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: 2017
Extracted: 7 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
Key concerns include inadequate multi-agency response to domestic abuse, poor information sharing, insufficient consideration of the victim's and perpetrator's complex needs (mental health, substance misuse, self-neglect), and difficulties in engaging vulnerable individuals with services. Police response to a critical 999 call was also delayed.
Extracted recommendations
| # | Recommendation | Addressed to |
|---|---|---|
| 1 | That Manchester Community Safety Partnership shares this DHR overview report with the Manchester Housing Providers Partnership and seeks assurance from the latter partnership that social housing providers have the policies in place, supported by training, which equip their staff to respond with confidence to domestic violence and abuse. | Manchester Community Safety Partnership | Manchester Housing Providers Partnership |
| 2 | That Manchester Community Safety Partnership seek assurance from GMP that the policy of escalating incidents where the unavailability of resources would have the most detrimental effect is now fully embedded in practice. | Manchester Community Safety Partnership | Greater Manchester Police |
| 3 | That Manchester Community Safety Partnership shares this DHR overview report with the Greater Manchester MAPPA Strategic Management Board so that the latter partnership may consider whether any changes are necessary to the way that the risks presented by registered sex offenders to intimate partners are assessed and managed and refer the case to the National Police Chiefs’ Council if appropriate. | Manchester Community Safety Partnership | Greater Manchester MAPPA Strategic Management Board | National Police Chiefs’ Council |
| 4 | That Manchester Community Safety Partnership request Manchester Health and Care Commissioning to address the issues emerging from this DHR, in particular: The findings from the review are shared with Primary Care with the expectation that all presenting needs of patients are considered and that professional curiosity is exercised to contribute to risk assessment. Ensure that GPs inform patients of services they can access during the period they are waiting for a mental health outpatient appointment. Review how GP practices can engage with those patients that are traditionally difficult to engage including review areas of best practice and consider how an outreach approach may be implemented. Primary Care to be updated on self-neglect as a safeguarding issue and equipped to make a social care referral for self-neglect/vulnerability rather than only considering a mental health referral. Manchester Health and Care Commissioning should share the outcome of this recommendation Manchester Community Safety Partnership in due course. | Manchester Community Safety Partnership | Manchester Health and Care Commissioning |
| 5 | That Manchester Community Safety Partnership shares this DHR overview report with Manchester Safeguarding Adults Board so that the latter Board can consider what action to take to enhance the multi-agency approach to self-neglect in Manchester. | Manchester Community Safety Partnership | Manchester Safeguarding Adults Board |
| 6 | That Manchester Community Safety Partnership seeks assurance that partner agencies have policies in place to engage with ‘difficult to engage’ service users, particularly those abusing alcohol and/or drugs and/or experiencing mental health issues, who may be at risk of domestic abuse. | Manchester Community Safety Partnership |
| 7 | That Manchester Community Safety Partnership widely disseminate the learning from this DHR. | Manchester Community Safety Partnership |
| Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗ | ||