrator - housing issues
Perpetrator - mental ill health
Perpetrator - depression
Perpetrator - psychosis
Perpetrator - known to agencies as a domestic abuse perpetrator
Perpetrator - known to police as a domestic abuse perpetrator
Perpetrator - known to health services as a domestic abuse perpetrator
DHR process - family contributed to dhr
DHR process - family received draft report
DHR process - police recommendations
DHR process - social services recommendations
DHR process - health services recommendations
DHR process - probation services recommendations
DHR process - technology systems recommendation themes
DHR process - training recommendation themes
DHR process - policy recommendation themes
Extracted recommendations
9 recommendations pulled from the report · 4 matched to organisations in the index
Staff should be aware of their roles and responsibilities in the implementation of domestic abuse policies and procedures, and of the resources available to assist them.
Consideration should be given to recording the rape complaint made against the perpetrator in 2000 in accordance with the Home Office counting rules for crime and incidents and to investigating the circumstances of it. If the decision is to do neither or one of these actions, the rationale should be clearly recorded.
When GP surgeries change their IT systems they must ensure that the medical records of current and previous patients are transferred from the old system to the new or that the records on the old system are archived in a way that makes them readily available.
Addressed to
NHS England | Sussex NHS Partnership Trust | Kent & Medway NHS Social Care Partnership Trust | Surrey & Sussex Probation Trust
Agencies must have victim focussed policies and procedures in place to deal with disclosures made by patients/clients that they are victims of historical child abuse, both in terms of their own agency response and how they share the information. Staff must be aware of the policies and procedures, and where necessary trained in their implementation.
Addressed to
NHS England | Kent County Council Specialist Childrens Services
Agencies must have victim focussed policies and procedures in place to deal with disclosures made by patients/clients that they are perpetrators of domestic abuse, both in terms of their own agency response and how they share the information. Staff must be aware of the policies and procedures, and where necessary trained in their implementation.
Addressed to
Kent & Medway NHS Social Care Partnership Trust
When it is known or suspected that a patient presenting with mental health issues has received previous treatment from another agency for mental health issues, the patient’s medical notes relevant to that treatment should be obtained.
Addressed to
Surrey & Sussex Probation Trust | Kent Probation Trust
Staff in supervisory positions should be trained in and understand the responsibility they have for checking the work of their staff to ensure that it has been completed in accordance with policies and procedures.
Addressed to
Kent County Council Specialist Childrens Services
When information is received that premises in which children are living are being used for drug dealing, this information should be shared with the police.
Addressed to
Kent County Council Specialist Childrens Services
Where the responsibility for a case is transferred from one Social Worker to another, the author of the Transfer Summary must ensure that the details contained within it are accurate and complete, particularly those that directly impact on the safety of children and/or staff.