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
Stoke-on-Trent review
CSP: Stoke-on-TrentPublished: September 2023Year of death: 2014Extracted: 8 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The review identified systemic failures in multi-agency information sharing and risk assessment, leading to missed opportunities to recognise and respond to domestic abuse against the victim. Cultural stereotyping and poor adherence to procedures contributed to the victim's invisibility and inadequate support for both parties' substance misuse.
Home Office classifications
27 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - alcohol misuse
Victim - mental ill health
Victim - had been a victim of an abuser before
Perpetrator - case heard in court
Perpetrator - issued life sentence
Perpetrator - alcohol misuse
Perpetrator - substance misuse
Perpetrator - housing issues
Perpetrator - mental ill health
Perpetrator - anxiety
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 others as a domestic abuse perpetrator
Perpetrator - known to family as a domestic abuse perpetrator
Perpetrator - attended drug and alcohol services
Aggravating factors - coercive or controlling behaviour
DHR process - family received draft report
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 - identification of risk recommendation themes
DHR process - training recommendation themes
DHR process - multi agency working recommendation themes
DHR process - record keeping recommendation themes
DHR process - awareness raising recommendation themes
Extracted recommendations
8 recommendations pulled from the report · 5 matched to organisations in the index
Addressed to
University Hospitals of North Midlands NHS Trust
That University Hospitals of North Midlands NHS Trust review their arrangements for receipt of admission handover information and ensure that all relevant information is recorded in a way that is readily accessible to clinical staff.
Addressed to
Stoke-on-Trent Domestic Abuse Partnership
That the Stoke-on-Trent Domestic Abuse Partnership consider what further action may be required to address sexuality based social and psychological barriers to victims accessing domestic abuse services.
That Aquarius report to their commissioning organisation on the measures taken to ensure that their service operates effectively and safely and the impact that these have had on their service provision and that assurance on this provided to the Stoke-on-Trent Responsible Authorities Group.
Addressed to
Stoke-on-Trent City Council Housing (Cooperative Working)
That all relevant staff within Cooperative Working have up to date training in how to identify indicators of domestic abuse/violence and how to report or action these.
For Staffordshire Police to engage with partners through the Domestic Abuse Steering Group to promote the reporting of Domestic Abuse from male victims and to ensure that the multi agency response is appropriate.