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

Durham review

CSP: Durham Published: June 2023 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 report identifies missed opportunities for multi-agency intervention, superficial responses to complex family needs, and a lack of professional curiosity and information sharing, particularly regarding domestic abuse and alcohol misuse.

Home Office classifications

35 tags

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

  • Victim - alcohol misuse
  • Victim - housing issues
  • Victim - mental ill health
  • Victim - self harm
  • Victim - suicide attempts
  • Victim - had been a victim of an abuser before
  • Perpetrator - case heard in court
  • Perpetrator - was a carer
  • Perpetrator - alcohol misuse
  • Perpetrator - housing issues
  • Perpetrator - mental ill health
  • Perpetrator - depression
  • Perpetrator - psychosis
  • Perpetrator - self harm
  • Perpetrator - suicide attempts
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Perpetrator - known to probation services as a domestic abuse perpetrator
  • Perpetrator - known to others as a domestic abuse perpetrator
  • Perpetrator - known to family as a domestic abuse perpetrator
  • Perpetrator - supervised by probation services
  • Aggravating factors - physical abuse
  • DHR process - family contributed to dhr
  • DHR process - family supported by expert specialist advocate
  • DHR process - police recommendations
  • DHR process - health services recommendations
  • DHR process - idva or other domestic abuse support service recommendations
  • DHR process - probation services recommendations
  • DHR process - identification of risk recommendation themes
  • DHR process - training recommendation themes
  • DHR process - policy recommendation themes
  • DHR process - multi agency working recommendation themes
  • DHR process - record keeping recommendation themes
  • DHR process - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

8 recommendations pulled from the report · 1 matched to organisations in the index

Recommendation 1

Addressed to Safe Durham Partnership Board

An integrated multi-agency domestic abuse and sexual violence training plan is currently in development. This needs to identify the resources across the partnership to implement this plan including those sessions delivered by Harbour the commissioned Domestic Abuse Outreach Service. The plan needs to identify priority groups of staff for training and ensure a rolling programme is implemented. All training should emphasise the contributory factor of alcohol on domestic abuse as well the need for 'professional curiosity' and 'respectful uncertainty' rather than professional optimism.

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

Recommendation 2

Addressed to The Alcohol Harm Reduction Group

There is currently an initiative in custody suites where each individual identified in an alcohol related incident is subject to screening. The Alcohol Harm Reduction Group to evaluate the effectiveness of the current initiative, in custody suites in County Durham.

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

Recommendation 3

Addressed to Safe Durham Partnership Board

Consideration is given to continuing the development of the Central Referral Unit with it becoming a fully functioning partnership CRU or Multi-Agency Safeguarding Hub (MASH) The priority maybe to first consider this for children then move to incorporate adults.

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

Recommendation 4A

Addressed to Durham Constabulary

Durham Constabulary reviews its processes in relation to any breaches of licence to ensure that they are referred to the probation service.

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

Recommendation 4B

Addressed to other professionals and agencies

That other professionals and agencies (where they are aware that NPS are involved) that have a relevant duty to ensure that information sharing protocols with the Probation Service [NPS] are robust and lines of communication are clear. The Probation Service [NPS] should be notified of any potential licence breach at the earliest opportunity.

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

Recommendation 4C

Addressed to MAPPA Strategic Management Board

The MAPPA Strategic Management Board to consider having within its management plan the setting of a thresholds policy for referring cases into MAPPA.

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

Recommendation 5

Addressed to health providers in County Durham

The Safe Durham Partnership recommends that health providers in County Durham review their DNA policy and make sure that it is being appropriately applied. Health practitioners should be encouraged to identify those high impact families who persistently fail to attend and share this information with the referral agency as ‘did not attend’ (DNA) as part of this DNA protocol.

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

Recommendation 6

Addressed to Durham County Council, Children and Adults Services (Education)

Durham County Council, Children and Adults Services (Education) reviews its policy and issues best practice guidance for schools concerning the ethical and statutory retention of files for those pupils that are from vulnerable groups in particular those excluded.

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