Recommendation 1
That all agencies report progress on their internal action plans to the relevant task and finish group of Newham CSP.
Verified wording from the published review · Original review (PDF) ↗
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
Newham review
CSP: Newham
Published: June 2023
Year of death: 2013
Extracted: 9 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
The review identified systemic failures in police adherence to domestic abuse policies, intelligence sharing, and inter-agency communication. There were also missed opportunities by health and education services to identify and respond to domestic abuse, contributing to a lack of protection for the victim and her children.
Home Office classifications
34 tags
Source-supplied classifications used by the Home Office to catalogue this review.
- Victim - pregnancy
- Victim - had been a victim of an abuser before
- Victim - immigration involvement
- Children - under 18 shared parental responsibility (victim and perpetrator)
- Children - under 18 shared parental responsibility (between victims)
- Children - under 18 shared parental responsibility (between perpetrators)
- Children - living with victim (including adult children)
- Children - living with perpetrator (including adult children)
- Children - present at homicide (including adult children)
- Child - primary address same as victim
- Perpetrator - case heard in court
- Perpetrator - issued life sentence
- 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 friends as a domestic abuse perpetrator
- Perpetrator - immigration involvement
- Aggravating factors - separation
- Aggravating factors - coercive or controlling behaviour
- Aggravating factors - forced marriage
- Aggravating factors - sexual abuse
- Aggravating factors - psychological or emotional abuse
- DHR process - police recommendations
- DHR process - health services recommendations
- DHR process - school recommendations
- DHR process - community safety partnership recommendations
- DHR process - technology systems 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
Recommendation 2
That the London Borough of Newham and Newham CCG should ensure that all Schools, GPs, Sexual Health Services, gynaecology services and Pregnancy Advisory Services are routinely enquiring about domestic violence and sexual violence and are aware of clear pathways for referral to domestic abuse support services and MARAC. This should be monitored by regular audit and reporting performance on MARAC and Domestic and Sexual Violence referrals to the Domestic and Sexual Violence Board.
Verified wording from the published review · Original review (PDF) ↗
Recommendation 3
That the London Borough of Newham, Newham CCG and Education provide publicity and information leaflets for public facing health services on domestic abuse. Priority should be given to encouraging family and friends to make third party referrals and to emphasising that no religion accepts domestic violence.
Verified wording from the published review · Original review (PDF) ↗
Recommendation 4
That the London Borough of Newham and the MPS conduct a review of the MPS Sapphire Team involvement in the MARAC process.
Verified wording from the published review · Original review (PDF) ↗
Recommendation 5
MPS Sapphire Team considers processes that will actively involve Borough Community Safety Teams in the investigation of serious sexual violence between intimate partners.
Verified wording from the published review · Original review (PDF) ↗
Recommendation 6
That the MPS implement processes that will monitor, supervise and audit the quality of investigations of serious sexual violence offences between intimate partners. These processes should include a level of independence from the police service and a link to community based domestic abuse services.
Verified wording from the published review · Original review (PDF) ↗
Recommendation 7
That the MPS implement training for all staff to ensure awareness and understanding of civil orders in domestic abuse cases and the police service role. A system should be developed to ensure that, when police become aware of a civil order, there is a process of receipt, a generation of a new specified investigation (treated like a new allegation/incident), an instigation of contact with a victim, and a referral to IDVA services locally, as well as consideration of a MARAC referral.
Verified wording from the published review · Original review (PDF) ↗
Recommendation 8
That the Home Office work with the Ministry of Justice to implement a system whereby Non-Molestation Orders and Non-Occupancy Orders can be input directly to the Police National Computer.
Verified wording from the published review · Original review (PDF) ↗
Recommendation 9
That Newham Children’s Social Care and Education Department conduct an audit on the compliance with policy of referrals between Education and CSC. The results of this audit should be reviewed and changes to policy and training implemented to complete the audit cycle, if required. Progress on this work will be reported to the Newham CSP and Safeguarding Board.
Verified wording from the published review · Original review (PDF) ↗