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
Leeds review
CSP: LeedsPublished: May 2023Extracted: 5 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The DHR found no evidence of domestic violence or abuse, concluding the deaths were neither predictable nor preventable. Key themes included the perpetrator's mental health and financial stressors, and the GP practice's lack of a domestic violence protocol.
Home Office classifications
12 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - serious or life limiting illness
Perpetrator - mental ill health
Perpetrator - anxiety
Perpetrator - depression
Perpetrator - self harm
Perpetrator - suicidal thoughts
Perpetrator - supervised by mental health services
Perpetrator - died by suicide
DHR process - health services recommendations
DHR process - identification of risk recommendation themes
DHR process - training recommendation themes
DHR process - awareness raising recommendation themes
Extracted recommendations
5 recommendations pulled from the report · 4 matched to organisations in the index
The CCG should take the opportunity presented by these events to assess local GPs’ awareness of domestic violence following a training programme, which is being delivered by the local CCG. It is likely that such an assessment could be conducted using questionnaires the outcome of which could demonstrate a lack of formal policies in place in local practices. In order to ensure a high uptake of any questionnaire based audit it is suggested that any CPD points awarded for taking part in domestic abuse training are not issued until the questionnaire is complete. Such a questionnaire based audit could take place at the end of a training day or else using a tool such as “Survey Monkey”. The recommendation is expected to be completed within six months of the date of the IMR, thus by September 2015.
Addressed to
Leeds and York Partnership NHS Foundation Trust
Ensure Crisis and CMHT services have information and awareness of what constitutes psychological abuse. Ensure up to date contact details for Domestic Violence support are readily available during crisis assessment.
Addressed to
Leeds and York Partnership NHS Foundation Trust
We recommend that in line with the LYPFT IMR recommendation, that LYPFT ensure that all its mental health services, both in patient and community based have information regarding domestic violence and abuse and are able to inform them when conducting assessments and reviews.
Addressed to
General Practices | NHS Clinical Commissioning Group
We recommend a practice improvement in relation to the conducting and administration of the PHQ-9. The processes that GPs have in place for the use of PHQ-9s should be reviewed and if necessary amended to ensure that following completion PHQ-9’s are reviewed and any appropriate action is taken.