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
Bradford review
CSP: Bradford
Published: April 2023
Year of death: 2012
Extracted: 33 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 missed opportunities for agencies to intervene, including non-compliant police practice and a lack of routine enquiry for domestic abuse. It highlights the need for improved multi-agency information sharing, training on the impact of domestic violence on children and diverse families, and better DHR process management.
Extracted recommendations
| # | Recommendation | Addressed to |
|---|---|---|
| 1a | The Learning and Development subgroup of Bradford Safeguarding Children’s Board will write to all training representatives in commissioned services to recommend that current safeguarding training for practitioners is reviewed and evaluated in respect of the above | Bradford Safeguarding Children’s Board |
| 1b | In addition the Bradford Domestic and Sexual Violence Strategic Board will review and evaluate the domestic violence and abuse training available to directly commissioned services; and also ensure that referral information for sources of support are widely available to members of the public and service providers. | Bradford Domestic and Sexual Violence Strategic Board |
| 1c | The Bradford Domestic and Sexual Violence Strategic Board will assist agencies to be assured that practitioners are applying routine or targeted enquiry where appropriate, and know how and where to access relevant training and support | Bradford Domestic and Sexual Violence Strategic Board |
| 2a | Education Strategic Director to evaluate support, resources and information available to teaching and non-teaching staff and access to multi agency training on domestic violence and abuse. | Education Strategic Director |
| 2b | In addition to ensure that the safeguarding lead in school is supported to work closely with the designated school nurse. | Education Strategic Director |
| 3a | specific representation for Education on DHR Panels where the family includes school age children | Bradford Community Safety Partnership |
| 3b | to ensure that any relevant issues for pre-school children can be addressed by the proposed Panel membership, or seeking additional representation | Bradford Community Safety Partnership |
| 3c | ensure IMR authors demonstrate an understanding of the role of race and ethnicity in domestic violence and abuse; and how this relates to the potential barriers and particular needs for the people identified in the review | Bradford Community Safety Partnership |
| 3d | Police IMR authors should liaise closely with the HMET Senior Investigating Officer | Bradford Community Safety Partnership |
| 3e | To evaluate the DHR guidance for the Crown Prosecution Service to identify any relevant areas for practice improvements | Bradford Community Safety Partnership |
| 3f | Define the systems and principles for information sharing IMRs | Bradford Community Safety Partnership |
| Bradford Children’s | The protocol between the police and Children’s Social Care to be subject to an ongoing review process. | Bradford Children’s Social Care | West Yorkshire Police |
| Bradford Children’s | Communication needs to take place when children are moving between Local Authorities and this must be recorded effectively. | Bradford Children’s Social Care |
| Bradford Children’s | Children’s Social Care to ensure that the use of letters when domestic violence notifications are received is no longer practice. | Bradford Children’s Social Care |
| Bradford Children’s | Remind assessment teams of the importance of clarity where children and family members are living at the time of the contact and to accurately record the detail and any changes on the case file. | Bradford Children’s Social Care |
| Bradford District NH | In accordance with the School Nursing Standards (BDCT, 2012) the School Nursing Service to review the Health Needs Survey Questionnaire offered to all year 7 and year 10 pupils. Giving particular consideration to; - The questions, how they are asked? - Is the young person making an informed choice regarding the question in each section which asks ‘would you like any help or support about…? - What is the purpose of a young person identifying concerns about their health and wellbeing, if they are not aware of what type of help or support is available and from which health professional or service? | Bradford District NHS Care Trust |
| Bradford District NH | All staff in School Nursing Team should adhere to the Record Keeping Guidance for Safeguarding Children, Appendix 5 of the Safeguarding Children’s Policy (BDCT, 2011) and the Record Keeping Guidance for Nurses and Midwives (NMC, 2009) | Bradford District NHS Care Trust |
| Bradford District NH | The Safeguarding Children’s team to raise awareness and disseminate information regarding the addendum (appendix 9) of the Safeguarding Adults Policy (BDCT, 2012) Guide: Working with Domestic Abuse. This will increase awareness of the opportunities of how to encourage disclosure or implement routine enquiry when School Nursing teams are working with young people. | Bradford District NHS Care Trust |
| Bradford District NH | The Safeguarding Children team to deliver training sessions for the School Nurses teams on the subject of encouraging disclosure of domestic abuse, routine enquiry and how to ask questions. | Bradford District NHS Care Trust |
| Bradford Teaching Ho | Staff member in a permanent post in order that routine enquiry can be successfully embedded into BTHFT in Accident and Emergency, maternity services and other high usage areas where women are present. | Bradford Teaching Hospitals NHS Foundation Trust |
| Bradford Teaching Ho | Develop a “Violence Against Women and Girls” (VAWG) policy for BTHFT. | Bradford Teaching Hospitals NHS Foundation Trust |
| Bradford Teaching Ho | Share learning from incident with key staff. | Bradford Teaching Hospitals NHS Foundation Trust |
| City of Bradford Met | Safeguarding training for Head Teachers and school Child Protection leads should be reviewed and include explicit reference to domestic violence and how this may be reflected in a child’s behaviour in school. As a result domestic violence and its impact on children should be reflected in school safeguarding/child protection policies and procedures. | City of Bradford Metropolitan District Council: Education and Learning |
| City of Bradford Met | Head Teachers and school Child Protection leads need to ensure that their record keeping systems are robust and prompt consideration of the child in the context of the family , a “think families” approach, and the need to discuss concerns with other professionals, sharing information accordingly | City of Bradford Metropolitan District Council: Education and Learning |
| City of Bradford Met | Head Teachers and school Child Protection leads should ensure that children’s records include all relevant information when a child moves from one school to another; and where there are particular concerns these are raised with the relevant lead in school. | City of Bradford Metropolitan District Council: Education and Learning |
| City of Bradford Met | Head Teachers and school Child Protection leads should understand their responsibilities in relation to standards and guidance regarding Children Missing Education (CME) | City of Bradford Metropolitan District Council: Education and Learning |
| City of Bradford Met | Head Teachers and school Child Protection leads are given clear guidelines about who to contact in domestic homicide situations so that they do not inadvertently put children at risk of the suspected perpetrator. | City of Bradford Metropolitan District Council: Education and Learning |
| City of Bradford Met | That the Council’s Domestic Violence Protocol be amended to make it clear that all Housing Options staff will signpost clients to appropriate support agencies when they are aware that they are fleeing or experiencing domestic abuse. | City of Bradford Metropolitan District Council: Housing |
| City of Bradford Met | That the Registered Social Landlords be asked to review their Domestic Violence policy to ensure that it includes clear guidance on the process to offer support to new tenants who have been granted a tenancy because they are fleeing domestic violence. | Registered Social Landlords |
| General Practitioner | Incorporation of appropriate screening questions relating to domestic violence in consultations such as those relating to contraception and mental health. | General Practitioner |
| General Practitioner | Increased awareness of domestic abuse, and identification of at risk individuals | General Practitioner |
| General Practitioner | Accurate recording of social and demographic information on patient records | General Practitioner |
| West Yorkshire Polic | West Yorkshire Police to ensure that when safeguarding or welfare concerns are reported to the Police, that supervision (communication and frontline) are made aware of the concern and that they monitor and oversee the initial response and subsequent outcome. | West Yorkshire Police |
| Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗ | ||