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

Enfield review

CSP: Enfield Published: October 2024 Year of death: 2016 Extracted: 9 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 inadequate mental health assessments and care for the perpetrator, poor inter-agency communication and information sharing, and a lack of clear responsibility for case management, compounded by resource constraints in mental health services.

Extracted recommendations

9 recommendations pulled from the report

#	Recommendation	Addressed to
1	Primary care professionals should be reminded to utilise all opportunities available to them to engage with adolescent and young adult patients to promote engagement of the adolescent or young person.	NHS North Central London ICB
2	Consideration must be given in primary and secondary care to systems and processes which could be utilised to facilitate information sharing in respect of victims and perpetrators believed to be involved in domestic abuse, to improve the information available across health services.	NHS North Central London ICB \| Barnet, Enfield & Haringey Mental Health NHS Trust
3	GPs must be reminded of the need to consider direct contact with patients when family or friends have confidentially expressed concerns relating to the patient’s poor mental health in order to increase the likelihood of serious deterioration being assessed and appropriate actions to maintain the safety of the patient and others who may be at risk.	NHS North Central London ICB
4	BEH Mental Health Trust to review and agree a protocol for the timeliness and content of communications between secondary mental health service and primary care, especially in complex cases and those with risks of harm to self and/or others to improve the information available to primary care services.	Barnet, Enfield & Haringey Mental Health NHS Trust
5	BEH Mental Health Trust should review the information provided on its website to improve public understanding of mental health services and increase the likelihood of sufferers receiving appropriate care.	Barnet, Enfield & Haringey Mental Health NHS Trust
6	It is recommended that the MPS North Area BCU Senior Leadership Team conduct periodic dip sampling to ensure compliance in the completion of vulnerable adult coming to notice reports on MERLIN in order to share information with partners, reporting results to the LBE Domestic Abuse Co-ordinator.	Metropolitan Police \| London Borough of Enfield
7	BEH Mental Health Trust should review practice to ensure that: a) Where a decision is made to change a treatment plan for a patient, there should be evidence of discussion/second opinions and documentation of the reasons for change and the alternative arrangements, including contingency plans. b) Care to be taken to ensure adequate completion of risk assessment documentation c) Care to be taken to ensure appropriate information is sent on time to referrers/GPs d) All North Middlesex Mental Health Liaison Service (NMMHLS) staff to be reminded to use the shared databases of information regarding previous patient admissions and more widely to include the MASH facilities where possible. This will increase the likelihood of decisions being based on clear and robust assessments and care planning.	Barnet, Enfield & Haringey Mental Health NHS Trust
8	Financial resources for funding increased bed capacity within the mental health sphere is required to meet demonstrated demand. Additional resources will also be required to adequately fund co-ordination between partner agencies within and beyond the NHS in order to implement the “Right Care, Right Person” policy.	Department of Health and Social Care
9	The “Right Care, Right Person” policy should be implemented as a matter of urgency, commensurate with the funding available. Particular care will be required to develop suitable communication mechanisms to ensure that Right Care, Right Person can provide the most appropriate interventions.	Enfield Strategic Partnership
Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗