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
Sheffield review
CSP: SheffieldPublished: November 2024Year of death: 2022Extracted: 10 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The review identified systemic failures by multiple agencies to recognise the victim's long-term entrapment in a coercively controlling relationship, leading to fragmented responses, inadequate risk assessments, and ineffective perpetrator management.
Home Office classifications
58 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - died by suicide
Victim - was a carer
Victim - carer for perpetrator
Victim - substance misuse
Victim - housing issues
Victim - mental ill health
Victim - anxiety
Victim - depression
Victim - self harm
Victim - suicidal thoughts
Victim - suicide attempts
Victim - had been a victim of an abuser before
Victim - referred to marac at any time
Victim - case heard at marac before homicide
Children - subject to child protection or domestic abuse prior to homicide
Perpetrator - substance misuse
Perpetrator - housing issues
Perpetrator - mental ill health
Perpetrator - neurodiverse condition diagnosis
Perpetrator - anxiety
Perpetrator - depression
Perpetrator - panic attacks
Perpetrator - psychosis
Perpetrator - post traumatic stress disorder (ptsd)
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 mental 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 friends 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 - coercive or controlling behaviour
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 - police recommendations
DHR process - social services recommendations
DHR process - health services recommendations
DHR process - idva or other domestic abuse support service recommendations
DHR process - probation services recommendations
DHR process - housing services 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 - multi agency working recommendation themes
DHR process - record keeping recommendation themes
DHR process - awareness raising recommendation themes
Extracted recommendations
10 recommendations pulled from the report · 5 matched to organisations in the index
Addressed to
Sheffield Domestic Abuse Coordination Team (DACT) | IDAS
The Sheffield Domestic Abuse Coordination Team (DACT) and IDAS should use evidence from this DHR to review the content of local training and domestic abuse assessment practice and align this with the proposed introduction of the DARA risk assessment by SYP.
Addressed to
Sheffield Domestic Abuse Coordination Team (DACT)
The Sheffield Domestic Abuse Coordination Team (DACT) should ensure that a review of MARAC and its linkage with existing complex case management and other safeguarding processes are completed with recommendations made to the Domestic and Sexual Abuse Strategic and Local Partnership Board.
Addressed to
NHS South Yorkshire Integrated Care System (SYISC)
The SYISC should develop proposals for responding to the learning from this DHR and in particular how information about MARAC and other domestic abuse risk discussions are linked with GP practices.
IDAS should IDAS should monitor and evaluate how the revised engagement strategies and risk assessments and the allocation of long-term IDVAs from the first point of contact for victims with multiple adversities and risks are working.
Addressed to
Sheffield Health and Social Care NHS Foundation Trust
SHSC should respond to the learning from the DHR, about how individuals with dual diagnosis access appropriate services to address co-existing needs. There is ongoing work involving people who have substance misuse issues and mental health problems to ensure they can access appropriate services at the right time to ensure consistency across the organisation.
SCC’s Information Officer is reviewing the privacy notice for applicants approaching SCC as homeless, to review if relevant information can be shared with Housing Staff if that applicant subsequently signs for an SCC tenancy
Addressed to
Sheffield Housing and Neighbourhood Services
Practice Development coordinators will provide training to housing staff to educate them on what MARAC is / and the importance of undertaking actions identified/notebook outcomes.
The probation service should respond to the learning from the DHR about assessment and response to coercive and controlling perpetrator offending and use of the law. This should also include how the accommodation needs of the perpetrator are checked as part of any pre-conviction measures including court-imposed bail conditions and following a conviction; using conditions in community orders to access and direct to perpetrator programmes and accessing appropriate health care.
The South Yorkshire Police to review the mechanisms for the management of potentially dangerous domestic abuse and stalking perpetrators who do not have a recent repeat offence history that comes within the scope of MATAC and the local intensive intervention strategy.