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: Kent Published: April 2023 Year of death: 2012 Extracted: 9 recs

Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.

View full report (PDF) ↗ Source: Home Office DHR Library

Summary

The review identifies systemic failures in inter-agency information sharing regarding the perpetrator's disclosures of childhood abuse and domestic abuse perpetration. It highlights deficiencies in policies, procedures, and staff training across health, probation, and social care services, hindering effective risk assessment and multi-agency collaboration.

Extracted recommendations

9 recommendations pulled from the report

#	Recommendation	Addressed to
1	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.	Kent NHS Community Healthcare Trust
2	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.	Kent Police
3	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.	NHS England
4	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.	NHS England \| Sussex NHS Partnership Trust \| Kent & Medway NHS Social Care Partnership Trust \| Surrey & Sussex Probation Trust
5	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.	NHS England \| Kent County Council Specialist Childrens Services
6	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.	Kent & Medway NHS Social Care Partnership Trust
7	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.	Surrey & Sussex Probation Trust \| Kent Probation Trust
8	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.	Kent County Council Specialist Childrens Services
9	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.	Kent County Council Specialist Childrens Services
Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗