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

Manchester review

CSP: Manchester Published: February 2024 Year of death: 2021 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

Agencies missed opportunities to identify and respond to familial domestic abuse, compounded by ineffective information sharing, unconscious bias, and challenges in engaging with the victim and perpetrator. Delays in welfare checks and the perpetrator's lack of GP registration were also noted.

Extracted recommendations

10 recommendations pulled from the report

#	Recommendation	Addressed to
1	That Manchester Community Safety Partnership seeks assurance in respect of the extent to which ‘standard’ risk domestic abuse incidents are referred into the Victim Support arrangements established following cessation of the STRIVE programme.	Manchester Community Safety Partnership
10	That Manchester Community Safety Partnership writes to the Home Office to suggest that follow up interviews with perpetrators should take place outside the DHR process at a time when perpetrators may be better placed to make a more valuable contribution to the aims of DHRs.	Manchester Community Safety Partnership \| Home Office
2	That the Manchester Community Safety Partnership requests NHS Manchester Clinical Commissioning Group to request GP practices to ensure that HARK templates are activated within their EMIS systems to support their prompt questions about domestic violence and abuse when consulting patients about anxiety and depression. NHS Manchester Clinical Commissioning Group will also request the IRIS service undertake an audit of GP practices to ensure that the HARK template is activated and seek assurance from IRIS that this has been completed.	Manchester Community Safety Partnership \| NHS Manchester Clinical Commissioning Group
3	That when the learning from this DHR is disseminated, Manchester Community Safety Partnership will provide training to professionals to identify patterns of behaviour and avoid treating reports of domestic abuse as ‘isolated incidents’.	Manchester Community Safety Partnership
4	That Manchester Community Safety Partnership obtains assurance that Housing Providers have robust policies, supported by appropriate training to enable staff to recognise and respond effectively to domestic abuse.	Manchester Community Safety Partnership
5	That when the learning from this DHR is disseminated, Manchester Community Safety Partnerships draws attention to the risk that unconscious bias could lead to a victim of domestic abuse not being believed.	Manchester Community Safety Partnership
6	That when the learning from this DHR is disseminated, Manchester Community Safety Partnership takes the opportunity to raise professional awareness of the possibility that a history of limited engagement with services may mask indications of coercion and/or control.	Manchester Community Safety Partnership
7	That when the learning from this DHR is disseminated, Manchester Community Safety Partnership takes the opportunity to draw attention to the various forms that familial domestic abuse can take including daughters as perpetrators and mothers as their victims and also draw attention to the need to consider the risks that a perpetrator of domestic abuse may present in both intimate partner and familial relationships.	Manchester Community Safety Partnership
8	That Manchester Community Safety Partnership request Manchester City Council to make use of the new post of GP & Pharmacy Quality and Governance Team Leader to drive improvement in communication between CGL and pharmacies in respect of patients who collect opiate substitute prescriptions and improvement in record keeping by pharmacies.	Manchester Community Safety Partnership \| Manchester City Council
9	That Manchester Community Safety Partnership requests that all Community Safety Partnership partners and Manchester Health and Care Commissioning consider how people might be encouraged by all service providers to register with a GP and take into account good practice in this area such as that involving housing providers encouraging tenants to register with a GP.	Manchester Community Safety Partnership \| Manchester Health and Care Commissioning
Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗