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
Stoke-on-Trent review
CSP: Stoke-on-TrentPublished: July 2023Year of death: 2017Extracted: 3 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
Health professionals missed opportunities to identify domestic abuse and make sensitive enquiries, despite the victim presenting with health markers. The report highlights a lack of routine questioning and recording, and a general difficulty in recognising coercive control, contributing to unaddressed risks, particularly post-separation.
Home Office classifications
22 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - mental ill health
Victim - anxiety
Victim - depression
Victim - suicidal thoughts
Children - living with perpetrator (including adult children)
Perpetrator - case heard in court
Perpetrator - issued life sentence
Perpetrator - mental ill health
Perpetrator - suicide attempts
Aggravating factors - separation
Aggravating factors - coercive or controlling behaviour
Aggravating factors - economic abuse
DHR process - family contributed to dhr
DHR process - family consulted about terms of reference
DHR process - family supported by expert specialist advocate
DHR process - family received draft report
DHR process - health services recommendations
DHR process - community safety partnership recommendations
DHR process - identification of risk recommendation themes
DHR process - training recommendation themes
DHR process - policy recommendation themes
DHR process - awareness raising recommendation themes
Extracted recommendations
3 recommendations pulled from the report · 1 matched to organisations in the index
Addressed to
Stoke-on-Trent CCG | North Staffordshire Combined Healthcare Trust
That Stoke-on-Trent CCG and North Staffordshire Combined Healthcare Trust demonstrate that they have in place policies and procedures, best practice guidance and training that ensures that when people present to frontline staff with indicators of possible domestic abuse they are asked (and a record made of that enquiry) about their experiences in a sensitive and appropriate manner in a private discussion, in accordance with NICE Guidance 50 and Quality Standard 116.
Addressed to
Staffordshire and Stoke-on-Trent Domestic Abuse Commissioning and Development Board
That the Staffordshire and Stoke-on-Trent Domestic Abuse Commissioning and Development Board raise awareness of the significant adverse impact of coercive control in relationships so that not only victims are better able to recognise they are experiencing this form of domestic abuse and seek help and support, but also their community, family, friends and colleagues are equipped to identify safe and effective pathways to provide that support.
Addressed to
Stoke-on-Trent Community Safety Partnership
That the Stoke-on-Trent Community Safety Partnership propose to NHS England that they review their current on-line Safeguarding Level III training to ensure that it provides guidance to health professionals that enables them to identify indicators of possible domestic violence or abuse in patients and also lists questions that would prompt a discussion about their experiences.