Source · Investigations in the NHS

A joint Domestic Homicide Review and Independent Investigation into the care and treatment of ‘Dean’: Published 26 January 2018

North West Published 26 Jan 2018 Trust HM Prison and Probation Service

This is the joint Domestic Homicide and Independent Investigation in to the care and treatment of ‘Dean’ , commissioned by Sefton Safer Communities Partnership and NHS England (North). The associated action plans have been published by Sefton Safer Communities Partnership and Mersey Care NHS Foundation Trust.

Acceptance status

Per recommendation

Accepted

Action Plan Published

Total recommendations

About this data

Acceptance status tracks whether the trust accepted or responded to each recommendation.

Independent health investigation reports and reviews commissioned by government or NHS England.

About this investigation

Source & metadata

Independent investigation report. Recommendations and any published response are extracted below.

Recommendations

10 total

Action plan published. 8 of 10 per-recommendation responses extracted from the action plan. View action plan

Recommendation

That Manchester Mental Health and Social Care Trust (HMP Manchester) and Mersey Care NHS Trust confirm in writing to Sefton Safer Communities Partnership what actions have been taken to remedy the identified weaknesses when releasing prisoners who are entitled to … Read more

View response

SSCP to write to Manchester Mental Health and Social Care Trust (HMP Manchester) and Mersey Care NHS Trust to request an update report

Recommendation

That in cases in which prison mental health services have identified that a mental health assessment is needed, the National Offender Management Service ensures that when decisions are taken to move offenders between prisons, the assessment is completed prior to … Read more

Recommendation

Furthermore, that where a prisoner is already being assessed by specialist mental health services, the National Offender Management Service is asked to determine the risks to that individual, and of the individual reoffending, if a complete mental health assessment cannot … Read more

View response

As above

Recommendation

That Your Housing Group reports in writing to Sefton Safer Communities Partnership what action it has taken to ensure that it minimises the risks of domestic abuse to its tenants. This must include commentary on how it ensures that the … Read more

View response

SSCP to write to Your Housing Group requesting an update report

Recommendation

That Sefton Safer Communities Partnership undertakes research within its local communities about barriers to reporting domestic abuse and how the community can be empowered to ‘speak out’. Furthermore, Sefton Safer Communities Partnership is asked to develop, publish and publicise advice … Read more

View response

Information for friends and family is available on Sefton Council’s website at www.sefton.gov.uk/behindcloseddoors Sefton also supported the public health led ‘Lover not a fighter’ domestic abuse campaign. The development of further public awareness campaigns, including further information for friends and family, is being looked at as part of Sefton’s Domestic Abuse Strategy .

Recommendation

That Merseyside MAPPA Strategic Management Board reports in writing to Sefton Safer Communities Partnership what action it has taken to ensure that Section 6.15 of the MAPPA Guidance 2012 [Identifying MAPPA offenders] is adhered to.

View response

This case was formally raised at Merseyside SMB and MAPPA Chairs briefings. A report has been provided by the Merseyside MAPPA Strategic Board to update the SSCP outlining the changes in practice and processes that have taken place since this case was managed.

Recommendation

That MAPPA-managed offenders are managed at the appropriate level and that any substantial disagreement between agencies on which level a person should be managed at has a resolution pathway.

Recommendation

That disclosure is always considered when there is a risk to others. Disclosure to a third party (Your Housing Group) was considered but not felt necessary when Dean was assessed as presenting a risk to the public at the MAPPA … Read more

View response

There is a National MAPPA Key Performance Indicator: Disclosure to be considered and decision recorded in minutes at 100% of Level 2 and Level 3 meetings. Disclosure and consideration must be recorded in every case. MAPPA Administrators collate quarterly KPI information and MAPPA Co-ordinator checks for any failures and feedback provided to relevant Chair MAPPA Chair training includes briefings slides in regard of 3rd party disclosure, to ensure Chairs are aware of the importance and new legislation i.e. Child Sex offender disclosure scheme, domestic violence disclosure scheme. National MAPPA Audit template (issued Jan 2017) The role out of MAPPA Core Panels across Merseyside (Sefton implementing April 2017) will ensure a Local Authority Housing representative at all Level 2 meetings who can provide support and provide advise in regards of contact with registered providers.

Recommendation

That Merseyside Police reports in writing to Sefton Safer Communities Partnership what action it has taken to ensure that its policies and practices for circulating wanted people are appropriate and followed.

View response

SSCP to write to Merseyside Police to request an update report

Recommendation

That the pan-Merseyside MARAC steering group considers the way in which the recording of MARAC meetings can be improved, how actions are recorded and allocated, and how agencies are held to account for their delivery. The steering group should consider … Read more

View response

Sefton MARAC Coordinator to raise this as an agenda item at the next Merseyside MARAC meeting To also be considered with the review of Sefton’s MARAC currently being conducted