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
West Cumbria review
CSP: West CumbriaPublished: February 2024Year of death: 2020Extracted: 10 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The review highlights missed opportunities by health practitioners to assess and refer a perpetrator with deteriorating mental health and substance misuse, and to consider safeguarding risks to others, including a child. It also identifies the need for domestic abuse training to encompass inter-family violence and for agencies to address New Psychoactive Substances.
Home Office classifications
23 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - physical disability
Victim - serious or life limiting illness
Children - under 18 shared parental responsibility (between perpetrators)
Children - living with perpetrator (including adult children)
Perpetrator - case heard in court
Perpetrator - substance misuse
Perpetrator - mental ill health
Perpetrator - anxiety
Perpetrator - psychosis
Perpetrator - suicidal thoughts
Perpetrator - known to agencies as a domestic abuse perpetrator
Perpetrator - known to police as a domestic abuse perpetrator
DHR process - family contributed to dhr
DHR process - family consulted about terms of reference
DHR process - family received draft report
DHR process - health services recommendations
DHR process - community safety partnership recommendations
DHR process - technology systems recommendation themes
DHR process - identification of risk recommendation themes
DHR process - training recommendation themes
DHR process - record keeping recommendation themes
DHR process - awareness raising recommendation themes
DHR process - other recommendation themes
Extracted recommendations
10 recommendations pulled from the report · 1 matched to organisations in the index
Addressed to
Safer Cumbria (Combatting Drugs Partnership)
Safer Cumbria (Combatting Drugs Partnership) to ensure that the 2022 drug needs assessment considers the profile of New Psychoactive Substances to assist in informing the design of local strategies to support the reduction of serious violence and associated harms.
Addressed to
Primary Care | Cumbria Northumberland Tyne and Wear NHS Foundation Trust
That where it is possible to do so, health agencies should consider whether records can indicate key family information and as a minimum childcare responsibility.
A Single Point of Contact should be established in every case which meets the statutory Review threshold within each Primary Care Practice and raised as a risk during organisational change.
All clinicians to be advised to ensure consistency in using clinical templates and system prompts. The practice will request that prompts contain reference to drug and alcohol misuse.