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: May 2023 Year of death: 2015 Extracted: 5 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 proactive intervention and signposting support for the victim following a domestic abuse incident. It highlighted gaps in information sharing between health agencies and social services, and the need for improved training for practitioners on sensitive conversations and record-keeping.

Home Office classifications

29 tags

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

  • Victim - had been a victim of an abuser before
  • Victim - immigration involvement
  • Children - under 18 shared parental responsibility (victim and perpetrator)
  • Children - under 18 shared parental responsibility (between victims)
  • Children - under 18 shared parental responsibility (between perpetrators)
  • Children - living with victim (including adult children)
  • Children - living with perpetrator (including adult children)
  • Children - subject to child protection or domestic abuse prior to homicide
  • Child - primary address same as victim
  • Perpetrator - case heard in court
  • Perpetrator - alcohol misuse
  • Perpetrator - mental ill health
  • Perpetrator - depression
  • Perpetrator - post traumatic stress disorder (ptsd)
  • 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 health services as a domestic abuse perpetrator
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - stalking
  • Aggravating factors - digital stalking
  • DHR process - social services recommendations
  • DHR process - health services recommendations
  • DHR process - idva or other domestic abuse support service recommendations
  • DHR process - community safety partnership recommendations
  • 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

5 recommendations pulled from the report · 1 matched to organisations in the index

Recommendation 13.1

Addressed to Local Clinical Commissioning Group

Consideration to be given to widening the communication of personal information in relation to domestic abuse incidents following referrals from Social Services to all frontline health workers/agencies and relevant GP’s that have direct contact with the victim. This will ensure that frontline health staff including General Practitioners are fully briefed when engaging with potential victims or perpetrators and can signpost appropriate support services and provide opportunities for disclosure during consultations.

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

Recommendation 13.2

Addressed to Kent County Council Children’s Centres

Ensure that all Kent County Council Children’s Centres display domestic abuse support services information and that staff are able to signpost to local services. This will enable those victims that feel unable to disclose their personal circumstances to be better informed of the support available.

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

Recommendation 13.3

Addressed to Kent Community Safety Partnership | Medway Community Safety Partnership | Local Domestic Abuse Forums

Given the changes to the ethnic make-up of communities in the area concerned consideration should be given by the local Community Safety Partnership and Local Domestic Abuse Forums to providing domestic abuse support material in alternative language formats, therefore responding to the changing demographics in their area.

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

Recommendation 13.4

Addressed to Kent County Community Safety Partnership | Medway Community Safety Partnership | Domestic Abuse Support Providers

In liaison with domestic abuse support providers raise the awareness of the potential misuse of Tracking Apps that are routinely installed on mobile telephones and other devices with potential victims and service providers, the focus to be particularly in terms of Stalking and Harassment. The Kent County Community Safety Partnership to raise the profile of this subject at the Kent and Medway Domestic Homicide Review Lessons Learnt Seminars and at Community Safety Managers Information sessions.

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

Recommendation 13.5

Addressed to Local Clinical Commissioning Group

Health Practitioners should be reminded of the importance of clear and accurate notes in record keeping. This will assist information sharing between the various front line health professionals. This recommendation should be reinforced as part of the wider information sharing recommended in recommendation 13.1

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