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
Norfolk review
CSP: Norfolk
Published: August 2024
Year of death: 2018
Extracted: 14 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 and social care agencies to identify coercive control and financial abuse, exacerbated by the victim's Huntington's Disease and isolation. Key concerns include the absence of routine domestic abuse enquiry and proactive follow-up for disengagement from services.
Extracted recommendations
| # | Recommendation | Addressed to |
|---|---|---|
| 1 | Creation of a standalone Missed Appointments Policy/Process for adult patients, which includes guidance for specialist clinics for when a patient does not attend successive appointments. | Cambridge University Hospitals NHS Foundation Trust |
| 10 | Evaluation report for the Financial Abuse and Safeguarding Officer role to be shared with the Domestic Abuse Commissioner’s Domestic Homicide Review Repository to aid wider learning around financial abuse, and to be made available within the overview report (see Appendix B). | Norfolk County Council |
| 11 | The provision of an anonymised case study for this review, to aid early learning around routine enquiry for all agencies. | Norfolk County Council |
| 12 | Learning to be shared from this review, via the Domestic Abuse Commissioner’s DHR repository, in respect of DHR family engagement processes. | Norfolk Community Safety Partnership | Independent Chair |
| 13 | Learning to be shared from this review, via the Domestic Abuse Commissioner’s DHR repository, regarding the invisibility of intimate partner carers who are claiming Carer’s Allowance. | Norfolk Community Safety Partnership |
| 14 | Once published, the learning from this review will be shared with the DWP Retirement Services Directorate and Customer Experience Directors, regarding the invisibility of carers and Carers Allowance. | Norfolk Community Safety Partnership | Department of Work and Pensions |
| 2 | The introduction of a Routine enquiry process for all patients within the Emergency Department, Assessment Units, and Outpatient Clinics. | Cambridge University Hospitals NHS Foundation Trust |
| 3 | An in-house process introduced for Practices, for communication regarding disengaging patients in primary care by notification to the Safeguarding Lead GP for the Practice, or the responsible GP for the patient. | Norfolk and Waveney Integrated Care Board |
| 4 | All GP practices should be encouraged to adopt a safeguarding adult policy. | Norfolk and Waveney Integrated Care Board |
| 5 | GP practices should be encouraged to adopt a domestic abuse policy. | Norfolk and Waveney Integrated Care Board |
| 6 | To encourage GP Practices to have a DA Champion, primary care practitioners should be made aware of the Domestic Abuse Champion role and how to access staff training. | Norfolk and Waveney Integrated Care Board |
| 7 | GP Practices to ensure that they have a process in place when patients do not respond to requests to attend for a monitoring check, related to their medication – for example a blood test or blood pressure check. | Norfolk and Waveney Integrated Care Board |
| 8 | New patient registration forms, and annual health check forms to include a question about domestic abuse. | Norfolk and Waveney Integrated Care Board |
| 9 | Task and finish group to be created to research feasibility of Routine Enquiry across health services. | Norfolk and Waveney Integrated Care Board |
| Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗ | ||