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.

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

Summary

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.

Extracted recommendations

31 recommendations pulled from the report

#	Recommendation	Addressed to
10.1.1.1	The completion of enhanced risk assessments in relation to domestic abuse, stalking and harassment incidents where the initial level of assessed risk is ‘standard’;	Greater Manchester Police
10.1.1.2	The required authorisation levels to file PPI logs;	Greater Manchester Police
10.1.1.3	The requirement to send letters to ‘standard’ victims.	Greater Manchester Police
10.1.3.1	Highlight the Domestic abuse policy within Safeguarding briefings and training	Adactus Housing Association
10.1.3.2	Improve information sharing with Manchester Homeless Families Unit	Adactus Housing Association
10.1.3.3	Include addresses on MARAC agenda and if known identity of Social Landlord	Adactus Housing Association
10.1.3.4	To be more proactive in determining if new customers have support needs as a result of domestic abuse.	Adactus Housing Association
10.1.4.1	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.	NHS Manchester Clinical Commissioning Group
10.1.4.2	Practice nurse’s role in enquiring about domestic abuse to be explored.	NHS Manchester Clinical Commissioning Group
10.1.5.1	IDVA to produce an advice sheet for agencies	IDVA Service
10.1.5.2	That IDVAs have access to MiCare [Manchester City Council Social Care IT System]	IDVA Service
10.1.6.1	That an enhanced domestic abuse course is developed which includes: culture, faith and honour based violence.	Homelessness Assessment and Advice Service
10.1.7.1	Single agency domestic abuse training for key professionals to become mandatory across the organisation.	Central Manchester University Hospital NHS Foundation Trust
10.2.1	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.	MSAB
10.2.10	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.	MSAB
10.2.11	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.	Manchester Community Safety Partnership
10.2.12	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.	School 1
10.2.13	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.	MSAB
10.2.14	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.	Central Manchester Clinical Commissioning Group
10.2.15	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.	Manchester Community Safety Partnership
10.2.16	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.	Manchester Community Safety Partnership
10.2.2	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.	MSAB \| MSCB
10.2.3	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.	MSAB \| MSCB
10.2.4	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.	MSAB \| MSCB
10.2.5	That MSAB and MSCB consider whether the questions, as framed in the DASH risk assessment provide the best opportunity to identify HBV.	MSAB \| MSCB
10.2.6	That MSAB reinforces in its domestic violence training the links between domestic violence and child protection.	MSAB
10.2.7a	having a written policy on offering clients a gender choice of Authorising Officer	Homelessness Division of Manchester City Council
10.2.7b	how it would support such a policy	Homelessness Division of Manchester City Council
10.2.7c	how to cater for victims of domestic violence who have children present during disclosure meetings	Homelessness Division of Manchester City Council
10.2.8	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..	Homelessness Division of Manchester City Council
10.2.9	That GMP satisfies itself that the arrangements for flagging addresses of domestic violence victims are robust.	Greater Manchester Police
Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗