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

Birmingham review

CSP: Birmingham Published: May 2023 Year of death: 2013 Extracted: 6 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 highlights historical missed opportunities by agencies to intervene in long-standing domestic abuse due to evolving understanding of coercive control and victim reluctance to report. It identifies a need for improved multi-agency information sharing, enhanced police response to unexplained deaths, and greater employer engagement in supporting victims.

Home Office classifications

28 tags

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

  • Victim - alcohol misuse
  • Victim - mental ill health
  • Victim - anxiety
  • Victim - depression
  • Victim - had been a victim of an abuser before
  • Perpetrator - case heard in court
  • Perpetrator - alcohol misuse
  • Perpetrator - substance misuse
  • Perpetrator - mental ill health
  • Perpetrator - anxiety
  • Perpetrator - depression
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Perpetrator - known to health services 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 workplace (employer) as a domestic abuse perpetrator
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical abuse
  • DHR process - family contributed to dhr
  • DHR process - police recommendations
  • DHR process - health services recommendations
  • DHR process - employer recommendations
  • DHR process - community safety partnership recommendations
  • DHR process - policy recommendation themes
  • DHR process - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

6 recommendations pulled from the report · 3 matched to organisations in the index

Recommendation 1

Addressed to Birmingham Community Safety Partnership

The BCSP should review how it produces current local material which is available to relatives, friends and colleagues and examine, if it provides information, which gives clear advice about what to do and how to do it.

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

Recommendation 1

Addressed to Solihull Clinical Commissioning Group

The practice develops and puts into place a policy and procedure for domestic abuse. This policy should be linked to Solihull Community Partnership Domestic Abuse Standards, other safeguarding and relevant human resource policies and procedures.

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

Recommendation 2

Addressed to West Midlands Police

The West Midlands Police to undertake a review of homicide investigations covering 2015 to 2016 to determine that those investigations, where there were domestic violence related aspects, were recognised as such. The review should establish that the correct intelligence checks had been undertaken on all involved to retrieve all known background history. The West Midlands Police will provide assurance to the BSCP agencies that management oversight is exercised in all homicide investigations and will include monitoring evidence of domestic violence and abuse.

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

Recommendation 2

Addressed to Solihull Clinical Commissioning Group

The practice has systems in place to monitor and review that practice staff are consistent in applying the domestic abuse policies related to staff and patients.

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

Recommendation 3

Addressed to Birmingham Community Safety Partnership

The Birmingham Community Safety Partnership must develop a Local Strategy under the umbrella of the national Violence against Women and Girls strategy 2016-2020 to engage with private employers to promote knowledge of domestic violence and abuse and the implementation of policies and procedures to support employees.

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

Recommendation 4

Addressed to The Employing organisation

This report should be shared with the employing organisation formally by the BCSP to enable learning to take place in the organisation. The Employing organisation should be supported to develop and implement a domestic violence policy and procedure that ensures a safe, empowering and supportive response to victims, and assists work colleagues about what to do when domestic violence and abuse is identified or disclosed.

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