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 Cumbria Published: February 2024 Year of death: 2020 Extracted: 10 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 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.

Extracted recommendations

10 recommendations pulled from the report

#	Recommendation	Addressed to
1	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.	Safer Cumbria (Combatting Drugs Partnership)
10	All clinicians to be advised to seek guidance from the new practice Safeguarding Adult and Safeguarding Children Lead GPs	Primary Care Practice
2	That when risk of harm to others is indicated by patients to health practitioners, assessment of who may be at risk should be routinely considered.	Primary Care
3	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.	Primary Care \| Cumbria Northumberland Tyne and Wear NHS Foundation Trust
4	West Cumbria Community Safety Partnership to ensure that domestic abuse training reflect inter family violence as well as intimate partner violence.	West Cumbria Community Safety Partnership
5	All clinical and administration staff to received Domestic Abuse Training	Primary Care Practice
6	Domestic Homicide Review process awareness will be provided for Lead members of the Practice	Primary Care Practice
7	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.	Primary Care Practice
8	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.	Primary Care Practice
9	Learning from the DHR to be shared within the practice incident and clinical meetings.	Primary Care Practice
Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗