Home / Sources / Domestic Homicide Reviews / Barnet · Sep 2023
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

Barnet review

CSP: Barnet Published: September 2023 Year of death: 2011 Extracted: 5 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 found that the case, primarily involving the perpetrator's mental health issues, did not exhibit typical domestic violence characteristics. It concluded that the DHR process was disproportionate and costly, yielding no new lessons beyond a prior mental health review.

Home Office classifications

19 tags

Source-supplied classifications used by the Home Office to catalogue this review.

  • Victim - mental ill health
  • Victim - depression
  • Children - living with victim (including adult children)
  • Children - living with perpetrator (including adult children)
  • Child - primary address same as victim
  • Perpetrator - case heard in court
  • Perpetrator - substance misuse
  • Perpetrator - mental ill health
  • Perpetrator - anxiety
  • Perpetrator - depression
  • Perpetrator - suicidal thoughts
  • Perpetrator - suicide attempts
  • Perpetrator - serious or life limiting illness
  • Perpetrator - supervised by mental health services
  • DHR process - family supported by expert specialist advocate
  • DHR process - family received draft report
  • DHR process - health services recommendations
  • DHR process - technology systems recommendation themes
  • DHR process - record keeping recommendation themes

Extracted recommendations

5 recommendations pulled from the report · 4 matched to organisations in the index

Recommendation 2

Addressed to GPs | NHS North Central London

The GPs should seek the support of NHS North Central London in developing an action plan around improving their record keeping.

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

Recommendation 3

Addressed to Barnet, Enfield & Haringey Mental Health Trust

Procedure for completing the 24 hour report system needs to be reviewed. The recording of information, so ensuring an audit trail is in place, confirming the notification of key stakeholders and regulators, has been identified as best practice.

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

Recommendation 4

Addressed to Barnet, Enfield & Haringey Mental Health Trust

It is recommended that the trust practice concerning Medical Secretaries not being permitted to enter information in RiO be reviewed. The Medical Secretary who took the call from the patients GP at 11:25am was required to write the message on scrap paper, as opposed to enter directly into RiO. Accurate recording of the patient story would be enhanced if such telephone messages could be recorded directly into RiO notes.

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

Recommendation 5

Addressed to Barnet, Enfield & Haringey Mental Health Trust

As one telephone contact was not recorded on RiO. The importance of entering information on to RiO, in a timely manner, should be re-enforced Trust wide.

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