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

Nottingham review

CSP: Nottingham Published: July 2023 Year of death: 2018 Extracted: 17 recs

Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.

Original review (PDF) ↗ Source: Home Office DHR Library

Summary AI-generated

Verify against the full report at the source link
The review highlights a lack of understanding and response to adult family violence, particularly siblicide, and the failure of agencies to fully recognise the risks in the sibling relationship. It also identifies issues with mental health and substance misuse management, inter-agency information sharing, and risk assessment practices.

Home Office classifications

36 tags

Source-supplied classifications used by the Home Office to catalogue this review.

  • Victim - alcohol misuse
  • Victim - substance misuse
  • Victim - mental ill health
  • Victim - depression
  • Victim - suicidal thoughts
  • Perpetrator - case heard in court
  • Perpetrator - alcohol misuse
  • Perpetrator - housing issues
  • Perpetrator - mental ill health
  • Perpetrator - neurodiverse condition diagnosis
  • Perpetrator - psychosis
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Perpetrator - known to others as a domestic abuse perpetrator
  • Perpetrator - known to family as a domestic abuse perpetrator
  • Perpetrator - supervised by mental health services
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical abuse
  • 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 - police recommendations
  • DHR process - health services recommendations
  • DHR process - probation services recommendations
  • DHR process - community safety partnership recommendations
  • DHR process - technology systems recommendation themes
  • DHR process - identification of risk recommendation themes
  • DHR process - training recommendation themes
  • DHR process - policy recommendation themes
  • DHR process - multi agency working recommendation themes
  • DHR process - record keeping recommendation themes
  • DHR process - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

17 recommendations pulled from the report · 14 matched to organisations in the index

Recommendation 6.1.1

Addressed to Nottinghamshire Police

That Nottinghamshire Police remind staff about the importance of linking offences nominals are suspected to be involved in, to their Niche record.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 6.1.2

Addressed to Nottinghamshire Police

That internal communications are refreshed to raise awareness of the need for the submission of DAPPNs prior to retiring from duty, which can be based on the officer’s observations only, and the requirement to create a task in Niche for the DASU.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 6.1.3

Addressed to Nottinghamshire Police

That officers and police staff are reminded of the need to ‘tag’ Niche occurrences as domestic abuse.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 6.1.4

Addressed to Nottinghamshire Police

That those responsible for compiling management information for domestic abuse cases widen their search parameters i.e. not searching on NICL tags alone.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 6.1.5

Addressed to Nottinghamshire Police

That Nottinghamshire Police raised awareness with all relevant staff members that the DVDS scheme can be used to protect family members of domestic abuse perpetrators.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 6.1.6

Addressed to Nottinghamshire Police

That Nottinghamshire police review and update the ‘Management of Repeat Domestic Abuse Victims Procedure paying particular attention to inter-familial domestic abuse.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 6.2.1

Addressed to National Probation Service

That probation officers in NPS ensure appropriate contact with colleagues (either within their organisation or another probation service) when it is known that an offender is in regular contact with or is a co-defendant of or is related to an offender being managed by DLNR CRC. This contact should be within a timely manner and within 48 hours of the information coming to the probation officer’s attention.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 6.3.1

Addressed to DLNR CRC

That probation officers are refreshed on the ‘Every Case Essentials’ practice guidance document by member of middle or senior management.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 6.3.2

Addressed to DLNR CRC

That the organisation starts to use the feedback from their internal Case Audits to inform the development of future practice.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 6.3.3

Addressed to DLNR CRC

That Senior Managers complete an analysis into the knowledge and understanding of staff regarding interfamilial abuse and how it links to partner abuse and an action plan is developed if any learning needs are identified.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 6.4.1

Addressed to Her Majesty’s Inspectorate of Prisons

That HMPPS reassures the Ministry of Justice that this new way of working has brought about the desired improvements/outcomes.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 6.5.1

Addressed to Nottingham and Nottinghamshire Clinical Commissioning Group

That the CCG undertakes further analysis to identify the barriers for GPs in completing details of family groups and relationships to identify ways of improving practice.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 6.5.2

Addressed to Nottingham and Nottinghamshire Clinical Commissioning Group

That the CCG reminds all GP practices about the importance of recording social and environmental issues within the patient records and emphasises the importance of this to patient safety

Verified wording from the published review · Original review (PDF) ↗

Recommendation 6.6.1

Addressed to Substance Misuse Commissioners and providers

That liver function tests are offered on site on the day of the appointment to maximise opportunities to provide additional treatment options. Whilst this is now in place in the Nottingham Wellbeing Hub, it is recommended that commissioners are satisfied that this is being done.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 6.7.1

Addressed to Home Office

That the Home Office commissions research to improve our understanding of, and response to adult family violence.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 6.8.1

Addressed to All local agencies | Community Safety Partnership

That all local agencies raise awareness amongst staff about the risks posed in sibling relationships so that they are more alert to the warning signs. It is recommended that this is overseen by the Community Safety Partnership to ensure a consistent approach across agencies.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 6.9.1

Addressed to All organisations

That agencies amend, where necessary, their risk assessments accordingly in light of the risks posed in such sibling relationships.

Verified wording from the published review · Original review (PDF) ↗