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

Manchester review

CSP: Manchester Published: April 2023 Year of death: 2013 Extracted: 31 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 review identified failures in agencies' recognition and thorough exploration of honour-based violence indicators, incomplete information sharing, and missed opportunities for full disclosure from the victim. Gaps in policy adherence and child protection referrals were also noted.

Home Office classifications

48 tags

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

  • Victim - housing issues
  • Victim - had been a victim of an abuser before
  • Victim - referred to marac at any time
  • Victim - case heard at marac before homicide
  • Victim - immigration involvement
  • 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)
  • Child - primary address same as victim
  • Child - immigration involvement
  • Perpetrator - case heard in court
  • Perpetrator - issued life sentence
  • Perpetrator - substance misuse
  • Perpetrator - housing issues
  • Perpetrator - mental ill health
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Perpetrator - known to idva or other domestic abuse support service as a domestic abuse perpetrator
  • Perpetrator - known to housing services as a domestic abuse perpetrator
  • Perpetrator - known to others as a domestic abuse perpetrator
  • Perpetrator - known to friends as a domestic abuse perpetrator
  • Perpetrator - known to family as a domestic abuse perpetrator
  • Perpetrator - immigration involvement
  • Aggravating factors - separation
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - stalking
  • Aggravating factors - physical stalking
  • Aggravating factors - digital stalking
  • Aggravating factors - honour based violence
  • Aggravating factors - faith based abuse
  • Aggravating factors - sexual abuse
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical 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 - housing services 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

31 recommendations pulled from the report · 10 matched to organisations in the index

Recommendation 10.1.1.1

Addressed to Greater Manchester Police

The completion of enhanced risk assessments in relation to domestic abuse, stalking and harassment incidents where the initial level of assessed risk is ‘standard’;

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

Recommendation 10.1.3.4

Addressed to Adactus Housing Association

To be more proactive in determining if new customers have support needs as a result of domestic abuse.

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

Recommendation 10.1.4.1

Addressed to NHS Manchester Clinical Commissioning Group

The IRIS project should be offered to targeted Manchester GP practices to enable earlier identification of signs of domestic abuse. This project would also support practice nurses.

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

Recommendation 10.1.6.1

Addressed to Homelessness Assessment and Advice Service

That an enhanced domestic abuse course is developed which includes: culture, faith and honour based violence.

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

Recommendation 10.1.7.1

Addressed to Central Manchester University Hospital NHS Foundation Trust

Single agency domestic abuse training for key professionals to become mandatory across the organisation.

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

Recommendation 10.2.1

Addressed to MSAB

That MSAB establishes whether the recommendation, from the Moss Side DHR published in spring 2013, to have a publicity campaign aimed at informing family and friends what they can do if someone discloses domestic violence has been completed; and if not, to commence action to do so.

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

Recommendation 10.2.2

Addressed to MSAB | MSCB

That MSAB and MSCB review what HBV training it and/or its constituent agencies provide for front line staff to ensure it reflects how to identify whether domestic violence has an HBV element to it.

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

Recommendation 10.2.3

Addressed to MSAB | MSCB

That MSAB and MSCB ensure its domestic violence training includes the point that solicitors who have knowledge of child protection issues through domestic violence disclosures from clients are not under a legal duty to make a referral to children's services or other authorities but have discretion whether to do so.

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

Recommendation 10.2.4

Addressed to MSAB | MSCB

That MSAB and MSCB ensure its domestic violence training includes the additional barriers faced by BME victims of domestic violence when considering disclosure to agencies.

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

Recommendation 10.2.5

Addressed to MSAB | MSCB

That MSAB and MSCB consider whether the questions, as framed in the DASH risk assessment provide the best opportunity to identify HBV.

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

Recommendation 10.2.7a

Addressed to Homelessness Division of Manchester City Council

having a written policy on offering clients a gender choice of Authorising Officer

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

Recommendation 10.2.7c

Addressed to Homelessness Division of Manchester City Council

how to cater for victims of domestic violence who have children present during disclosure meetings

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

Recommendation 10.2.8

Addressed to Homelessness Division of Manchester City Council

That the Homelessness Division of Manchester City Council develops a policy and practice which allows responsible social landlords to be furnished with information that new and existing tenants are victims of domestic violence..

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

Recommendation 10.2.9

Addressed to Greater Manchester Police

That GMP satisfies itself that the arrangements for flagging addresses of domestic violence victims are robust.

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

Recommendation 10.2.10

Addressed to MSAB

That MSAB considers whether women from BME backgrounds are disproportionately more likely to be victims of domestic homicides that white northern Europeans in the Greater Manchester Area.

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

Recommendation 10.2.11

Addressed to Manchester Community Safety Partnership

The DHR Panel recommends that the MARAC Coordinator considers whether the MOP should be amended to include a menu of standard actions agencies already undertake post each MARAC case.

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

Recommendation 10.2.12

Addressed to School 1

That School 1 reviews it procedures for recording safeguarding information and reports its findings to MSAB Domestic Abuse Reduction Coordinator and MSCB Business and Performance Manager.

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

Recommendation 10.2.13

Addressed to MSAB

That MSAB considers whether it can ensure that all victims who are identified as MARAC cases, have a face to face meeting with a domestic abuse specialist before the MARAC meeting takes place; thereby providing a greater opportunity for a fuller disclosure and an accurate assessment of risk.

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

Recommendation 10.2.14

Addressed to Central Manchester Clinical Commissioning Group

That Central Manchester Clinical Commissioning Group provides MSAB with written guidance on how to access GP records in DHRs where the patient’s permission has not been obtained.

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

Recommendation 10.2.15

Addressed to Manchester Community Safety Partnership

That Manchester Community Safety Partnership uses all it influence to secure the proliferation of the IRIS project to those Manchester GP's who have yet to take part in the IRIS project.

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

Recommendation 10.2.16

Addressed to Manchester Community Safety Partnership

That Manchester Community Safety Partnership ensures that the findings of this DHR are disseminated to its constituent agencies who should embed the findings in their practice.

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