2 Domestic homicide review process (snapshot) Domestic Homicide occursCSP informed and decides on whether the homicidemeets criteria of DHR (Within one month of homicide)Criteria met: CSP commissionDHR and Review PanelConduct DHR: Chair to draft Overview Report, Executive Summary and Action Plan (Within 6 months of CSP decision to hold DHR)Review Panel establishes terms of reference, appoints Chair and commissions agency IMRs and relevant reportsQA Group assesses Review as adequate/inadequate according to guidance.Review is published, stored centrally by HO and lessons learned disseminated by QA Group via bulletin and web page.Review agreed byReview Panel andsent tocommissioning CSPCSP agree Review and send to Home Office
3 Learning the Lessons‘The repetition of past mistakes may amount to institutional incompetence’(McPherson, 1998)‘I am convinced the answers lie in doingrelatively straightforward things well’(Laming, 2003)
4 Some observations - sources Delivered accredited training for DHR chairs to 94 delegatesQuality Assure approximately two DHRs a monthChairing DHRs (18)Acting as a sounding board for other ChairsRecent Home Office publication on DHRs
5 Some observationsLack of understanding how central the family are to the processWe need to have a new conversation about information sharing and risk – professional judgement / listening to victims is critical.Engagement with perpetrators outside of the CJS is limited
6 Issues with thresholds / definitions of vulnerable Lack of professional curiosityEngaging with the unengagedAttribution of bruising to falls / age related conditionsSons with mental health / substance use issuesLack of carer assessmentsLack of risk recognition for carers
7 Understanding abuse as a power issue and not a relationship issue Financial abuse far higher in older age groupDisability doubles the riskV little data – BCS cuts off at 59Risk is often multi-facetedComplex needs – a significant failingCoercive control is a better indicator of risk than physical violence
8 Finally…Always assume that your report – IMRs and ORs – is being read by those that loved the victim. Would the report seem adequate to you?DHRs are a great opportunity to think differently about domestic violence. They are a new framework which allows us to really test our service provision against the needs of real victims and their real circumstances
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