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

Rochdale review

CSP: Rochdale Published: November 2024 Year of death: 2022 Extracted: 23 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
The review highlights challenges in multi-agency engagement and information sharing, particularly due to the victim's repeated refusal of support despite disclosures of domestic abuse. It identifies missed opportunities to address coercion and control, the perpetrator's role, and the impact of the victim's complex health needs on her decision-making.

Home Office classifications

41 tags

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

  • Victim - alcohol misuse
  • Victim - physical disability
  • Victim - mental ill health
  • Victim - depression
  • Victim - suicidal thoughts
  • Victim - serious or life limiting illness
  • Victim - had been a victim of an abuser before
  • Victim - referred to marac at any time
  • Victim - case heard at marac before homicide
  • Perpetrator - was a carer
  • Perpetrator - carer for victim
  • Perpetrator - carer assessed
  • Perpetrator - alcohol misuse
  • Perpetrator - mental ill health
  • Perpetrator - depression
  • 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 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
  • Aggravating factors - separation
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - sexual abuse
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical abuse
  • Aggravating factors - economic abuse
  • DHR process - family contributed to dhr
  • 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 - 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
  • DHR process - other recommendation themes

Extracted recommendations

23 recommendations pulled from the report · 15 matched to organisations in the index

Recommendation 1

Addressed to Rochdale Safer Communities Partnership

Strengthen the effectiveness of MRM meetings by ensuring the meetings include representation of all services in direct contact with the subject, and all agencies with expertise to support the work of those services e.g. drug and alcohol services, mental health services, so expert advice can be provided. Membership to be updated as new services become involved. MRM meetings to routinely consider whether all applicable non-statutory services available in Rochdale have been offered to both client and carer.

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

Recommendation 1

Addressed to Greater Manchester Police

Consideration to DVPN/O should be given at all stages to cases of DA wherein victims are unsupportive of Police action. This should include following arrest - and referenced in the recorded rationale within the force policy for Detainees Leaving Police Custody against the consideration for imposing conditional bail – as well as within the closure rationale for crime and DAB reports

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

Recommendation 1

Addressed to Rochdale Adult Care

Domestic Abuse Training should be essential for all staff in assessment teams including managers in adult social care.

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

Recommendation 1

Addressed to NHS Greater Manchester Integrated Care

It is essential to acknowledge the time constraints within primary care and to provide GPs with a domestic abuse screening tool which is simple to use, short, safe and validated.

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

Recommendation 1

Addressed to Northern Care Alliance NHS Foundation Trust

Recommendations in relation to actions for NCA are in relation to training and development and raising awareness of potential indicators of Domestic Abuse. Adherence to NCA policy in relation to early escalation and multiagency involvement. Also, assurance that learning from Domestic Homicide Reviews will continue to be shared across NCA. As an organisation, a project in Oldham; “Open Door Project”, has been commissioned to focus on Domestic Abuse in Older People. NCA are supporting this work and developing some video resources that will be utilised to raise awareness of Domestic Abuse within this age category.

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

Recommendation 1

Addressed to Care4U Home Care Agency

Care4U to routinely request information regarding domestic violence prior to agreeing and commencing a package of care.

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

Recommendation 2

Addressed to Rochdale Safer Communities Partnership

Non-compliance and non-attendance at MRM and MARAC meetings by key partners should be challenged and if unresolved escalated. The multi-agency escalation policy to be reviewed.

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

Recommendation 2

Addressed to Greater Manchester Police

GMP MASH processes should include the recording of actions arising from MARAC and timescale for Police review.

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

Recommendation 2

Addressed to Rochdale Adult Care

Adult Care need to be assured that there is an escalation protocol in place for when there are concerns regarding lack of engagement from other agencies.

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

Recommendation 2

Addressed to NHS Greater Manchester Integrated Care

There is a need to ensure that GP Practices have access to the safer online/ remote consultation guidance

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

Recommendation 2

Addressed to Care4U Home Care Agency

Care4U staff need to increase their knowledge in respect to Domestic Violence through training.

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

Recommendation 3

Addressed to Rochdale Adult Care

Adult Care to ensure Carer assessments are offered to all carers, in line with legislation, even if the referred client declines involvement.

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

Recommendation 3

Addressed to Greater Manchester Police

Awareness of powers of entry/search and arrest should be raised amongst Officers attending to welfare/Bail/DVPO checks with respect to high-risk cases of domestic violence. These should be undertaken on a joint agency basis where appropriate.

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

Recommendation 3

Addressed to NHS Greater Manchester Integrated Care

There is a need to increase GP awareness of the availability and value of the electronic mental capacity template.

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

Recommendation 3

Addressed to Care4U Home Care Agency

Care4U staff need clear guidance and training on when, how and where to obtain assistance in assessing mental capacity.

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

Recommendation 4

Addressed to Rochdale Safer Communities Partnership

MARAC needs to evidence referral of perpetrators to perpetrator programmes.

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

Recommendation 4

Addressed to Rochdale Adult Care

Practitioners should be aware of the perpetrator programme Panel for perpetrator and In Domestic Abuse cases, practitioners to consider referrals to the perpetrator programme panel to address the behaviour of the perpetrator.

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

Recommendation 5

Addressed to Rochdale Safer Communities Partnership

Where subjects are felt to be making unwise decisions, services are struggling to engage them, and alcohol or substance misuse, and or coercion and control may be having an adverse impact on mental capacity, legal advice must be routinely sought to ensure all legal options have been explored.

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

Recommendation 5

Addressed to Rochdale Adult Care

Increased awareness required regarding the IDVA Service– Independent Domestic Violence Advocacy.

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

Recommendation 6

Addressed to Rochdale Adult Care

Guidance to be produced for all care agencies in relation to mental capacity assessments.

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

Recommendation 6

Addressed to Rochdale Adult Care

Early referral for legal advice required. An earlier referral for Legal advice should have taken place in this case following non- engagement with the safeguarding enquiry and ongoing risk/concerns on 20.8.2021.

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

Recommendation 7

Addressed to Victim Support

Victim support services to revisit their way of working with clients who are not engaging, to include joint working with partner agencies.

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