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.

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

Summary AI-generated

Verify against the full report at the source link
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.

Home Office classifications

31 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 (between victims)
  • Children - living with victim (including adult children)
  • Child - primary address same as victim
  • Perpetrator - case heard in court
  • Perpetrator - issued life sentence
  • Perpetrator - alcohol misuse
  • 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
  • Aggravating factors - separation
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - physical abuse
  • DHR process - family contributed to dhr
  • DHR process - family consulted about terms of reference
  • DHR process - family supported by expert specialist advocate
  • DHR process - family received draft report
  • DHR process - police recommendations
  • DHR process - social services recommendations
  • DHR process - health services recommendations
  • DHR process - housing services recommendations
  • DHR process - school recommendations
  • DHR process - community safety partnership recommendations
  • DHR process - technology systems recommendation themes
  • 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 - record keeping recommendation themes
  • DHR process - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

33 recommendations pulled from the report · 10 matched to organisations in the index

Recommendation 1a

Addressed to Bradford Safeguarding Children’s Board

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

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

Recommendation 1b

Addressed to Bradford Domestic and Sexual Violence Strategic Board

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.

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

Recommendation 1c

Addressed to Bradford Domestic and Sexual Violence Strategic Board

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

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

Recommendation 2a

Addressed to Education Strategic Director

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.

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

Recommendation 2b

Addressed to Education Strategic Director

In addition to ensure that the safeguarding lead in school is supported to work closely with the designated school nurse.

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

Recommendation 3a

Addressed to Bradford Community Safety Partnership

specific representation for Education on DHR Panels where the family includes school age children

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

Recommendation 3b

Addressed to Bradford Community Safety Partnership

to ensure that any relevant issues for pre-school children can be addressed by the proposed Panel membership, or seeking additional representation

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

Recommendation 3c

Addressed to Bradford Community Safety Partnership

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

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

Recommendation 3d

Addressed to Bradford Community Safety Partnership

Police IMR authors should liaise closely with the HMET Senior Investigating Officer

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

Recommendation 3e

Addressed to Bradford Community Safety Partnership

To evaluate the DHR guidance for the Crown Prosecution Service to identify any relevant areas for practice improvements

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

Recommendation Bradford Children’s

Addressed to Bradford Children’s Social Care

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.

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

Recommendation Bradford District NH

Addressed to Bradford District NHS Care Trust

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?

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

Recommendation Bradford District NH

Addressed to Bradford District NHS Care Trust

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)

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

Recommendation Bradford District NH

Addressed to Bradford District NHS Care Trust

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.

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

Recommendation Bradford District NH

Addressed to Bradford District NHS Care Trust

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.

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

Recommendation Bradford Teaching Ho

Addressed to Bradford Teaching Hospitals NHS Foundation Trust

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.

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

Recommendation City of Bradford Met

Addressed to City of Bradford Metropolitan District Council: Education and Learning

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.

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

Recommendation City of Bradford Met

Addressed to City of Bradford Metropolitan District Council: Education and Learning

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

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

Recommendation City of Bradford Met

Addressed to City of Bradford Metropolitan District Council: Education and Learning

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.

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

Recommendation City of Bradford Met

Addressed to City of Bradford Metropolitan District Council: Education and Learning

Head Teachers and school Child Protection leads should understand their responsibilities in relation to standards and guidance regarding Children Missing Education (CME)

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

Recommendation City of Bradford Met

Addressed to City of Bradford Metropolitan District Council: Education and Learning

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.

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

Recommendation City of Bradford Met

Addressed to City of Bradford Metropolitan District Council: Housing

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.

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

Recommendation City of Bradford Met

Addressed to Registered Social Landlords

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.

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

Recommendation West Yorkshire Polic

Addressed to West Yorkshire Police

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.

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