Wigan review

That Wigan Building Stronger Communities Partnership and West Lancashire Community Safety Partnership use the findings from this DHR in their domestic abuse multi-agency training programmes and specifically highlight the importance of: Lesson 1 Scrutinising original referral documents Lesson 2 Seeking additional sources of information Lesson 3 Sharing full information from referral documents Lesson 5 That bite marks on victims can be a sign of sexual violence Lesson 6 Poor information gather leads to poor decisions and does not support victims Lesson 7 That agencies may hold tangential information of value to other agencies engaged in domestic abuse identification and assessment

Clarity to be provided for PPIU specialist staff in relation to what level of checks are required to be completed during an Enhanced Risk Assessment.

Draft communication to GP Practices across Wigan Borough to share the following learning: a. Relevance of previous history b. Enquiring about domestic situation c. Recording identity of partner/father at new patient registration

To ensure that all relevant staff have refresher training within three years of attending initial training on domestic abuse included on their individual training plans.

An audit of the routine enquiry for domestic abuse by the Health Visiting Service in the Wigan Borough should be undertaken.

Training session to be offered to the practices involved in this DHR re domestic abuse and violence to ensure adherence to NICE guidance ph50.

Although staff receive regular updates to their mandatory training at appropriate levels to their roles, it wold appear that domestic violence training / awareness may need to be covered separately

All appropriate correspondence to be saved appropriately on the IT System Liquid Logic. This relates to any information received by the department and any correspondence sent by the department in respect to a family.

To ensure opportunities are made to routinely ask pregnant women about domestic abuse.

That Wigan Building Stronger Communities Partnership and West Lancashire Community Safety Partnership review their current advice to family and friends on what to do if they receive disclosures of domestic abuse to determine whether the advice:
 Is still appropriate
 And has it penetrated the community

Consideration to be given to reviewing the electronic Enhanced Risk Assessment within the PPI document to make it fit for purpose.

Staff will be reminded of the risks to adults and children associated with ‘toxic trio’ via i) the Safeguarding Children Newsletter What’s Hot in Safeguarding Children.

Audit of training needs around domestic abuse and adherence to NICE guidance ph50 in GP practices across the area.

Access to the Medical interoperability gateway (MIG) will improve patient safety as we would be able to access patient’s GP records relating to safeguarding concerns rather than relying on GPs to send us alerts when they remember, it would also mean we could access data on patients presenting from out of area.

All information to be recorded appropriately within contact records. This to include outcomes and specify clear actions requested of other agencies along with dates for these to be completed. Agencies requested to complete an action to be informed both verbally and in writing. This to be recorded and evidenced within the contact record outcomes.

To raise awareness of domestic abuse, recognition and response

That Wigan Building Stronger Communities Partnership consider whether healthy relationships programmes have a place in reducing domestic violence and if so to determine how such programmes are best delivered in Wigan.

Enquiries to be made to developing and introducing a flagging system within the PPI OPUS system to enable PPIU triage staff to identify those standard risk PPIs awaiting assessment which have recordable reports of crime attached in order that the can be processed prior to those that do not.

Ensure the practices involved in this DHR have, and adhere to, a DNA policy for children and vulnerable adults, as well as up to date safeguarding children and adults policies.

Regain access to the Alchemy server.

Families to be provided with appropriate information in respect to available support services, when the department are taking no further action. This information to be clearly recorded on the IT System Liquid Logic.

Audit of routine enquiry by WWL Maternity Services

All SIOs involved in leading a homicide investigation to be reminded to consider the appropriate use of a contact officer to signpost the defendant’s family to support agencies available to them.