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

Kent review

CSP: Kent Published: July 2023 Year of death: 2011 Extracted: 11 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 review identified inconsistent domestic abuse risk assessments, inadequate information sharing between agencies, and a lack of multi-agency coordination, particularly in cases involving alcohol misuse and transient lifestyles. There were also concerns about staff training and understanding of domestic abuse indicators and MARAC processes.

Extracted recommendations

11 recommendations pulled from the report

#	Recommendation	Addressed to
6.1	NHS Kent and Medway/Clinical Commissioning Groups to ensure that all health providers and GPs understand and respond to statutory guidelines, best practice and local policy and procedures for domestic abuse.	NHS Kent and Medway \| Clinical Commissioning Groups
6.10	Kent Probation and substance misuse services to ensure that there is closer liaison and more rigorous application of compliance with alcohol treatment orders.	Kent Probation \| substance misuse services
6.11	Kent and Medway DAATs to ensure that agencies that support and treat individuals with substance misuse issues are aware of domestic abuse toolkits, eg STELLA project toolkit, and use them appropriately.	Kent and Medway DAATs
6.2	NHS Kent and Medway/ Clinical Commissioning Groups, to ensure that all health organisations, including providers and GPs, understand and meet their statutory responsibilities towards domestic homicide reviews.	NHS Kent and Medway \| Clinical Commissioning Groups
6.3	NHS Kent and Medway/Clinical Commissioning Groups to request NHS providers to identify leads in domestic abuse within each organisation and develop a domestic abuse strategy to include responsibilities and accountabilities from Board level to individual staff.	NHS Kent and Medway \| Clinical Commissioning Groups
6.4	NHS Kent and Medway/Clinical Commissioning Groups to request NHS providers to develop and initiate a domestic abuse training strategy, and to request GP practices to undertake basic domestic abuse awareness training.	NHS Kent and Medway \| Clinical Commissioning Groups
6.5	Kent and Medway Community Safety Partnership to ask all member agencies to ensure that their frontline staff understand the MARAC referral process, including issues of consent.	Kent and Medway Community Safety Partnership
6.6	When six DASH assessments have been graded ‘medium’ or ‘standard’ in a rolling 12 months period, Kent police should review the case and consider referral to the Public Protection Unit as High Risk case.	Kent Police
6.7	When conducting risk assessments, in addition to the DASH process, Kent police should take into account past information and intelligence data.	Kent Police
6.8	Kent and London Probation to ensure that in cases of domestic abuse Spousal Assault Risk Assessments (SARAs) are completed to a consistently high standard, that risk assessments are kept under review, and orders are enforced rigorously.	Kent Probation \| London Probation
6.9	Kent Probation to ensure that other relevant agencies are fully involved in risk assessment and risk management of domestic abuse cases.	Kent Probation
Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗