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: OldhamPublished: August 2023Year of death: 2018Extracted: 9 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The review highlights systemic issues in recognising and responding to coercive control, inconsistent multi-agency information sharing and risk management for victims, and a lack of trauma-informed practice, particularly regarding childhood trauma and the impact of child removal.
Home Office classifications
50 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - substance misuse
Victim - mental ill health
Victim - anxiety
Victim - depression
Victim - suicidal thoughts
Victim - had been a victim of an abuser before
Victim - referred to marac at any time
Children - under 18 shared parental responsibility (between perpetrators)
Children - living with perpetrator (including adult children)
Children - subject to child protection or domestic abuse prior to homicide
Children - removed into care
Perpetrator - case heard in court
Perpetrator - issued life sentence
Perpetrator - substance misuse
Perpetrator - mental ill health
Perpetrator - anxiety
Perpetrator - depression
Perpetrator - panic attacks
Perpetrator - post traumatic stress disorder (ptsd)
Perpetrator - suicidal thoughts
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 idva or other domestic abuse support service as a domestic abuse perpetrator
Perpetrator - known to housing services as a domestic abuse perpetrator
Perpetrator - known to others as a domestic abuse perpetrator
Perpetrator - known to friends as a domestic abuse perpetrator
Perpetrator - known to family as a domestic abuse perpetrator
Aggravating factors - separation
Aggravating factors - coercive or controlling behaviour
Aggravating factors - stalking
Aggravating factors - physical stalking
Aggravating factors - psychological or emotional abuse
Aggravating factors - physical abuse
Aggravating factors - economic abuse
DHR process - family contributed to dhr
DHR process - family supported by expert specialist advocate
DHR process - police recommendations
DHR process - health services recommendations
DHR process - idva or other domestic abuse support service recommendations
DHR process - housing 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
9 recommendations pulled from the report · 6 matched to organisations in the index
The CSCP 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 CSCP should also be assured that workforce development and training is put in place to address this apparent gap in professional understanding.
Addressed to
Safeguarding Children Partnership | Safeguarding Adults Board
The CSCP, Local Safeguarding Children Partnership and Safeguarding Adults Partnership should collaborate to ensure a strategic focus on strengthening trauma informed practice.
The CSCP should receive assurance from GMP that checks, and balances are in place to ensure that appropriate processes regarding decisions related to ‘Right to Know’ disclosure is in place (in this case referral back to MARAC).
The CSCP 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.
The CSCP should examine the current systems for diversion of offenders, including 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.
In collaboration with the LSCP and SAB the CSCP 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.
Addressed to
NHS Oldham Clinical Commissioning Group
The CSCP 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.
The CSCP 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.
Addressed to
Safeguarding Children Partnership | Safeguarding Adults Board
The CSCP 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.