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

Northampton review

CSP: Northampton Published: October 2024 Year of death: 2019 Extracted: 16 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
This Domestic Homicide Review identified that the victim was subjected to prolonged coercive and controlling behaviour by her partner, which her family believed contributed to her death. The review also highlighted missed opportunities by agencies to recognise and intervene in the abuse.

Home Office classifications

39 tags

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

  • Victim - alcohol misuse
  • Victim - housing issues
  • Victim - mental ill health
  • Victim - anxiety
  • Victim - depression
  • Victim - serious or life limiting illness
  • Victim - had been a victim of an abuser before
  • Victim - referred to marac at any time
  • 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 health services as a domestic abuse perpetrator
  • Perpetrator - known to idva or other domestic abuse support service 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 - known to workplace (employer) as a domestic abuse perpetrator
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - stalking
  • Aggravating factors - physical stalking
  • Aggravating factors - digital stalking
  • 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 received draft report
  • DHR process - family attended dhr panel
  • DHR process - police recommendations
  • DHR process - social services recommendations
  • DHR process - idva or other domestic abuse support service recommendations
  • DHR process - community safety partnership 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

16 recommendations pulled from the report · 2 matched to organisations in the index

Recommendation 1

Addressed to All agencies

All agencies review their domestic abuse training to ensure that coercive and controlling behaviour is seen as a major focus of that training.

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

Recommendation 2

Addressed to All agencies in Northampton | NDAS

All agencies in Northampton to work together under the lead of NDAS to create a county wide publicity campaign regarding domestic abuse but in particular the signs, symptoms and outcomes of coercive controlling behaviour. The campaign should consist of leaflets, posters and seminars to inform the public of this kind of domestic abuse and how to seek support from agencies.

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

Recommendation 3

Addressed to North Northamptonshire Community Safety Partnership

Consideration to be given to extend the MADRA (Multi-Agency Daily Risk Assessment) process to include identified vulnerable adults where early intervention by services and support can be offered and given.

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

Recommendation 4

Addressed to All agencies

All agencies are to ensure that training regarding domestic abuse stresses the importance of professional curiosity and lateral thinking so as to ensure that indicators of abuse are not missed.

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

Recommendation 5

Addressed to Northamptonshire Police

With the introduction of Northamptonshire Police Prevention and Intervention Command, the Head of that Command should, whilst making progress with plans to embed the process to prioritise the collation of information from Offender Management systems, MAPPA, Probation and risk management systems in order to gather and assess intelligence which results in proactive action, consider specifically including the MARAC risk management process within its scope.

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

Recommendation 6

Addressed to All agencies

All agencies to ensure that Domestic Abuse training is to include an update on the use of MARAC referrals, the process, the outcomes of a referrals and the benefits that may result from the referral process.

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

Recommendation ASC1

Addressed to Northamptonshire County Council Customer Service Centre

Northamptonshire County Council Customer Service Centre (SCS) to have a better awareness of risk, exercising professional curiosity, safeguarding processes, and assessing cumulative information organised by a lead social worker.

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

Recommendation ASC2

Addressed to Northamptonshire County Council Customer Service Centre

A monthly auditing of decision making by the Pro-Support Team in CSC.

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

Recommendation ASC3

Addressed to Northamptonshire Safeguarding Adult Board

Northamptonshire Safeguarding Adult Board Quality and Performance Sub-group to provide additional training for staff around the new Adult Risk Management (ARM) toolkit (Safeguarding Adult Review reference 016 2020 has made similar recommendations)

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

Recommendation ASC4

Addressed to Northamptonshire County Council Adult Social Care Team

NCC ASC Team to be reorganised in line with the move to a Unitary Authority in April 2021.

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

Recommendation ASC5

Addressed to Northamptonshire County Council Adult Social Care

To embed into policy Adult Social Care’s revised Serious Incident Policy to ensure that IMRs are systematically and routinely actioned in all cases.

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

Recommendation NP1

Addressed to Northamptonshire Police

It is recommended consideration be given by Northamptonshire Police to the use of a Single Point of Contact (SPOC) in cases where there is a high frequency of incident occurrences where controlling or coercive behaviours is suspected. This could prove beneficial in terms of gaining a victims trust thus empowering them with confidence to provide comprehensive and coherent evidence to be gathered effectively.

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

Recommendation SC1

Addressed to The Sunflower Centre

Regular coercive control training to be delivered to all Sunflower Centre staff including the MARAC Team.

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

Recommendation SC2

Addressed to The Sunflower Centre

Data recording instructions within Case Management Policy to be updated and staff to be reminded of recording responsibilities.

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