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

Nottingham review

CSP: Nottingham Published: February 2024 Year of death: 2021 Extracted: 14 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 identified a lack of professional curiosity and inter-agency information sharing, leading to missed opportunities to recognise escalating domestic abuse, coercive control, and stalking. Support for child victims was also delayed.

Home Office classifications

38 tags

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

  • Victim - had been a victim of an abuser before
  • Children - under 18 shared parental responsibility (victim and perpetrator)
  • Children - under 18 shared parental responsibility (between victims)
  • Children - under 18 shared parental responsibility (between perpetrators)
  • Children - living with victim (including adult children)
  • Children - present at homicide (including adult children)
  • Child - primary address same as victim
  • Perpetrator - case heard in court
  • Perpetrator - mental ill health
  • Perpetrator - adjustment disorder
  • Perpetrator - depression
  • Perpetrator - self harm
  • Perpetrator - suicidal thoughts
  • Perpetrator - suicide attempts
  • 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
  • Aggravating factors - separation
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - stalking
  • Aggravating factors - physical stalking
  • Aggravating factors - sexual abuse
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical abuse
  • Aggravating factors - economic abuse
  • DHR process - family contributed to dhr
  • DHR process - family supported by expert specialist advocate
  • DHR process - family received draft report
  • DHR process - police recommendations
  • DHR process - health services recommendations
  • DHR process - identification of risk recommendation themes
  • DHR process - training recommendation themes
  • DHR process - policy recommendation themes
  • DHR process - multi agency working recommendation themes
  • DHR process - record keeping recommendation themes
  • DHR process - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

14 recommendations pulled from the report · 7 matched to organisations in the index

Recommendation 1

Addressed to Nottingham Crime and Drugs Partnership

Nottingham Crime and Drugs partnership should liaise with the Safeguarding Adults Board and Children Safeguarding Partnership Board, to ensure that the policy and training about professional curiosity are consistent across all partnership agencies.

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

Recommendation 2

Addressed to Nottingham Crime and Drugs Partnership

Nottingham Crime and Drug partnership should work with the Police and the commissioned training provider (Equation) to ensure that training on Monckton Smith’s 8-Stage Model is made available to partner agencies. The purpose of this is to support professional curiosity as part of the investigation and risk assessment in cases of adult and child abuse as well as domestic abuse.

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

Recommendation 3

Addressed to Nottingham Crime and Drugs Partnership

Supervisors and first-line managers of services and agencies who contributed to this Domestic Homicide Review, where there is direct contact with service users should be asked to provide evidence to the Nottingham Crime and Drug Partnership Domestic Homicide Review Assurance, Learning and Implementation Group (DHR ALIG) that supervision is used to discuss and reflect on the quality and outcome of risk assessments.

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

Recommendation 4

Addressed to Nottingham Crime and Drugs Partnership

Nottingham Crime and Drugs Partnership should use commissioning processes to review how the training provider (Equation) works with businesses and commercial organisations in partnership with the Nottingham Business Improvement District (BID) to raise awareness about indicators of domestic abuse and mental health.

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

Recommendation 5

Addressed to Nottingham Crime and Drugs Partnership

The Nottingham Crime and Drugs Partnership should collaborate with partners including the Business Improvement District and the Police and Crime Commissioner to look at innovative ways to raise awareness of businesses and workers in the night-time economy (NTE) of the signs and indicators of domestic abuse.

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

Recommendation 6

Addressed to Nottingham Crime and Drugs Partnership

The Nottingham Crime and Drugs Partnership should collaborate with the Police, Children’s Social Care and other agencies to ensure that victims of abuse, particularly child victims of abuse are offered pre-trial therapy. The Partnership should seek assurance that pre-trial therapy is not delayed on account of an ongoing Police investigation or prosecution.

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

Recommendation 7

Addressed to Nottingham Crime and Drugs Partnership

Future Domestic Homicide Reviews should ensure that appropriate enquiries are made at schools/colleges. Individual management reviews should be requested from schools. Representation from schools on future DHR Panels should be considered.

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

Recommendation a

Addressed to Nottinghamshire Police

Nottinghamshire Police communicate to staff that the completion of the PPN (Police Protection Notice) is part of the investigative process and that professional curiosity should be exercised when disclosures are made during this risk assessment process.

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

Recommendation b

Addressed to Nottinghamshire Police

Nottinghamshire Police to focus on improving arrest rates and reducing the use of voluntary attendance for suspects in domestic abuse investigations. Chief Officers to provide clear guidance regarding positive action and the expectation of arrest over voluntary attendance.

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

Recommendation c

Addressed to Nottinghamshire Police

Nottinghamshire Police have a Police Officer, ‘SPOC,’ dedicated to stalking crimes and, collaborating with partner agencies, holds a monthly “stalking clinic.” This should be recognised as good practice and disseminated to other areas.

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

Recommendation d

Addressed to Nottinghamshire Healthcare Foundation Trust

Training and awareness-raising regarding professional curiosity to be more focused on an understanding of what this term means and its practical application.

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

Recommendation e

Addressed to Nottinghamshire Healthcare Foundation Trust

For all inpatient units to be reminded of the Think Family approach to patients. This will include collating all demographic details regarding the patient’s children or children they have contact with so the risks towards them can be fully assessed. Training materials and Information briefings used within the Healthcare Foundation Trust regarding understanding family relationships to be updated and focused on adult services.

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

Recommendation f

Addressed to Nottinghamshire Healthcare Foundation Trust

Mandatory DVA training to include information on factors that may increase the risk of serious harm from domestic abuse and the risk of referring to Relate

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

Recommendation g

Addressed to Nottinghamshire Healthcare Foundation Trust

Increase awareness of the Police's role in domestic abuse and routes of communication with Police officers

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