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

Norfolk review

CSP: Norfolk Published: September 2023 Year of death: 2014 Extracted: 8 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 highlights concerns regarding the perpetrator's deceit and controlling behaviour, potentially exacerbated by cultural expectations around male entitlement and the victim's inability to have children. It also identifies challenges in identifying domestic abuse due to the victim's privacy and cultural barriers to disclosure within BAME communities.

Home Office classifications

27 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 (between perpetrators)
  • Perpetrator - mental ill health
  • Perpetrator - anxiety
  • Perpetrator - depression
  • Perpetrator - serious or life limiting illness
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Perpetrator - known to others as a domestic abuse perpetrator
  • Perpetrator - known to family as a domestic abuse perpetrator
  • Perpetrator - died by suicide
  • Perpetrator - immigration involvement
  • Aggravating factors - separation
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - physical abuse
  • DHR process - family contributed to dhr
  • DHR process - family consulted about terms of reference
  • DHR process - family supported by expert specialist advocate
  • DHR process - health services recommendations
  • DHR process - community safety partnership recommendations
  • DHR process - training recommendation themes
  • DHR process - policy recommendation themes
  • DHR process - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

8 recommendations pulled from the report

Recommendation 1

Addressed to Domestic Abuse Change Programme Board

That the Domestic Abuse Change Programme Board takes into account the findings of this DHR and include in the Change Programme Plan the following:
(a) A process of engagement and consultation with BAME communities and groups to develop and deliver a method of raising awareness of domestic abuse, behaviour which increases risk, and sources of support with the aim of increasing opportunities for early reporting and intervention.
(b) A campaign which challenges abusive behaviours and beliefs in male entitlement by perpetrators across all cultures and populations with the aim of increasing reporting and holding perpetrators to account.
(c) Agencies should be aware of and engaged with the communities they serve and ensure that appropriate expertise is accessed to inform them of cultural issues and practices which may suggest an increase in risk when undertaking risk assessments in relation to domestic abuse.

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

Recommendation IMR 1

Addressed to GP Practice

It is recommended that an audit of training records is undertaken and that any gaps in mandatory training are identified and rectified.

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

Recommendation IMR 2

Addressed to GP Practice

It is recommended that the safeguarding element of the induction-training programme be strengthened to ensure that all members of staff receive the mandatory element of training required at the start of their employment.

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

Recommendation IMR 3

Addressed to GP Practice

It is recommended that a domestic abuse awareness element is included in the induction-training programme to ensure that all members of staff receive a basic awareness at the start of their employment.

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

Recommendation IMR 4

Addressed to GP Practice

It is recommended that a domestic abuse awareness policy is developed that provides clear information about domestic abuse and the type and frequency of training that members of staff are expected to undertake.

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

Recommendation IMR 5

Addressed to GP Practice

It is recommended that domestic abuse awareness training is made available to all members of staff who did not attend the training in 2014, and that a rolling programme of training is implemented.

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

Recommendation IMR 6

Addressed to GP Practice

The practice should review the ethnic origins of the patient population in order to understand different cultural factors that may impact on the communication of key information between the clinician and patient.

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

Recommendation IMR 7

Addressed to GP Practice

It is recommended that a system is implemented to ensure that all members of staff are always up to date with basic equality and diversity training.

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