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

Lincoln review

CSP: Lincoln Published: August 2023 Year of death: 2016 Extracted: 10 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 identifies a lack of professional curiosity and failure by agencies to recognise escalating patterns of coercive control, stalking, and harassment, particularly during separation and child custody disputes. Incidents were often viewed in isolation, and the perpetrator's use of false allegations to control the victim went largely unrecognised, hindering a coordinated multi-agency response to protect the victim and their child.

Extracted recommendations

10 recommendations pulled from the report

#	Recommendation	Addressed to
9.1.1	From April 2017, all staff will be required to complete an E Learning Package and self-assessment around safeguarding and D.A. This will be used as a training needs analysis. Themes will be taken from this review and used in the assessment during 2017 / 2018.	EMAS
9.1.2	EMAS will implement the lessons learned from this review as part of a continuing engagement with the safeguarding agenda.	EMAS
9.2.1	Clinical staff are to record the name and relationship of people attending with the patient.	The General Practice
9.2.2	The General Practice to agree an icon or symbol for safeguarding concerns to be included on the top right of the medical record. This will be added to all medical records where there is a safeguarding concern by the end of October 2017.	The General Practice
9.3.1	Ensure all staff in lead agencies are able to understand the power and control dynamics of D.A. and are able to recognise coercive control.	Community Safety Partnership
9.3.2	All relevant agencies to be informed of the learning from this review in relation to the risk associated with D.A. perpetrators making false accusations about their ex-partner’s ability to parent and using child contact arrangements as a means to further control and abuse their ex-partner.	Community Safety Partnership
9.3.3	In line with the agreed process, all lead agencies to be reminded to inform the TAC Administration Support Team within Children’s Social Care when a TAC ends.	Community Safety Partnership
9.3.4	To approach NHS England to request that the National Medical Computer System includes a nationally agreed icon or symbol for safeguarding concerns that would appear on every page of the medical record rather than the front page alone.	Community Safety Partnership
9.4.1	Lincolnshire Police should consider using the reported pattern of events in this case, (theft of a cycle and two offences of criminal damage) as a learning exercise during any future force wide training, particularly Domestic Abuse, Harassment and Stalking training and wider vulnerability training to evidence the importance of looking at the pattern of offending rather than viewing incidents in isolation.	Lincolnshire Police
9.5.1	To ensure all staff assess allegations of D.A. thoroughly in line with agency Domestic Abuse Practice Pathway guidance provided.	CAFCASS
Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗