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: June 2023 Year of death: 2011 Extracted: 8 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 identified a lack of professional curiosity regarding the victim's identity and relationship with the perpetrator, alongside insufficient risk assessment concerning the perpetrator's mental health and potential harm to others. Gaps in domestic abuse screening and policies within primary care were also noted.

Home Office classifications

21 tags

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

  • Victim - alcohol misuse
  • Victim - mental ill health
  • Victim - depression
  • Victim - serious or life limiting illness
  • Victim - had been a victim of an abuser before
  • Perpetrator - case heard in court
  • Perpetrator - issued life sentence
  • Perpetrator - alcohol misuse
  • Perpetrator - substance misuse
  • Perpetrator - mental ill health
  • Perpetrator - anxiety
  • Perpetrator - known to others as a domestic abuse perpetrator
  • Perpetrator - known to family as a domestic abuse perpetrator
  • Aggravating factors - coercive or controlling behaviour
  • DHR process - family contributed to dhr
  • DHR process - health services 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 - other recommendation themes

Extracted recommendations

8 recommendations pulled from the report · 8 matched to organisations in the index

Recommendation 1

Addressed to Birmingham and Solihull Mental Health Trust

Remind staff that they should clearly record information about children, partners and significant others in the service users clinical record, including any potential risks identified.

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

Recommendation 2

Addressed to Birmingham and Solihull Mental Health Trust

Whenever a service user is lost to follow up relevant partner organisations who will be involved in agreeing any future action.

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

Recommendation 3

Addressed to Birmingham and Solihull Mental Health Trust

All clinical staff should have access to the Department of Health Routine Enquiry Training into Abuse and Neglect

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

Recommendation 4

Addressed to Birmingham South Central and Cross City Clinical Commissioning Group

The findings of the DHR are circulated to all general practices

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

Recommendation 5

Addressed to Birmingham South Central and Cross City Clinical Commissioning Group

All General Practices are informed in writing of the need to have clear policy statements and procedures in place with respect to domestic abuse and safeguarding adults at risk

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

Recommendation 6

Addressed to Birmingham South Central and Cross City Clinical Commissioning Group

Royal College of General Practitioner Guidelines are circulated to all general practices with a recommendation that a designated person is identified and a domestic abuse care pathway is established, as per the guidance

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

Recommendation 7

Addressed to Birmingham South Central and Cross City Clinical Commissioning Group

All staff working in general practices receive training in recognising and responding to domestic abuse which is commensurate to their role.

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

Recommendation 8

Addressed to Heart of England NHS Foundation Trust

All medical & nursing staff to be reminded of good practice & Trust policy in relation to record keeping and documentation

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