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

Birmingham review

CSP: Birmingham 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.

Original review (PDF) ↗ Source: Home Office DHR Library

Summary AI-generated

Verify against the full report at the source link
The review identified systemic failures in multi-agency responses to domestic abuse, including inadequate risk assessment, poor information sharing, and a lack of understanding regarding the heightened risk during separation. Cultural factors and issues with legal order enforcement further compounded the victim's vulnerability.

Home Office classifications

29 tags

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

  • 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)
  • Child - primary address same as victim
  • Perpetrator - case heard in court
  • Perpetrator - issued life sentence
  • Perpetrator - mental ill health
  • Perpetrator - depression
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Perpetrator - known to social services as a domestic abuse perpetrator
  • Perpetrator - known to others as a domestic abuse perpetrator
  • Perpetrator - known to family as a domestic abuse perpetrator
  • Perpetrator - supervised by mental health services
  • Perpetrator - immigration involvement
  • Aggravating factors - separation
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - honour based violence
  • Aggravating factors - sexual abuse
  • Aggravating factors - physical abuse
  • Aggravating factors - economic abuse
  • DHR process - family contributed to dhr
  • DHR process - family consulted about terms of reference
  • DHR process - community safety partnership recommendations
  • DHR process - identification of risk recommendation themes
  • DHR process - training recommendation themes
  • DHR process - multi agency working recommendation themes

Extracted recommendations

9 recommendations pulled from the report

Recommendation 1

Addressed to Community Safety Partnership

The Community Safety Partnership should review the effectiveness of communication strategies to promote awareness about domestic abuse and sources of advice across the different cultural and religious communities in the city and the extent to which they are represented in strategic partnerships.

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

Recommendation 2

Addressed to Community Safety Partnership

The Community Safety Partnership should satisfy itself that all Birmingham services featured within this review have clear working definitions and policy supported by robust audit about what constitutes domestic abuse and have arrangements in place for promoting and monitoring participation in training and development. This should take account of action taken in response to a previous review (BDHR2012/13-04).

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

Recommendation 3

Addressed to Community Safety Partnership

The Community Safety Partnership should seek further information from the local law society as to whether accessing legal aid by victims of domestic abuse is a barrier to using civil proceedings to restrain perpetrators of domestic abuse.

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

Recommendation 4

Addressed to Community Safety Partnership

The Community Safety Partnership should ensure that further discussion takes place with local courts in regard to the learning regarding the application for and processing of court orders designed to protect victims of domestic abuse.

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

Recommendation 5

Addressed to Community Safety Partnership

The Community Safety Partnership should receive further information regarding the circumstances and effectiveness of local risk assessment tools and frameworks to identify risk and are able to provide effective multi-agency intervention and protection. The review should determine whether these need to be simplified into one risk assessment model.

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

Recommendation 6

Addressed to Community Safety Partnership

Training for key individuals, in certain organisations, in how to use a Risk Identification Checklist must be in place, so that professionals can recognise high risk characteristics such as separation. Training should include how to develop a robust safety plan for victims who are intending to leave an abusive relationship.

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

Recommendation 7

Addressed to Community Safety Partnership

The Community Safety Partnership should consult with the Birmingham Safeguarding Children Board about any additional contact and action that is required in regard to any schools that are independent of the local education service where there may be concerns about the policy and professional development in regard to safeguarding that includes domestic abuse.

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

Recommendation 8

Addressed to Community Safety Partnership

The Community Safety Partnership should ensure that information is provided on the outcome of discussions with the local faith leaders with a view to facilitation and support further guidance and professional support in regard to divorce or separation involving domestic abuse.

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

Recommendation 9

Addressed to Community Safety Partnership

The Community Safety Partnership should initiate discussion with the local law society about the best approach and strategy to developing closer links between solicitors and local professional safeguarding networks to improve communication and oversight of arrangements for the administration and enforcement of civil orders providing protection to victims of domestic abuse.

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