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
East Sussex review
CSP: East SussexPublished: September 2024Year of death: 2018Extracted: 16 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The review highlights agencies' limited understanding and identification of economic and child-to-parent abuse, leading to missed opportunities for intervention and referrals. Inconsistencies in probation management and an underestimation of risk contributed to the perpetrator's continued offending.
Home Office classifications
45 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - was a carer
Victim - carer for perpetrator
Victim - had been a victim of an abuser before
Children - present at homicide (including adult children)
Perpetrator - case heard in court
Perpetrator - issued life sentence
Perpetrator - alcohol misuse
Perpetrator - substance misuse
Perpetrator - housing issues
Perpetrator - mental ill health
Perpetrator - anxiety
Perpetrator - depression
Perpetrator - psychosis
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 health services as a domestic abuse perpetrator
Perpetrator - known to probation services as a domestic abuse perpetrator
Perpetrator - known to others as a domestic abuse perpetrator
Perpetrator - known to family as a domestic abuse perpetrator
Perpetrator - attended drug and alcohol services
Perpetrator - supervised by mental health services
Perpetrator - supervised by probation services
Aggravating factors - separation
Aggravating factors - coercive or controlling behaviour
Aggravating factors - psychological or emotional abuse
Aggravating factors - physical abuse
Aggravating factors - economic abuse
DHR process - family contributed to dhr
DHR process - family consulted about terms of reference
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 - probation services recommendations
DHR process - community safety partnership recommendations
DHR process - technology systems recommendation themes
DHR process - identification of risk recommendation themes
DHR process - training recommendation themes
DHR process - policy recommendation themes
DHR process - record keeping recommendation themes
DHR process - awareness raising recommendation themes
DHR process - other recommendation themes
Extracted recommendations
16 recommendations pulled from the report · 9 matched to organisations in the index
Addressed to
East Sussex Safer Communities Partnership
East Sussex Safer Communities Partnership should promote public and professional awareness of economic abuse as a method of coercive control within domestic and familial abuse. They should seek assurance from its agencies that they have enacted the new definition of economic abuse within their policies and practice.
Addressed to
East Sussex Community Safety Partnership
East Sussex Community Safety Partnership should seek assurance from its agencies that front-line practitioners are sufficiently supported through training, guidance and supervision to be able to respond effectively to child-parent abuse, irrespective of the various ages of those abusing and abused. Where gaps emerge, East Sussex Community Safety Partnership should consider what needs to be done collectively with agencies to raise the awareness and expertise of practitioners to respond to child-parent abuse.
Addressed to
East Sussex Safer Communities Partnership
East Sussex Safer Communities Partnership should increase public awareness about child-parent abuse and the role of specialist domestic abuse services in supporting those affected
The Ministry of Justice is asked to consider whether a standard should be set for pre-sentence reports involving domestic abuse, including those pre-sentence reports which are required verbally and ‘on the day’, to routinely include evidence of police reports, necessitating the time being allocated for them to be carried out.
Health professionals to have awareness of the impact of supporting a family member who has care and support needs. Further training for all staff to be considered on what the impact is on the wider family / carer / support system. Consider placing a flag or note on the electronic patient record system as a reminder to approach how the carer is feeling and to ask if they have any concerns regarding their personal safety.
Any disclosure of ‘a protective’ ‘restraining’ ‘police’ or other order including tags etc must be explored for the reason why this has been put in place, this includes making contact to the police to report a breach.
Addressed to
Maidstone and Tunbridge Wells NHS Trust
Identify actions in the updated version of the Domestic Abuse Policy and Procedure to inform staff what actions are required when a patient states they are going to be discharged to live with the perpetrator and there is a restraining order in relation to living or being near to the perpetrator, that staff should inform the police that this is likely/going to occur.
A further reminder to Sussex CDO’s that following breach hearings, if order continues, the CDO must make efforts to give a reporting appointment before the offender/ service user leaves court. CRC if asking for orders to continue, will also ensure appointments are detailed within the breach report where possible, or an appointment date advised once a breach hearing date is known either directly to NPS Court Team or to the CRC staff member attending Breach Court in support of the process. If an offender fails to attend a Breach hearing and subsequently attends on warrant, NPS Court staff must take all reasonable steps to secure an appointment date and time.
Court report writers to check call out information when the offending is linked to family members and or grievances involved. All court staff will over the following year will be undertaking unconscious bias training as provided by the Civil Service. As part of our continuous professional practice events, Court report writers will continue to apply reflective practice approaches to discuss potential risk issues around similar cases.
Addressed to
Priory Group, Priory Hospital North London
During the discharge process, clarity should be given to family, carers and professionals in respect of risk. A telephone contact with the patient will be made within 48 hours of discharge and a discharge letter will be sent to all those involved with the patient’s care with 7 days.
Addressed to
Priory Group, Priory Hospital North London
On admission, each patient should receive a comprehensive joint risk assessment by nursing and medical colleagues which needs to be documented on their care records. This will include an assessment of risk and establishment of observation level.
That Sussex Police conduct an audit to ensure that history markers are being applied consistently and appropriately in cases involving allegations of Domestic Abuse.