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.

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

Summary AI-generated

Verify against the full report at the source link
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

Recommendation 9.1.1

Addressed to EMAS

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.

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

Recommendation 9.1.2

Addressed to EMAS

EMAS will implement the lessons learned from this review as part of a continuing engagement with the safeguarding agenda.

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

Recommendation 9.2.2

Addressed to The General Practice

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.

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

Recommendation 9.3.1

Addressed to Community Safety Partnership

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.

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

Recommendation 9.3.2

Addressed to Community Safety Partnership

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.

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

Recommendation 9.3.3

Addressed to Community Safety Partnership

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.

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

Recommendation 9.3.4

Addressed to Community Safety Partnership

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.

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

Recommendation 9.4.1

Addressed to Lincolnshire Police

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.

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

Recommendation 9.5.1

Addressed to CAFCASS

To ensure all staff assess allegations of D.A. thoroughly in line with agency Domestic Abuse Practice Pathway guidance provided.

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