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

Rotherham review

CSP: Rotherham Published: September 2023 Year of death: 2011 Extracted: 17 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 identified inconsistent use of risk assessment tools and application across agencies, leading to missed opportunities for high-risk referrals to MARAC and IDVA. There were also failures to escalate concerns and apply 'near miss' policies, alongside a lack of clear national guidance for reporting serious injuries without the victim's consent.

Home Office classifications

16 tags

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

  • Victim - had been a victim of an abuser before
  • Perpetrator - case heard in court
  • Perpetrator - known to others as a domestic abuse perpetrator
  • Aggravating factors - separation
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - psychological or emotional abuse
  • DHR process - family supported by expert specialist advocate
  • DHR process - police recommendations
  • DHR process - health services recommendations
  • DHR process - community safety partnership 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 - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

17 recommendations pulled from the report · 7 matched to organisations in the index

Recommendation 17.1

Addressed to Government (National)

Consideration should be given to the national guidance for reporting gunshot and knife injuries without the consent of the victim being reviewed with a view to including life threatening injuries caused by other means.

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

Recommendation 17.2

Addressed to Home Office

The Home Office is invited to consider the current ‘near miss’ policy identified by the Safer Rotherham Partnership for wider dissemination and implementation.

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

Recommendation 17.3

Addressed to Home Office

The Home Office is invited to consider the provision of greater clarity around the definition of a DHR to include victim suicide and serious injury

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

Recommendation 17.4

Addressed to Home Office | Victim Support National Homicide Service

At a national level, consideration given to the Victim Support National Homicide Service funding and policy, with particular reference to engagement following criminality and clearer guidance as to what constitutes a ‘homicide’.

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

Recommendation 17.5

Addressed to Safer Rotherham Partnership

The Safer Rotherham Partnership is well aware that raising public awareness of domestic abuse is an on-going process. The partnership should be clear that Domestic Abuse is wider than physical violence and should include all types of abuse, including coercive control. It should also include that abuse is age neutral effecting both women and men. The public awareness programme should be delivered regularly throughout the year and be accessible to all. It should be examined to ensure it identifies all aspects of abuse and that it can deliver appropriate outcomes.

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

Recommendation 17.6

Addressed to Safer Rotherham Partnership

The Safer Rotherham Partnership ‘near miss’ policy should be updated to require immediate notification to the DAPG via the DAC rather than delaying referrals to the next scheduled meeting.

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

Recommendation 17.7

Addressed to Safer Rotherham Partnership

The SRP MARAC Protocol and near miss protocol should be updated and explicitly state the need to share information where there is an indication of serious injury and professional judgement indicates this should be assessed as high risk should be referred to MARAC and IDVA without delay

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

Recommendation 17.8

Addressed to Safer Rotherham Partnership

In the absence of national guidance, the Safer Rotherham Partnership should develop a local protocol to ensure life threatening injuries caused by other means are identified and highlighted appropriately

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

Recommendation 17.9

Addressed to Safer Rotherham Partnership

IMR author training should be provided to all agencies within the Safer Rotherham Partnership and to 3rd sector organisations. The training should include critical analysis as a key component.

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

Recommendation 17.11

Addressed to Health and Well Being Board

The Health and Well Being Board should commission a scrutiny review of domestic abuse support provision by cabinet members.

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

Recommendation 17.12

Addressed to Safer Rotherham Partnership

Inevitably, when organisations differ on the identification, assessment and level of service provided there is a greater chance that potential victims and perpetrators will be overlooked and opportunities to intervene will be missed. There should be a standardisation within the Safer Rotherham Partnership of risk assessment processes including risk assessment tools.

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

Recommendation 17.13

Addressed to Safer Rotherham Partnership

Domestic Abuse training for all agencies within the Safer Rotherham Partnership should include what to do in the event of negative disclosure and that further information re Domestic Abuse is available to all staff via its website.

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

Recommendation 17.14

Addressed to South Yorkshire Police

South Yorkshire Police should review their assessment process and provide further training and/or awareness for staff.

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

Recommendation 17.15

Addressed to Rotherham NHS Foundation Trust

Domestic Abuse training for the Rotherham NHS Foundation Trust should include what to do in the event of negative disclosure and that further information re Domestic Abuse is available to all Trust staff via its website.

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

Recommendation 17.16

Addressed to Rotherham NHS Foundation Trust

The Trust’s training programme for Band 6 and above A&E staff in undertaking DASH risk assessments should be completed.

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

Recommendation 17.17

Addressed to Rotherham NHS Foundation Trust

The Trust should give active support to A&E staff undertaking DASH risk assessments and their domestic abuse policy should be revised to reflect negative disclosure.

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