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
Doncaster review
CSP: Doncaster
Published: October 2024
Year of death: 2019
Extracted: 19 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 identified missed opportunities by agencies to intervene in domestic abuse, including pursuing prosecution and protection orders. It highlighted a failure to recognise the impact of coercive control on the victim's engagement with services, alongside challenges in supporting a vulnerable individual with complex needs.
Extracted recommendations
| # | Recommendation | Addressed to |
|---|---|---|
| 1 | That South Yorkshire and Lincolnshire Police provide assurances and evidence to Safer Stronger Doncaster Partnership that all available evidence is gathered and considered during investigations into cases of domestic abuse. | South Yorkshire Police | Lincolnshire Police |
| 1 | Improving the communication from MARAC to primary care. | Doncaster Clinical Commissioning Group |
| 1 | All IDVAs attend Safelives accredited IDVA training within the first twelve months of their appointments. | Doncaster Council IDVA Service |
| 1 | Clinicians should consider: • The Trust’s ‘Engagement and Discharge of Patients Referred to and in Contact with Aspire Drug and Alcohol Services Policy’ • Complete Risk Assessments To mitigate the risk to patients who are vulnerable but have a propensity to not engage in a consistent manner despite their ongoing need. | Rotherham Doncaster and South Humber NHS Foundation Trust |
| 2 | That all agencies provide assurances and evidence to Safer Stronger Doncaster Partnership that all known risk factors and vulnerabilities such as alcohol use, are taken into consideration, and that contact with victims of domestic abuse is undertaken in cognisance and with agreement of the victim. | Safer Stronger Doncaster Partnership |
| 2 | Training for primary care staff to raise awareness of suicide risk in domestic abuse and the importance of routine enquiry when a patient presents with indicators of domestic abuse. | Doncaster Clinical Commissioning Group |
| 2 | IDVA Process Guide is being amended and refreshed. (Ongoing) | Doncaster Council IDVA Service |
| 2 | ASPIRE Drug and Alcohol Services to provide awareness sessions to the Safeguarding Adult Board given that there have been a number of cases where the victims of SAR and DHR have had contact with this service | Rotherham Doncaster and South Humber NHS Foundation Trust |
| 3 | That South Yorkshire and Lincolnshire Police provide assurances and evidence to Safer Stronger Doncaster Partnership of their processes to consider utilising a DVPO/DVPN to safeguard victims of domestic abuse. | South Yorkshire Police | Lincolnshire Police |
| 3 | MARAC Steering Group has been scheduled for 23.06.21 reinstated. | Doncaster Council IDVA Service |
| 3 | Services to explore ways in which to engage / communicate with patients of no fixed abode and consider how multi agencies can support in this. | Rotherham Doncaster and South Humber NHS Foundation Trust |
| 4 | That Safer Stronger Doncaster Partnership ensures that the learning from this case is used to inform the ongoing workstreams in responding to domestic abuse. | Safer Stronger Doncaster Partnership |
| 4 | IDVA Chair training being facilitated with Safelives on behalf of SYP. (To be arranged) | Doncaster Council IDVA Service |
| 4 | All staff to understand what the definition of Domestic Abuse is. | Rotherham Doncaster and South Humber NHS Foundation Trust |
| 5 | That Safer Stronger Doncaster Partnership reviews the multi-agency response to victim engagement during DVDS and criminal investigations. | Safer Stronger Doncaster Partnership |
| 5 | All staff to ask patients about their relationships with their family | Rotherham Doncaster and South Humber NHS Foundation Trust |
| 6 | That South Yorkshire Police provide assurances and evidence to Safer Stronger Doncaster Partnership as to how they have embedded learning into practice in relation to DVDS applications and processes. | South Yorkshire Police |
| 6 | All staff to understand when a referral to Domestic Abuse services should be considered. | Rotherham Doncaster and South Humber NHS Foundation Trust |
| 7 | That Safer Stronger Doncaster Partnership ensures that there are embedded services and referral pathways in place for perpetrators of domestic abuse, in particular, for those perpetrators who are not being managed within the criminal justice system. | Safer Stronger Doncaster Partnership |
| Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗ | ||