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
Oldham review
CSP: Oldham
Published: August 2023
Year of death: 2018
Extracted: 9 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 highlights inconsistent safeguarding, a lack of understanding of coercive control, inadequate multi-agency working, poor risk management of perpetrators, and insufficient trauma-informed practice, particularly regarding the victim's childhood trauma and child removal.
Extracted recommendations
| # | Recommendation | Addressed to |
|---|---|---|
| 1 | The Community Safety and Cohesion Partnership should review domestic abuse training to ensure that coercive and controlling behaviour is recognised by all agencies as a significant factor in driving the behaviour of victims. The Community Safety and Cohesion Partnership should also be assured that workforce development and training is put in place to address this apparent gap in professional understanding. | Domestic Abuse Partnership |
| 2 | The Community Safety and Cohesion Partnership, Local Safeguarding Children Partnership and Safeguarding Adults Partnership should collaborate to ensure a strategic focus on strengthening trauma informed practice. | Safeguarding Children Partnership | Safeguarding Adults Board |
| 3 | The Community Safety and Cohesion Partnership should receive assurance from Greater Manchester Police that checks, and balances are in place to ensure that appropriate processes regarding decisions related to ‘Right to Know’ disclosures are in place (in this case referral back to MARAC). | Greater Manchester Police |
| 4 | The Community Safety and Cohesion Partnership should commission relevant health agencies (via the CCG) that the provision of informal (voluntary) admission of patients with mental health needs is understood, and that this provision is applied in a way which appropriately identifies and manages risk. | Pennine Care NHS Foundation Trust |
| 5 | The Community Safety and Cohesion Partnership should examine the current systems for diversion of offenders, including the Mentally Vulnerable Offender Panel (MVOP), and undertake any necessary action to ensure that guidance is being applied and that there are sufficient robust checks and balances in the system to ensure compliance. | Greater Manchester Police |
| 6 | In collaboration with the Local Safeguarding Children Partnership and the Safeguarding Adults Board, the Community Safety and Cohesion Partnership should receive assurance that ongoing work to strengthen information and services to the families of victims of domestic continues to be a priority and the action plan for supporting families of victims should be refreshed. | Domestic Abuse Partnership |
| 7 | The Community Safety and Cohesion Partnership should receive assurance from the CCG the learning from this and other domestic homicide reviews in relation to the GP’s role in safeguarding victims, as set out in national guidance, is implemented. | NHS Oldham Clinical Commissioning Group |
| 8 Part 1 | The Community Safety and Cohesion Partnership should work jointly with the local Safeguarding Children Partnership to ensure that up to date and relevant guidance in relation to safeguarding the children of domestic abuse victims is in place. This should include specific focus on multi-agency working and case management to safeguarding children and victims and the duty for professionals to share information in relation to safeguarding children. A Think Family approach should guide this work. It should include the most up to date practice in relation to supporting vulnerable parents in cases where children are removed. | Safeguarding Children Partnership |
| 8 Part 2 | The Community Safety and Cohesion Partnership should work jointly with the local Safeguarding Children Partnership and Safeguarding Adults Board to ensure that guidance relating to the roles of Adults and Children’s Services in supporting domestic abuse victims with children is in place and that ASC and CSC are implementing this guidance. | Safeguarding Children Partnership | Safeguarding Adults Board |
| Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗ | ||