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
Manchester review
CSP: Manchester
Published: May 2023
Year of death: 2015
Extracted: 23 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
Multiple agencies missed opportunities to identify and respond to domestic abuse, including failures in risk assessment, separate interviewing of parties, and information sharing regarding the perpetrator's history. There was also insufficient recognition of the impact on children and potential professional biases.
Extracted recommendations
| # | Recommendation | Addressed to |
|---|---|---|
| 7.1.1 | There should be consideration of developing a process whereby information about high-risk domestic abuse offenders is shared across international boundaries. | National |
| 7.2.1 | The partnership should disseminate the learning from this DHR. | Community Safety Partnership |
| 7.3.1 | To ensure that officers probe information provided by victims in relation to previous domestic abuse. This is particularly important in relation to incidents in other areas and the need to complete relevant checks, for example, the Police National Database (PND). | Greater Manchester Police |
| 7.3.2 | To ensure that all officers who have contact with victims of domestic abuse understand the importance of providing relevant helpline and support signposting. When it has been done, a record should be made as to what information has been provided to the victim. | Greater Manchester Police |
| 7.3.3 | To ensure that supervisors make proper use of an up to date induction package for newly appointed domestic abuse specialists when they start in post. | Greater Manchester Police |
| 7.3.4 | To ensure that whenever children are present during incidents of domestic abuse they are communicated with, listened to and their welfare considered. | Greater Manchester Police |
| 7.4.1 | To conduct regular audits to ensure patients identifying signs of domestic abuse are supported appropriately. | Pennine Acute NHS Hospitals Trust |
| 7.4.2 | To ensure that DVA training includes good practice around interviewing the victim and perpetrator separately. | Pennine Acute NHS Hospitals Trust |
| 7.4.3 | To ensure that safe enquiry is conducted in the event of domestic abuse disclosure, regardless of whether the victim is the patient or partner, friend or relative accompanying them. | Pennine Acute NHS Hospitals Trust |
| 7.4.4 | To carry out a risk assessment for any person disclosing domestic abuse in line with MSAB/MSCB guidelines | Pennine Acute NHS Hospitals Trust |
| 7.4.5 | To ensure that lessons learned from this DHR are cascaded to staff as appropriate. | Pennine Acute NHS Hospitals Trust |
| 7.5.1 | To ensure that DVA training includes good practice around interviewing the victim and perpetrator separately. | Manchester Mental Health & Social Care Trust |
| 7.5.2 | To ensure that safe enquiry is conducted in the event of domestic abuse disclosure, regardless of whether the victim is the patient or partner, friend or relative accompanying them. | Manchester Mental Health & Social Care Trust |
| 7.5.3 | To carry out a risk assessment for any person disclosing domestic abuse in line with MSAB/MSCB guidelines | Manchester Mental Health & Social Care Trust |
| 7.5.4 | To cascade lessons learned from this DHR to ensure that clinicians consider the full facts rather than just responding to the presenting issue, e.g. domestic abuse as well as mental health issues. | Manchester Mental Health & Social Care Trust |
| 7.6.1 | To improve GP awareness of symptoms and behaviour associated with DVA through IRIS training | Manchester Clinical Commissioning Groups |
| 7.6.2 | To disseminate learning from the DHR via Safeguarding Newsletter, CCG Website. | Manchester Clinical Commissioning Groups |
| 7.7.1 | To ensure that awareness raising with staff takes place in relation to the consideration of immigration status and to be curious why a patient may not have a GP. | North West Ambulance Services |
| 7.8.1 | The school should take action to ensure that staff are familiar with the possible indicators of domestic abuse and the impact on the child. | Robert’s school |
| 7.8.2 | The school should consider accessing Healthy Relationships Awareness sessions for pupils, which looks specifically at domestic abuse and relationships. | Robert’s school |
| 7.8.3 | To review the effectiveness of changes to the system where Deputy Head Pastoral reviews all counselling appointments every week to check who has attended and who hasn’t. There should be a system of follow-up as necessary. | Robert’s school |
| 7.8.4 | To ensure that all records relating to children are accurate and visits to the school nurse are included in the Head of House Meeting Minutes | Robert’s school |
| 7.8.5 | To ensure that where children are concerned with their workloads, a referral is made to their personal tutor to discuss and plan support. | Robert’s school |
| Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗ | ||