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
Uttlesford review
CSP: Uttlesford
Published: August 2023
Year of death: 2015
Extracted: 16 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 concerns regarding inconsistent multi-agency information sharing, inadequate domestic abuse risk assessment and management, and communication breakdowns between prison, probation, and mental health services, impacting support for the victim and supervision of the perpetrator.
Extracted recommendations
| # | Recommendation | Addressed to |
|---|---|---|
| 1 | The Clinical Commissioning Group supports General Practices to identify high risk victims and refer them to the MARAC. | West Essex Clinical Commissioning Group |
| 2 | A joint approach between CDAT, ADAS and the General Practice to support the victim's long-term abstinence from alcohol. | Essex Specialist Treatment and Recovery Service (STaRS) | Alcohol and Drugs Advisory Service (ADAS) | Stansted Surgery |
| a | Genograms to be completed as part of on-going assessment. | Essex Specialist Treatment and Recovery Service (STaRS) |
| a | Where a DA risk assessment is re-graded, it is recommended that all staff are reminded of the importance of recording the rationale behind the decision which should be accurately recorded within the Athena record and attributed to the officer making the decision. | Essex Police |
| a | Schools to be reminded of the need to ensure previous school files are obtained when a child / young person is admitted. | Essex County Council Education |
| a | The Trust should evidence the embeddedness of their revised domestic abuse and safeguarding training, by reporting on and monitoring training and safeguarding supervision figures against targets. | Essex Partnership University Trust |
| a | All officers and staff should be reminded to include their rationale on the Family Front Sheet for any actions or decisions they have taken. | Hertfordshire Constabulary |
| b | Explore family relationships and dynamics considering risk vulnerability and safeguarding. | Essex Specialist Treatment and Recovery Service (STaRS) |
| b | It is recommended that the officers and supervisors who dealt with this incident are given management feedback regarding their performance and the need to take positive action at domestic abuse incidents, particularly where they are dealing with a high-risk victim and perpetrator. | Essex Police |
| b | Schools to be reminded of the need for accurate, clear, dated records with the name of the author written. Further work with schools about quality of recording, including reflective / evaluative information should be undertaken. | Essex County Council Education |
| b | The Trust should ensure that appropriate communication links are maintained and monitored with Multi Agency Risk Assessment Teams (MARAT). | Essex Partnership University Trust |
| c | That Essex Police officers are reminded of the content of the action plan produced following the Her Majesty’s Inspectorate of Constabulary (HMIC) in 2014 (Everyone’s Business: Improving the Police Response to Domestic Abuse27). Specifically, to highlight the following: “The existence of information sharing hubs across Southend, Thurrock and the wider Essex area, which support victims and manages offenders” and “When signing off domestic abuse incidents supervisors are to bear in mind the training they have received which focused specifically on safeguarding and referrals to partner agencies, as well as perpetrator and vulnerable case referrals.” | Essex Police |
| c | Schools to be reminded of the need to deliver drug and alcohol advice to pupils and for the Risk Avert Programme to be promoted with secondary schools in Essex. | Essex County Council Education |
| c | The Trust should implement structures to monitor adherence to policy guidance with regard to transfers of care, transition from services and inclusion of the service user and carers in the process. | Essex Partnership University Trust |
| d | Trust CPA and discharge policies should provide clear guidance on how liaison with prison services mental health teams will occur at entry and exit, to maintain continuity of care. | Essex Partnership University Trust |
| e | Commissioners of prison health services in the East, North Midlands and the South must ensure that robust procedures are in place to maintain continuity of mental healthcare in prison, on reception and on inter-prison transfer when a prisoner has received secondary mental health care in the community. | NHS England |
| Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗ | ||