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

Colchester review

CSP: Colchester Published: April 2023 Year of death: 2014 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 identified concerns regarding the continuous assessment of firearms licence holders, particularly for individuals with dementia, and the integration of patient care across agencies. It highlighted deficiencies in information sharing, risk assessment tools, and multi-agency training on safeguarding and domestic abuse.

Home Office classifications

20 tags

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

  • Victim - was a carer
  • Victim - carer for perpetrator
  • Victim - serious or life limiting illness
  • Children - removed into care
  • Perpetrator - mental ill health
  • Perpetrator - cognitive disorder (dementia or alzheimer's disease)
  • Perpetrator - serious or life limiting illness
  • Perpetrator - died by suicide
  • DHR process - family consulted about terms of reference
  • DHR process - family received draft report
  • DHR process - police recommendations
  • DHR process - social services recommendations
  • DHR process - health services recommendations
  • DHR process - community safety partnership recommendations
  • 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 - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

12 recommendations pulled from the report · 6 matched to organisations in the index

Recommendation 1

Addressed to Essex Police

That Essex Police inform GPs of current firearms licence holders as soon as possible, requesting them to flag patient records, and do not wait to the licence renewal date. This recommendation should be considered nationally.

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

Recommendation 2

Addressed to Home Office

That the Home Office review and broaden the medical conditions within the Home Office Guidance on Firearms Licensing Law 2014 regarding psychiatric assessment, to specifically include consideration of Dementia.

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

Recommendation 3

Addressed to North Essex Partnership NHS University Foundation Trust

A patient's GP should be notified of any assessment of risk completed in the course of a memory clinic appointment; this will allow the GP to have a more complete picture in assessing any required disclosure to Police in respect of the continuing suitability to hold a Firearm.

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

Recommendation 4

Addressed to Home Office

That the Home Office approved Firearms Licensing - Medical Pilot Scheme, which strengthens the grant and renewal process by notifying GPs that a patient holds a firearms licence and requiring that record to be flagged , be rolled out for adoption nationally.

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

Recommendation 5

Addressed to Essex County Council- Adult Operations

The principle of promoting individual well-being as set out in Care Act 2014 Part 1 and Promoting integration of care and support with health services Care Act 2014 Section 3 should be taken forward. Care Act 2014 training should include material to ensure that any care assessment broadens its focus to embrace an holistic approach which considers impact and effect of other family members and life changing situations.

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

Recommendation 6

Addressed to Essex County Council - Adult Operations

Previous legislation with regard to Carers rights to advice, assessments and services/support is updated by provisions in Care Act 2014. Training/re-training for all practitioners likely to be involved in assessments or reviews of carers will therefore be required and should be mandatory. This should include practitioners at all stages of the customer journey.

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

Recommendation 8

Addressed to All

Agencies should, within legal guidelines, review their information sharing to ensure that they have not drifted into a position whereby, in the worst case, information is only shared when the holding Agency assess it as high risk. Information may be assessed as low risk but will still be relevant to the effective performance of partner Agencies.

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

Recommendation 9

Addressed to Essex County Council - Adult Operations

Liaison and communication between the care providing agencies is improved by the provision of a strategic pathway of care, coordinated through a single point of contact or care manager to assist information gathering, analysis, assessment and sharing. There may be an opportunity to link current procedures. The provisions of the Care Act 2014, particularly sections 3 and 6 should drive a working group to establish guidance for Essex.

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

Recommendation 10

Addressed to Home Office

That it should be a prerequisite to the grant/renewal of a Firearms Licence that the applicant allow their GP to share relevant information to the holding of a Firearms Licence, with other agencies; which may otherwise fall within patient privilege.

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

Recommendation 11

Addressed to Colchester Community Safety Partnership

Agencies should report to the Community Safety Partnership compliance rates with mandatory safeguarding training.

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

Recommendation 12

Addressed to Colchester Community Safety Partnership

That the Colchester Community Safety Partnership organise a seminar to facilitate joint training and learning between Agencies in North East Essex on safeguarding and particularly their separate roles in preventing and addressing Domestic Abuse.

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