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

Sheffield review

CSP: Sheffield Published: September 2023 Year of death: 2014 Extracted: 12 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 report identifies missed opportunities to identify domestic abuse due to cultural barriers and interpreter use, inadequate information sharing between agencies, and a lack of professional curiosity regarding the perpetrator's drug misuse and criminal history.

Home Office classifications

35 tags

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

  • Victim - mental ill health
  • Victim - depression
  • Victim - had been a victim of an abuser before
  • Victim - immigration involvement
  • Children - under 18 shared parental responsibility (victim and perpetrator)
  • Children - under 18 shared parental responsibility (between victims)
  • Children - under 18 shared parental responsibility (between perpetrators)
  • 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 - issued life sentence
  • Perpetrator - substance misuse
  • Perpetrator - mental ill health
  • Perpetrator - depression
  • Perpetrator - known to others as a domestic abuse perpetrator
  • Perpetrator - known to family as a domestic abuse perpetrator
  • Perpetrator - supervised by probation services
  • Aggravating factors - separation
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical abuse
  • DHR process - family contributed to dhr
  • DHR process - police recommendations
  • DHR process - health services recommendations
  • DHR process - idva or other domestic abuse support service recommendations
  • DHR process - probation services recommendations
  • DHR process - school recommendations
  • 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

12 recommendations pulled from the report · 3 matched to organisations in the index

Recommendation A

Addressed to DACT

DACT commissions work to identify the barriers that may be present within some Asian and Muslim communities that prevent victims from reporting domestic abuse to their families and agencies and develop an action plan to address any identified gaps.

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

Recommendation B

Addressed to DACT

DACT commissioners work with current domestic and sexual abuse service providers to undertake consultation with service users and community groups and ensure that staff are trained in cultural issues and barriers.

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

Recommendation C

Addressed to DACT

DACT alerts NHS England and the National Offender Management Service (NOMS) to the issues identified in this report in relation to the sharing of patient information between GPs and prison health providers and requests they consider to what extent national policies and procedures can be improved

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

Recommendation D

Addressed to Specialist substance misuse services

Specialist substance misuse services commissioned within the Sheffield area should ensure that addressing domestic abuse is given the same profile as safeguarding children. Questions about home circumstances and alertness for signs of domestic abuse should be a routine part of assessment processes. If there are indications of domestic abuse, appropriate action should be taken. When new services are commissioned the contract should include this as a requirement of the service

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

Recommendation E

Addressed to DACT

DACT should continue to translate publicity materials and work with community organisations to ensure that support services are publicised appropriately. When material signposts victims to interpreting services these should be interpreters that are trained and educated in respect of the vulnerability of victims and the domestic abuse risk factors they may be exposed to.

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

Recommendation F

Addressed to GPs

When domestic abuse is disclosed, GPs should be encouraged to enquire about other significant risk factors causing vulnerability to children such as substance misuse and parental mental health concerns in all other household members and regular contact with a child.

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

Recommendation G

Addressed to GPs

When a significant risk factor is disclosed GPs should be encouraged to enquire about other vulnerable people in their household and consider appropriate safeguarding referrals.

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

Recommendation H

Addressed to NHS Sheffield CCG

NHS Sheffield CCG suggests that the practice lead GP for Safeguarding Adults reminds clinicians to enquire about domestic abuse if possible when patients discuss their drug or alcohol issues

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

Recommendation I

Addressed to Sheffield City Council | NHS Sheffield CCG

The issue of interpreters is not exclusive to Sheffield. However those who commission interpreters within the Sheffield area, and were part of this review, need to be alerted to the issues that have emerged within this review. Commissioners should ensure that interpreters are trained and educated in respect of the vulnerability of victims and the domestic abuse risk factors they may be exposed to.

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

Recommendation J

Addressed to South Yorkshire Strategic Management Board (MAPPA)

South Yorkshire Strategic Management Board (MAPPA) to remind the Responsible Authorities and Duty to Cooperate Agencies the importance and value in sharing information to assist the management of offenders.

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

Recommendation K

Addressed to DACT

Reinforce the need for professionals in all agencies to gather information from all likely sources when formulating and managing risk, thereby ensuring that all risk factors are identified and assessed.

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

Recommendation L

Addressed to DACT

DACT reviews the process for making and receiving third party reports of domestic abuse and considers ways in which this may be improved.

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