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

Barnet review

CSP: Barnet Published: September 2024 Year of death: 2018 Extracted: 5 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 concerns regarding inadequate multi-agency support for parents managing a child's complex needs, insufficient professional curiosity about domestic abuse and substance use, and challenges in engaging families with services, particularly when support was declined.

Home Office classifications

37 tags

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

  • Victim - alcohol misuse
  • Victim - substance misuse
  • Victim - mental ill health
  • Victim - anxiety
  • Victim - depression
  • Victim - panic attacks
  • Victim - had been a victim of an abuser before
  • Children - living with victim (including adult children)
  • Children - living with perpetrator (including adult children)
  • Children - present at homicide (including adult children)
  • Child - primary address same as victim
  • Perpetrator - case heard in court
  • Perpetrator - issued life sentence
  • Perpetrator - was a carer
  • Perpetrator - carer for victim
  • Perpetrator - alcohol misuse
  • Perpetrator - substance misuse
  • Perpetrator - mental ill health
  • 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 social services 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 - physical abuse
  • DHR process - family contributed to dhr
  • 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 - multi agency working recommendation themes
  • DHR process - record keeping recommendation themes
  • DHR process - awareness raising recommendation themes

Extracted recommendations

5 recommendations pulled from the report · 3 matched to organisations in the index

Recommendation 1

Addressed to North Central London Integrated Care Board

North Central London Integrated Care Board to ensure that Primary Care Practitioners are aware of the alerts and flags for vulnerability that are within the EMIS patient record system and are taking these into account within their assessments and decision making.

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

Recommendation 2

Addressed to North Central London Integrated Care Board

North Central London Integrated Care Board to assure itself that GP training supervision and appraisals include managing disclosures of the problematic use of alcohol and other substances and the familial, psychological and psychosocial factors that are impacting on the patient.

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

Recommendation 3

Addressed to Barnet CSP

Barnet CSP to reassure itself that all member agencies have effective engagement strategies in place, with escalating efforts when services are repeatedly declined. At the very least, a conversation should take place to try to identifiy what support the client / patient would like to receive and the results of this to be fed into subsequent service planning / service specifications.

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

Recommendation 4

Addressed to All agencies

When carrying out Child Protection Investigations all agencies to consider who needs to be interviewed and how this is to take place, remaining curious about risks of domestic abuse, coercive and controlling behaviour.

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

Recommendation 5

Addressed to London Borough of Barnet

Review multi-agency domestsic abuse training to ensure that the need for a trauma informed response and professional curisoity are appropraitely foregrounded.

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