Manchester review

Improve GP awareness of symptoms associated with DVA

Enhance domestic abuse and alcohol abuse training

In all cases whereby risk is assessed as high the Court report writer if pre-sentence, or the offender manager if escalation occurs within the supervision period, should refer for RAMA.

The Detective Superintendent GMP Force Intelligence Bureau should initiate contact with a senior representative of Saadian Technologies Ltd and seek a formal assurance that the system fault in v3 of PINS which led to a failure to notify GMP of the impending release from prison of a high risk domestic abuse perpetrator has been rectified in v4 of PINS. Subject to the outcome of this enquiry, GMP/ Saadian Technologies should disseminate relevant information internally / externally as appropriate.

Review the Domestic Violence and Abuse practice guidelines

That Greater Manchester Police raise the awareness of the Domestic Violence Disclosure Scheme beyond the internet to ensure that anyone who is concerned about their own safety or that of another can request disclosure.

Disseminate learning from DHR via GP educational meetings, safeguarding meetings, to all practice managers, practice nurses and family planning nurses and via GP training.

In all high risk cases RAMA reviews to take place a minimum of four monthly if an offender is in the community, or annually [and at least six months pre-release/pre-Parole] if in custody.

Review training materials.

That MSAB re-circulate the ACPO and GMC gun shot and knife wounds guidance to its constituent agencies.

CCG to explore how A&E and Trusts can share more meaningful data particularly regarding assaults rather than a generic computerised GP letter with only a couple of key words.

In all cases where instruction is received from the Parole Board that release will be effected at the Sentence End Date, offender managers ensure effective liaison with relevant agencies to inform their own risk assessment and management of individuals, whilst they remain in custody and upon release.

That the Home Office considers re-circulating the ACPO and GMC gun shot and knife wounds guidance to all Community Safety Partnerships

All GP Practices are mandated to have Domestic Abuse Policies which cover the requirement in respect of assessment including recording relevant social, relationships and medical information, basic safety planning and sign posting to services or referral if required. This is in order to ensure that victims are more readily identified and signposted to support services.

Line managers to implement individual actions plans in relation to OM4 and OM5 to ensure implementation of practice development briefing information via supervision and audit of relevant cases.

That MSAB constituent agencies inform the Board what processes they have in place to ensure that their staff: a. identify victims of domestic violence who make non-direct disclosures b. undertake domestic abuse risk assessments, including screen for co-responsive domestic abuse c. make referrals to appropriate support services d. understand that victims of domestic abuse often present with other problems such as mental health, drug and/or problems and these can deflect attention from domestic abuse that may be occurring

For patients who have moved practice and the new GP does not have access to full medical records that they contact the previous GP in a timely manner to obtain information especially in circumstances where the patient is vulnerable.

Offender managers to give consideration to MARAC referral for high risk domestic abuse victims