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: Kirklees Published: April 2023 Year of death: 2017 Extracted: 12 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 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

Recommendation 1

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

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

Recommendation 1

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.

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

Recommendation 1

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.

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

Recommendation 1

Addressed to GP Practice

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.

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

Recommendation 2

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

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

Recommendation 2

Addressed to Calderdale and Huddersfield NHS Foundation Trust

To utilise poster and leaflet space with DA specialist services available for patients attending from Calderdale area as well as Kirklees.

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

Recommendation 2

Addressed to GP Practice

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.

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

Recommendation 3

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).

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

Recommendation 3

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.

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

Recommendation 3

Addressed to GP Practice

The learning from this case which includes depression being a potential marker for domestic abuse should be shared with all GP Practices in Kirklees.

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

Recommendation 4

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.

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

Recommendation 5

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

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