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

Bury review

CSP: Bury Published: September 2023 Year of death: 2016 Extracted: 16 recs

Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.

View full report (PDF) ↗ Source: Home Office DHR Library

Summary

The review identified concerns regarding agencies' under-assessment of the victim's risk, inconsistent information sharing, and delays in referrals. It also highlighted a failure to fully consider the cumulative impact of domestic abuse on the child and to effectively gather information from family and friends.

Extracted recommendations

16 recommendations pulled from the report

#	Recommendation	Addressed to
1	That Team Bury Community Safety Partnership considers whether its constituent agencies training on assessing risk in domestic abuse cases needs enhancing to ensure all risk factors are identified before setting the final risk level.	Team Bury Community Safety Partnership
1	Develop guidance for health practitioners on responding to domestic abuse notifications	Pennine Care NHS Foundation Trust
1.	The level of knowledge and awareness concerning child safety for all police response staff is reemphasised and reinforced	Greater Manchester Police
1.	Line Managers to implement individual actions plans in relations to PK and MM to ensure implementation of learning from this DHR	Cheshire & Greater Manchester CRC
1.	There is a need to ensure that GP practices are aware of risk factors relating to DVA and to know what to do if a concern arises. This has been a previous recommendation and an IRIS training plan is already in place, together with training by the CCG link nurses.	North Manchester Clinical Commissioning Group
2	That Team Bury Community Safety Partnership considers how it can best reinforce the importance of professionals being aware that family and friends very often hold additional information to that which a victim reports, and to determine how such information might be accessed within an agency’s confidentiality framework.	Team Bury Community Safety Partnership
2	Review MASH information sharing Pathway within PCFT.	Pennine Care NHS Foundation Trust
2.	The Head of the Public Protection Division to commission work to evaluate the effectiveness of the STRIVE programme, and consider its implementation with a structured and established police input into the process.	Greater Manchester Police
2.	There is a need for all GP practices to establish a DVA policy and procedure. This has been a previous recommendation and needs to be audited to assess compliance. This needs to include a system for recording health indicators for domestic abuse in line with the Guidance for responding to domestic abuse published by RCGP, IRIS, CAADA (2012)	North Manchester Clinical Commissioning Group
3	That Team Bury Community Safety Partnership reviews whether its advice to family and friends who have knowledge of domestic abuse has penetrated the community effectively.	Team Bury Community Safety Partnership
3	Review the current process for reviewing A&E attendances within health visiting PCFT	Pennine Care NHS Foundation Trust
3.	The Head of the PPD should ensure that awareness around policy and procedure where DV markers are in place be reinforced for all staff throughout the response policing establishment.	Greater Manchester Police
3.	GP practices to be encouraged to raise awareness of domestic abuse and support services within their surgeries by the displaying of educational posters and leaflets. This is also included in IRIS training.	North Manchester Clinical Commissioning Group
4	That Team Bury Community Safety Partnership considers how it can work together to know when a reconciliation between a victim and perpetrator has, or is thought to have, taken place when separation is seen as a protective factor for a child.	Team Bury Community Safety Partnership
4	 To develop a flow chart for practitioner to use detailing the process of challenge and escalation  To provide training on professional challenge	Pennine Care NHS Foundation Trust
4.	GP Practice 2 to explore if there are practical ways of maximising relationship continuity using this case as a significant event. The RCGP toolkit for Continuity of Care provides a useful guide of how to do this.	North Manchester Clinical Commissioning Group
Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗