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: BirminghamPublished: June 2023Year of death: 2012Extracted: 6 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The review identified concerns regarding the ability of the victim's family to engage with GPs about the perpetrator's rapidly deteriorating mental health, leading to potentially incomplete information for GPs. There were also issues with timely referral to secondary mental health services, limitations in risk assessment for harm to others, and a lack of clear domestic abuse policies and training within the GP practice.
Home Office classifications
20 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - mental ill health
Victim - anxiety
Perpetrator - mental ill health
Perpetrator - anxiety
Perpetrator - depression
Perpetrator - psychosis
Perpetrator - suicidal thoughts
Perpetrator - suicide attempts
Perpetrator - serious or life limiting illness
Perpetrator - supervised by mental health services
DHR process - family contributed to dhr
DHR process - family received draft report
DHR process - health services recommendations
DHR process - community safety partnership recommendations
DHR process - identification of risk recommendation themes
DHR process - training recommendation themes
DHR process - policy recommendation themes
DHR process - record keeping recommendation themes
DHR process - awareness raising recommendation themes
DHR process - other recommendation themes
Extracted recommendations
6 recommendations pulled from the report · 2 matched to organisations in the index
Risk assessment processes, including recording practices be strengthened to ensure that potential risk of harm to others are fully explored and referral for specialist services actioned
A more robust referral process and threshold for referral to be agreed with secondary health services to ensure that patients receive prompt initial assessment and appropriate treatment.
Patient records to include full details of incidents and behaviour disclosed when a patient has indicated or been assessed as posing a risk of harm to self or to others.
Addressed to
GP Practice | Birmingham City Council Staffcare
Birmingham Community Safety Partnership requires all recommendations contained in agencies IMRs be fully implemented. In addition agencies are required to confirm that action has been taken where management or practice has fallen below expected standards of professional behaviour.
Addressed to
NHS England Birmingham, Solihull and Black Country Area Team
NHS England Birmingham, Solihull and Black Country Area Team to work with key stakeholders (including Health Education England and local Clinical Commissioning Groups) to ensure that all frontline health professionals have access to good quality healthcare information about mental health and psychological interventions that will assist them to better support patients and their families and signpost them to the relevant, available support where appropriate.