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

Stoke-on-Trent review

CSP: Stoke-on-Trent Published: September 2023 Year of death: 2015 Extracted: 3 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 identifies concerns regarding inter-agency communication and joint working between Police and Adult Social Care in safeguarding investigations, particularly in cases involving non-intimate household members. It highlights issues with the consistent application of adult safeguarding procedures, awareness of coercive control, and maintaining continuity of care during organisational changes.

Home Office classifications

20 tags

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

  • Victim - alcohol misuse
  • Victim - physical disability
  • Victim - had been a victim of an abuser before
  • Perpetrator - case heard in court
  • Perpetrator - issued life sentence
  • Perpetrator - was a carer
  • Perpetrator - carer for victim
  • Perpetrator - alcohol misuse
  • Perpetrator - mental ill health
  • Perpetrator - anxiety
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to idva or other domestic abuse support service as a domestic abuse perpetrator
  • Perpetrator - known to others as a domestic abuse perpetrator
  • Perpetrator - known to friends as a domestic abuse perpetrator
  • Perpetrator - known to family as a domestic abuse perpetrator
  • Aggravating factors - coercive or controlling behaviour
  • DHR process - family contributed to dhr
  • DHR process - family supported by expert specialist advocate
  • DHR process - training recommendation themes
  • DHR process - awareness raising recommendation themes

Extracted recommendations

3 recommendations pulled from the report

Recommendation 21.13

Addressed to Stoke-on-Trent Responsible Authorities Group

The Stoke-on-Trent Responsible Authorities Group should highlight to all partner agencies the learning from this review about the importance, when implementing significant organisational changes, of ensuring that robust arrangements are in place for maintaining continuity of care and other service provision, particularly to vulnerable individuals.

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

Recommendation 21.14

Addressed to Staffordshire and Stoke-on-Trent Adult Safeguarding Partnership Board

The Staffordshire and Stoke-on-Trent Adult Safeguarding Partnership Board should proactively raise awareness of the current local Adult Safeguarding Procedures and seek assurance from all partner agencies that relevant practitioners understand their responsibilities and are appropriately applying the procedures. This should specifically include reinforcement that: 1) where it has been decided that a joint investigation is required the Social Worker, the Police Officer and all other professionals involved must clearly plan who is to undertake which aspects and conduct at least an initial joint visit; and 2) where a single agency enquiry has been agreed, if there is concern around potential coercive control then arrangements must be made for a face to face meeting to take place. Such a meeting should be undertaken by two professionals.

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

Recommendation 21.15

Addressed to Staffordshire and Stoke-on-Trent Adult Safeguarding Partnership Board

The Staffordshire and Stoke-on-Trent Adult Safeguarding Partnership Board should consider what further action is required to promote awareness of behaviour that may be coercive and controlling, in the context of adult safeguarding, and ensure that training in the skills to effectively respond to this is available to professionals.

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