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
Manchester review
CSP: Manchester
Published: July 2023
Extracted: 18 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 identifies systemic missed opportunities across agencies, especially healthcare, to identify domestic abuse, assess risk, and share information. It highlights inadequate perpetrator risk management and a need for improved professional training on abuse indicators and disclosures.
Extracted recommendations
| # | Recommendation | Addressed to |
|---|---|---|
| 1 | Improve GP awareness of symptoms associated with DVA | NHS England |
| 1 | Enhance domestic abuse and alcohol abuse training | Pennine Acute Trust |
| 1 | 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. | Greater Manchester Probation Trust |
| 1 | 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. | Greater Manchester Police | Saadian Technologies Ltd |
| 1 | Review the Domestic Violence and Abuse practice guidelines | Manchester Mental Health and Social Care Trust |
| 1 | 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. | Greater Manchester Police |
| 2 | Disseminate learning from DHR via GP educational meetings, safeguarding meetings, to all practice managers, practice nurses and family planning nurses and via GP training. | NHS England |
| 2 | 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. | Greater Manchester Probation Trust |
| 2 | Review training materials. | Manchester Mental Health and Social Care Trust |
| 2 | That MSAB re-circulate the ACPO and GMC gun shot and knife wounds guidance to its constituent agencies. | Manchester Safeguarding Adults Board |
| 3 | 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. | NHS England |
| 3 | 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. | Greater Manchester Probation Trust |
| 3 | That the Home Office considers re-circulating the ACPO and GMC gun shot and knife wounds guidance to all Community Safety Partnerships | Home Office |
| 4 | 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. | NHS England |
| 4 | 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. | Greater Manchester Probation Trust |
| 4 | 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 | Manchester Safeguarding Adults Board |
| 5 | 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. | NHS England |
| 5 | Offender managers to give consideration to MARAC referral for high risk domestic abuse victims | Greater Manchester Probation Trust |
| Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗ | ||