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

Stoke-on-Trent review

CSP: Stoke-on-Trent Published: May 2023 Year of death: 2015 Extracted: 7 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 shortcomings in Adult Social Care assessment processes, particularly regarding carer suitability and risk assessment, and noted a lack of comprehensive monitoring of the victim's alcohol abstinence and support needs post-discharge. Agencies also had limited awareness of the long-standing fractious relationship between the victim and the perpetrator.

Home Office classifications

29 tags

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

  • Victim - alcohol misuse
  • Victim - mental ill health
  • Victim - cognitive disorder (dementia or alzheimer's disease)
  • Victim - self harm
  • Victim - serious or life limiting illness
  • Victim - had been a victim of an abuser before
  • Children - living with victim (including adult children)
  • Children - living with perpetrator (including adult children)
  • Children - present at homicide (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 - was a carer
  • Perpetrator - carer for victim
  • Perpetrator - alcohol misuse
  • Perpetrator - mental ill health
  • Perpetrator - psychosis
  • 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
  • Perpetrator - known to family as a domestic abuse perpetrator
  • DHR process - family contributed to dhr
  • DHR process - family supported by expert specialist advocate
  • DHR process - social services recommendations
  • DHR process - health services recommendations
  • DHR process - identification of risk recommendation themes
  • DHR process - training recommendation themes
  • DHR process - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

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

Recommendation 1

Addressed to Stoke-on-Trent Responsible Authorities Group

The Stoke-on-Trent Responsible Authorities Group should seek assurance that consideration of the suitability of carers and any risks posed by them is included in agencies’ frameworks for the assessment of informal carers and hospital discharge planning arrangements.

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

Recommendation 2

Addressed to Stoke-on-Trent Clinical Commissioning Group

The Stoke-on-Trent Clinical Commissioning Group should seek assurance that providers of health services for the medical consequences of alcohol abuse have in place pathways which encourage patients to access specialist services to address their future alcohol consumption.

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

Recommendation NSCHT 1

Addressed to North Staffordshire Combined Healthcare NHS Trust

Staff to ensure that they assess service users’ alcohol consumption using a recognised tool especially those that have a history of excessive alcohol use.

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

Recommendation SOTCC ASC 1

Addressed to Stoke-on-Trent City Council

Assurance that all assessments of need are a comprehensive account of the service user’s life/ history/ wishes/ feelings and aspirations.

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

Recommendation SOTCC ASC 2

Addressed to Stoke-on-Trent City Council

All identified as supporting an individual by providing a caring role will be fully involved in the assessment process and their ability and willingness to fulfil that role will be determined and support to carry out that role will be provided where needed and deemed appropriate.

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

Recommendation SOTCC ASC 4

Addressed to Stoke-on-Trent City Council

All workers, including senior workers and Managers will be made aware of the findings of this report and areas of improvement.

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