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
Kirklees review
CSP: KirkleesPublished: April 2023Year of death: 2017Extracted: 12 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The review highlights missed opportunities by agencies to identify and respond to coercive and controlling behaviour and to support children exposed to domestic abuse. It also notes the dangers of informal partner background checks and the need to promote formal disclosure schemes.
Home Office classifications
33 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - mental ill health
Victim - anxiety
Victim - depression
Victim - had been a victim of an abuser before
Children - under 18 shared parental responsibility (between victims)
Children - living with victim (including adult children)
Children - living with perpetrator (including adult children)
Children - present at homicide (including adult children)
Child - primary address same as victim
Perpetrator - case heard in court
Perpetrator - issued life sentence
Perpetrator - alcohol misuse
Perpetrator - substance misuse
Perpetrator - suicide attempts
Perpetrator - known to agencies as a domestic abuse perpetrator
Perpetrator - known to police 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 - supervised by mental health services
Perpetrator - immigration involvement
Aggravating factors - coercive or controlling behaviour
Aggravating factors - physical abuse
DHR process - family received draft report
DHR process - social services recommendations
DHR process - health services recommendations
DHR process - idva or other domestic abuse support service recommendations
DHR process - school recommendations
DHR process - community safety partnership recommendations
DHR process - identification of risk recommendation themes
DHR process - training recommendation themes
DHR process - awareness raising recommendation themes
DHR process - other recommendation themes
Extracted recommendations
12 recommendations pulled from the report · 4 matched to organisations in the index
Addressed to
Kirklees Safer Stronger Communities Partnership
That Kirklees Safer Stronger Communities Partnership will seek formal assurance from all partners and local providers of domestic abuse services that coercive controlling behaviour is incorporated into all domestic abuse training programmes provided by the organisation
Addressed to
South West Yorkshire Partnership NHS Foundation Trust
CAMHS practitioner’s to be updated regarding their roles and responsibilities when a child makes a disclosure of domestic abuse the importance of understanding the emotional impact of domestic abuse on children even when they are not being directly targeted.
Addressed to
Calderdale and Huddersfield NHS Foundation Trust
All Outpatient staff to undergo awareness training on Domestic Abuse; to identify domestic abuse, how to appropriately refer to specialist services and multi-agency discussions e.g. MARAC.
The Practice will display posters containing domestic abuse information in areas accessed by patients to encourage patients to have the confidence to disclose. Leaflets containing specific information of how to access local services should be available to staff in consultation rooms and to patients in communal rooms. This further information will support the staff in the Practice to identify where to seek support when a patient does disclose.
Addressed to
Kirklees Safer Stronger Communities Partnership
That Kirklees Safer Stronger Communities Partnership incorporates the impact of domestic abuse on children when offering advice and materials to victims and perpetrators
The authors of this IMR will contact the Practice and the individual GP who left the Practice on 1/4/17 to share the learning following review and approval from NHS England.
Addressed to
Kirklees Safer Stronger Communities Partnership
That Kirklees Safer Stronger Communities Partnership seek assurance from education and children’s social care as to the following. That when a child displays challenging behaviour at school, and the parents are living apart, there is a process for informing or engaging both parents in trying to solve the problem (unless there is a legal or safeguarding obstacle to this happening).
Addressed to
Calderdale and Huddersfield NHS Foundation Trust
To specially train the Safeguarding Champions for outpatients to a higher level so that they can risk assess and carry out face to face consultations with a patient who may disclose domestic abuse whilst visiting their department.
Addressed to
Kirklees Safer Stronger Communities Partnership
That Kirklees Safer Stronger Communities Partnership identifies to the appropriate Government department the need to have ‘Clare’s Law’ prominently displayed on internet dating sites.
Addressed to
Kirklees Safer Stronger Communities Partnership
Given much of the historical context of this case was in Greater Manchester, Kirklees Safer Stronger Communities Partnership are to share the report with Greater Manchester Community Safety Partnership so they can review if there is any learning they could have taken from their previous involvement