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
Milton Keynes review
CSP: Milton Keynes
Published: July 2023
Year of death: 2016
Extracted: 20 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
Agencies missed opportunities to share, question, and corroborate information, failing to recognise economic abuse and the increased risk during separation. Professionals sometimes minimised abuse and did not adequately challenge self-reported information or address frequent school changes.
Extracted recommendations
| # | Recommendation | Addressed to |
|---|---|---|
| 1 | The Hertfordshire multi-agency risk assessment conference (MARAC) sub-group should consider which organisation, agency or individual is best placed to undertake an independent review the MARAC records and produce an individual management review for any potential future domestic homicide reviews. | Hertfordshire multi-agency risk assessment conference (MARAC) sub-group |
| 1 | Hertfordshire Constabulary Information Management PNC (Police National Computer) Unit to consider reviewing the process for removing warning markers when they are no longer required | Hertfordshire Constabulary |
| 10 | Staff who come into direct contact with victims (housing officers, ASB officers etc.) must attend the DASH training so they are familiar with the risk assessment process and can identify coercive control at the earliest opportunity | Dacorum Borough Council |
| 11 | All cases involving victims of domestic abuse, or where there is a reference or concern about domestic abuse should be followed up by the case officer and not closed without the case officer making contact with the victim | Dacorum Borough Council |
| 12 | To ensure that all victims of domestic abuse are risk assessed using the MARAC/DASH assessment process | Dacorum Borough Council |
| 13 | To ensure that all victims of domestic abuse are offered access to the Domestic Abuse Case Worker and given contact details of women's organisations (including culturally specific organisations). | Dacorum Borough Council |
| 2 | Hertfordshire Child Protection School Liaison Team should provide a report to the Hertfordshire Safeguarding Children Board setting out what system is in place to identify any pupil who is frequently moved between schools and the reasons for those moves | Hertfordshire Child Protection School Liaison Team |
| 2 | To ensure Hertfordshire Community Trust staff are aware of the record transfer process for adults | Hertfordshire Community Trust |
| 3 | The learning from this review should be brought together with the learning from other domestic homicide reviews in Milton Keynes to inform strategy and practice | SaferMK |
| 3 | To ensure that the supervision prompt list for discussion includes cases heard at the multi-agency risk assessment conference (MARAC) | Hertfordshire Community Trust |
| 4 | The learning from this review should be brought together with the learning from other domestic homicide reviews in Hertfordshire to inform strategy and practice | Hertfordshire Domestic Abuse Partnership |
| 4 | To seek assurance that the multi-agency risk assessment conference (MARAC) notes are attached to the record by the individual practitioners | Hertfordshire Community Trust |
| 5 | SaferMK should review the governance arrangements around violence against women and girls (VAWG) and the domestic homicide review process within Milton Keynes | SaferMK |
| 5 | To ensure professional curiosity and challenge is included in all Hertfordshire Community Trust training around domestic abuse | Hertfordshire Community Trust |
| 6 | The Government Domestic Abuse Bill (currently out for consultation, March 2018) should ensure that when a perpetrator uses financial/economic abuse, they cannot then benefit financially from killing the victim | Government |
| 6 | To ensure that domestic abuse policy adherence is audited regularly with particular focus on partners/ father’s records and the sharing of domestic abuse information by health visitors to GP’s for the victim and perpetrator | Hertfordshire Community Trust |
| 7 | Hertfordshire Domestic Abuse Partnership should facilitate a meeting between Debra's sisters and managers from the multi-agency safeguarding hub (MASH) and the multi-agency risk assessment conference (MARAC). This should ensure that Debra's sisters understand the changes that have been made since their sister's death and are reassured that positive improvements have been implemented. | Hertfordshire Domestic Abuse Partnership |
| 7 | To ensure that Hertfordshire Community Trust universal services include the necessity to record which adults are present at each contact | Hertfordshire Community Trust |
| 8 | To review Hertfordshire Community Trust universal services process for movement in and out reflects Safeguarding Policy and includes record sharing guidance. | Hertfordshire Community Trust |
| 9 | The review of eviction cases by the Housing Panel will be reviewed to include a section that specifically deals with domestic abuse and safeguarding – the template will be updated to reflect this and will be an essential part of any report | Dacorum Borough Council |
| Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗ | ||