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

North East Lincolnshire review

CSP: North East Lincolnshire Published: August 2025 Year of death: 2021 Extracted: 19 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
Key concerns include a lack of professional curiosity and inconsistent information sharing across agencies, exacerbated by language and cultural barriers, which led to missed opportunities in identifying and responding to complex domestic abuse, including male victimhood and alcohol's role, and in providing consistent safeguarding.

Home Office classifications

31 tags

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

  • Victim - alcohol misuse
  • Victim - had been a victim of an abuser before
  • Victim - immigration involvement
  • Children - under 18 shared parental responsibility (victim and perpetrator)
  • Children - under 18 shared parental responsibility (between victims)
  • Children - under 18 shared parental responsibility (between perpetrators)
  • Children - living with victim (including adult children)
  • Children - living with perpetrator (including adult children)
  • Child - primary address same as victim
  • Perpetrator - case heard in court
  • Perpetrator - alcohol misuse
  • Perpetrator - mental ill health
  • Perpetrator - post traumatic stress disorder (ptsd)
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Perpetrator - immigration involvement
  • Aggravating factors - separation
  • Aggravating factors - sexual abuse
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical abuse
  • 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 - 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

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

Recommendation 7.1.1

Addressed to Humberside Police

That children are visible in domestic abuse cases, that any children are fully documented, and referrals are then gmade.

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

Recommendation 7.1.2

Addressed to Humberside Police

That when a third-party attends to report domestic abuse, that consideration is given to whether an officer should attend and obtain the details.

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

Recommendation 7.1.3

Addressed to Humberside Police

That all officers are reminded of the importance of not only offering a referral to domestic abuse services but also leaving details with a victim who declines a referral.

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

Recommendation 7.2.1

Addressed to Northern Lincolnshire and Goole NHS Foundation Trust

That, via training and supervision, staff are reminded that when an adult presents to ED with injuries and concerns/behaviours that could impact on the care of dependents, a discussion is to be held with the safeguarding team to support with appropriate signposting and referral.

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

Recommendation 7.2.2

Addressed to Northern Lincolnshire and Goole NHS Foundation Trust

That the Trust implements a Quality Improvement Project designed to encompass and discuss selective/routine enquiry for both male and female patients across the Trust.

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

Recommendation 7.2.3

Addressed to Northern Lincolnshire and Goole NHS Foundation Trust

That training is provided by the Independent Sexual Abuse Advocate and Humberside Sexual Assault Centre to gynaecological and A&E staff, to increase awareness of the service

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

Recommendation 7.2.4

Addressed to Northern Lincolnshire and Goole NHS Foundation Trust

That a supply of literature in key languages is made available to staff to use within the Trust, together with promotion of the use of interpreting services.

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

Recommendation 7.3.1

Addressed to North East Lincolnshire Council

That in cases of domestic abuse, partners are always seen separately as part of Children’s Social Care assessments.

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

Recommendation 7.3.3

Addressed to North East Lincolnshire Council

That, as part of the Family Hub Transformation Project, printed and online materials are generated in Polish and other languages.

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

Recommendation 7.3.4

Addressed to North East Lincolnshire Council

That in future, domestic abuse commissioning specifications include a requirement for key messages to be provided in common languages, and the use of translation services to be incorporated.

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

Recommendation 7.3.6

Addressed to North East Lincolnshire Council

That information is provided, in commonly spoken languages, on what domestic abuse is (including controlling behaviours), navigating services, and myth busting.

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

Recommendation 7.3.7

Addressed to North East Lincolnshire Council

That a multi-lingual awareness raising poster is designed, which uses the commonly spoken languages on one page.

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

Recommendation 7.4.1

Addressed to Home Office

That the Home Office revisits the positioning of domestic abuse and coercive control experienced by men, in order that it is understood in its own context and not in conflict with abuse experienced by women.

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

Recommendation 7.5.1

Addressed to Women’s Aid NEL

That Women’s Aid NEL considers making it clearer on their website, particularly on the home page, that support is also provided to male victims.

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

Recommendation 7.6.1

Addressed to All Agencies

That all agencies provide a briefing for their staff – clearly explaining the need to bear in mind the misunderstandings that can occur because of the lack of translation for ‘isolation’ and ‘coercive control’.

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