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: LincolnPublished: August 2023Year of death: 2016Extracted: 10 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
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.
Home Office classifications
25 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - referred to marac at any time
Victim - immigration involvement
Children - under 18 shared parental responsibility (between perpetrators)
Children - living with perpetrator (including adult children)
Perpetrator - case heard in court
Perpetrator - housing issues
Perpetrator - known to agencies as a domestic abuse perpetrator
Perpetrator - known to police as a domestic abuse perpetrator
Perpetrator - known to health services as a domestic abuse perpetrator
Perpetrator - known to school as a domestic abuse perpetrator
Perpetrator - known to friends as a domestic abuse perpetrator
Perpetrator - known to family as a domestic abuse perpetrator
Perpetrator - immigration involvement
Aggravating factors - separation
Aggravating factors - stalking
Aggravating factors - physical stalking
Aggravating factors - psychological or emotional abuse
Aggravating factors - physical abuse
DHR process - police recommendations
DHR process - health services recommendations
DHR process - community safety partnership recommendations
DHR process - technology systems recommendation themes
DHR process - training recommendation themes
DHR process - multi agency working recommendation themes
DHR process - record keeping recommendation themes
Extracted recommendations
10 recommendations pulled from the report · 5 matched to organisations in the index
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.
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.
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.
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.
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.
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.