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: 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.
View full report (PDF) ↗
Source: Home Office DHR Library
Summary
The report highlights systemic failures in information sharing and multi-agency risk assessment, particularly concerning domestic abuse, mental health, and substance misuse. Agencies often lacked a full family picture, leading to missed opportunities for intervention and questionable child protection decisions.
Extracted recommendations
| # | Recommendation | Addressed to |
|---|---|---|
| 1 | KCA and Greenwich Housing Service to review their policy/method of retention of records to ensure they are able to fully participate in future DHRs and other reviews. | KCA | Greenwich Housing Service |
| 1 | To review the process for obtaining IMRs and information from agencies and develop an escalation process when an agency from outside Kent and Medway fails to participate in a DHR. | Kent and Medway Community Safety Partnerships |
| 1 | The Ministry of Justice to consider the creation of a good practice guide, including a check list for Probation Trusts for all HDC Assessments to include domestic abuse and child protection. | Ministry of Justice |
| 2 | The Home Office to consider issuing guidance to police forces regarding transfer of information between police forces when victims and offenders involved in domestic abuse move. | Home Office |
| 3 | The Home Office to work with the NHS National Commissioning Board and Clinical Commissioning Groups regarding publication of guidance for the commissioning and writing of IMRs from health providers, in particular developing a protocol for obtaining information from other areas. | Home Office | NHS National Commissioning Board | Clinical Commissioning Groups |
| 4 | The Home Office, the NHS National Commissioning Board and Clinical Commissioning Groups to develop a training programme for IMR authors from the health economy. | Home Office | NHS National Commissioning Board | Clinical Commissioning Groups |
| 5 | Home Office to issue guidance to Independent Chairs and Authors regarding involvement in a DHR of persons convicted of domestic homicide who have been victims of domestic abuse. | Home Office |
| 6 | The Home Office consider developing guidance regarding the identification of a lead professional in cases of domestic abuse where there are other significant issues such as mental ill-health, alcohol or drug misuse especially when one or more of those issues affects both victim and offender. The process could be similar to the one that already exists in the Care Programme Approach for the mentally ill or in the Child Assessment Framework. | Home Office |
| Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗ | ||