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

Newcastle upon Tyne review

CSP: Newcastle upon Tyne Published: June 2023 Year of death: 2014 Extracted: 7 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 identifies missed opportunities by GPs to explore wider implications of the perpetrator's mental health and family conflict, including fabricated events, which limited agencies' ability to assess risk. This highlights the need for more comprehensive inquiry into home circumstances and distress disclosures.

Home Office classifications

20 tags

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

  • Victim - was a carer
  • Victim - alcohol misuse
  • Victim - physical disability
  • Victim - mental ill health
  • Victim - anxiety
  • Victim - depression
  • Victim - serious or life limiting illness
  • Children - under 18 shared parental responsibility (between perpetrators)
  • Perpetrator - case heard in court
  • Perpetrator - issued life sentence
  • Perpetrator - mental ill health
  • Perpetrator - anxiety
  • Perpetrator - depression
  • DHR process - family contributed to dhr
  • DHR process - family attended dhr panel
  • DHR process - police recommendations
  • DHR process - health services recommendations
  • DHR process - identification of risk recommendation themes
  • DHR process - training recommendation themes
  • DHR process - record keeping recommendation themes

Extracted recommendations

7 recommendations pulled from the report · 5 matched to organisations in the index

Recommendation 6.1.2

Addressed to South Tyneside Clinical Commissioning Group

Where patients are presenting with mental health concerns and management of this is based on reports that they are receiving support from other sources, GPs should be encouraged, where possible, to verify this.

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

Recommendation 6.2.1

Addressed to Newcastle Gateshead Clinical Commissioning Group

All GP Practice staff should be encouraged to attend Domestic Violence training to raise their awareness of this issue, have regard to the impact of domestic violence upon the wider family unit and to recognize the interface between safeguarding and domestic abuse. The training is available from Newcastle City Council and/or the Safeguarding Teams from NGCCG. An annual audit of training undertaken will be done by the Safeguarding Adults Lead NGCCG. Responsible – GP Lead for Safeguarding Adults NGCCG.

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

Recommendation 6.2.2

Addressed to Newcastle Gateshead Clinical Commissioning Group

NGCCG should continue to support GP Practices across the City to promote the needs of carers within Primary Health Care Teams. Responsible – Medical Director for NGCCG in partnership with the Clinical Strategic Director, Newcastle Unit of Delivery.

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

Recommendation 6.2.3

Addressed to Newcastle Gateshead Clinical Commissioning Group

This review highlights that GP’s and Clinical Staff in primary care need to explore the wider implications, and potential risks, of an individual’s presentation and behaviours. The ‘Think Family’ agenda includes children and others with vulnerabilities; this issue will be emphasised in training. Responsible – GP Lead for Safeguarding Adults NGCCG, Adult Safeguarding Leads in GP Practices and the Safeguarding Adults Team, NGCCG.

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

Recommendation 6.2.4

Addressed to South Tyneside Clinical Commissioning Group

All GPs should be aware of the correlation between poor mental health substance misuse and domestic abuse to ensure exploration of all issues and appropriate actions can be made to ensure the safety and welfare of all.

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

Recommendation 6.2.5

Addressed to South Tyneside Clinical Commissioning Group

All GP Practices should routinely enquire and document next of kin / partner / children details at the point of registration and updated as required, to ensure the appropriate support and interventions can be offered.

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

Recommendation 6.2.6

Addressed to Adult Social Care, Newcastle City Council

Ensure a clear record of all changes to care packages is entered on Carefirst by Social Work staff.

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