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

Kent review

CSP: Kent Published: April 2023 Year of death: 2013 Extracted: 16 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 inconsistent police response and victim care, including failures to fully implement domestic abuse policies and keep victims informed. It also highlighted insufficient attention to child safeguarding, missed opportunities to gather information from children, and anomalies in multi-agency risk assessment processes.

Home Office classifications

35 tags

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

  • Victim - mental ill health
  • 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 - mental ill health
  • Perpetrator - depression
  • Perpetrator - suicidal thoughts
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Perpetrator - known to social services as a domestic abuse perpetrator
  • Perpetrator - known to school 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
  • Aggravating factors - separation
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - stalking
  • Aggravating factors - physical stalking
  • Aggravating factors - digital stalking
  • Aggravating factors - psychological or emotional abuse
  • DHR process - family contributed to dhr
  • DHR process - family received draft report
  • DHR process - police recommendations
  • DHR process - social services recommendations
  • DHR process - health services 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

16 recommendations pulled from the report · 9 matched to organisations in the index

Recommendation 1

Addressed to Kent Police

Kent Police must examine its initial response to calls made by the victim between 2 November and 7 November and amend policies and guidance in order to ensure that the lessons learned from this review are incorporated.

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

Recommendation 2

Addressed to Kent Police

Kent Police must ensure that importance of keeping domestic abuse victims informed of police action is seen as a priority.

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

Recommendation 3

Addressed to Kent Police

Kent Police must review its domestic abuse policy regularly to ensure that it describes the service that victims can expect. Having done so it must ensure that the policy and associated guidance are complied with.

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

Recommendation 4

Addressed to Kent Police

Kent Police must be open and transparent about the minimum level of service that domestic abuse victims will receive from each of the three DASH risk classifications.

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

Recommendation 5

Addressed to Kent Police

If a victim has previously received a ‘High’ or ‘Medium’ DASH risk classification, Kent Police must ensure there is additional scrutiny of any subsequent ‘Standard’ risk classification to ensure that the history of the abuse has been taken into account when making that classification.

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

Recommendation 6

Addressed to KSCS

When training staff in how to deal with DANs, KSCS should clarify that being a first notification should not in itself be a reason for taking no further action.

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

Recommendation 7

Addressed to Kent Police | KSCS

When KSCS staff make contact with adults or children following a DAN, there should be a workable process that enables them to pass back to Kent Police any new information that they gather from the contact which may be relevant to the way Kent Police deal with future incidents involving that victim.

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

Recommendation 8

Addressed to KSCS

When a decision about child safeguarding is taken, which appears to be contrary to policy and/or guidance, the rationale for the decision must be recorded.

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

Recommendation 9

Addressed to KSCS

When KSCS staff speak to a child’s parent(s) about domestic abuse they should ask for consent to talk to the child, if the child is old enough to speak for themselves. Where a request is not made, the reason why should be recorded.

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

Recommendation 10

Addressed to KSCS

When KSCS staff speak to a child’s parent(s) about domestic abuse and the parents have separated, they should query child access arrangements.

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

Recommendation 11

Addressed to NHS England

NHS England should consider whether there is a need to check the quality of records made by the GP visited by the victim following her overdose.

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

Recommendation 12

Addressed to Kent Police | KSCS

Kent Police, in consultation with KSCS, should review the domestic abuse child referral matrix to ensure that there are no anomalies and that it provides the right criteria for safeguarding children who are living in households where domestic abuse is taking place.

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

Recommendation 13

Addressed to Kent Police

When training officers and staff in dealing with domestic abuse incidents, Kent Police should emphasise the importance of speaking to children who are old enough to speak for themselves.

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

Recommendation 14

Addressed to KCJB

Kent Criminal Justice Board (KCJB) should consider whether there is any way in which the facilities available in an SDVC could be provided in cases where the defended appears having been remanded in custody.

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

Recommendation 15

Addressed to DCA

The Department for Constitutional Affairs (DCA) should consider whether domestic abuse should be excluded from the general principle of cases being disposed of at first hearing following a guilty plea, when this means that offenders are less likely to appear before SDVCs.

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

Recommendation 16

Addressed to All Organisations

The training given to professionals who come into contact with domestic abuse victims must emphasise that control and behaviour (such as stalking and harassment) suffered by victims, other than through physical violence, must be carefully considered when assessing the risk to domestic abuse victims.

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