Home / Sources / Domestic Homicide Reviews / Kent · Jun 2023
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

Kent review

CSP: Kent Published: June 2023 Year of death: 2019 Extracted: 10 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 systemic failures in identifying domestic abuse and suicide risk, particularly due to a lack of cultural awareness and intersectional understanding by professionals. It notes inadequate multi-agency information sharing and a critical absence of culturally appropriate specialist support for the victim.

Home Office classifications

34 tags

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

  • Victim - died by suicide
  • Victim - housing issues
  • Victim - mental ill health
  • Victim - anxiety
  • Victim - depression
  • Victim - immigration involvement
  • Children - living with victim (including adult children)
  • Children - living with perpetrator (including adult children)
  • Child - primary address same as victim
  • Perpetrator - housing issues
  • Perpetrator - mental ill health
  • Perpetrator - depression
  • 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
  • Perpetrator - supervised by mental health services
  • Perpetrator - immigration involvement
  • Aggravating factors - separation
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - honour based violence
  • Aggravating factors - physical abuse
  • Aggravating factors - economic abuse
  • DHR process - police recommendations
  • DHR process - social services recommendations
  • DHR process - health services recommendations
  • DHR process - idva or other domestic abuse support service recommendations
  • DHR process - technology systems recommendation themes
  • DHR process - identification of risk recommendation themes
  • DHR process - training recommendation themes
  • DHR process - policy recommendation themes
  • DHR process - multi agency working recommendation themes
  • DHR process - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

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

Recommendation 1

Addressed to Kent Police | All Agencies | KCC DA Commissioning

Harmful Practices training made available for all agencies.

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

Recommendation 2

Addressed to KCC DA Commissioning

Commissioned domestic abuse services to explore and implement methods to strengthen engagement with victims from a diverse range of cultures.

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

Recommendation 3

Addressed to Kent & Medway CCG

The offer of DA safe enquiry and referral training for GPs – and the availability of an enhanced pathway into support services when domestic abuse is suspected or disclosed. With assurance sought from GPs, by CCG, that this is in place.

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

Recommendation 4

Addressed to KCC DA Commissioning

Commissioned domestic abuse services should include those that are equipped with the knowledge and ability to respond to victims from a diverse range of cultures.

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

Recommendation 5

Addressed to Home Office | Designate Domestic Abuse Commissioner

Research into barriers to engagement with - and reasons for disengagement from - police and domestic abuse services, from victims within Black and Asian communities to be undertaken.

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

Recommendation 6

Addressed to Kent & Medway CCG

The offer of culturally specific training around the impacts of domestic abuse on mental health to all GP Practices. CCG should seek assurance that this has been undertaken.

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

Recommendation 7

Addressed to KCC – Public Health Team

The Kent and Medway Suicide Prevention Programme to consider and highlight culturally specific issues relating to suicidal behaviour within different religious and ethnically diverse communities (including the Sikh community).

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

Recommendation 8

Addressed to Kent & Medway CCG

An update on the definition of domestic abuse and how to respond within the Think Family agenda should be provided to Primary Care.

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

Recommendation 9

Addressed to KIDAS and MDAS

DA providers to make a consistent level of domestic abuse training widely available - which will include identifying abusive behaviours.

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

Recommendation 10

Addressed to Kent Police

Kent Police - through new recruit and ongoing training - will raise awareness of the need for secondary risk assessments, involving parties who may not be direct victims of domestic abuse.

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