ROTHERHAM GENERAL HOSPITALS NHS TRUST by h0Ly71Qb

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									                             BOARD OF DIRECTORS’ MEETING                                            Board of Directors
                                                                                                        th
                                                                                                     27 July 2011
                                     27 July 2011                                                        Item: 10


TITLE OF PAPER         Domestic Homicide Reviews (2011)


TO BE PRESENTED BY     Liz Lightbown, Executive Director of Nursing and Integrated Governance

                       The Board of Directors is asked to:
ACTION REQUIRED         receive and adopt the multi-agency statutory guidance for conducting
                          Domestic Homicide Reviews;
                        direct the Safeguarding Steering Group to urgently review SHSC’s policies
                          in order to meet statutory obligations.

                       SHSC will fulfil its statutory obligations in relation to Home Office Guidance
OUTCOME                and have relevant procedures in place to undertake the requirements
                       contained within the guidance.
                       This guidance came into force on 13 April 2011.
TIMETABLE FOR          Adoption of this guidance is scheduled for July 2011.
DECISION

                       Domestic Violence, Crime and Victims Act (2004)
LINKS TO OTHER KEY     Safeguarding Adults, No Secrets (2010)
REPORTS/DECISIONS      NHS Act 2006 Partnership Arrangements (Section 75)

                       1     Improve the quality, safety and experience of our services for people who
BAF OBJECTIVE No and         use of services and their carers
TITLE
                       7     Continued high performance against best practice and regulatory
                             standards
LINKS TO THE NHS
CONSTITUTION &         Care Quality Commission Essential Standards of Safety and Quality –
OTHER RELEVANT         Outcome 7
FRAMEWORKS
                       HSE               MH Act            Equality           BME               Disability Legislation 
BAF, RISK, OUTCOMES
ETC                    NHS Constitution: Staff Rights  Patients’ Rights Public’s Rights  Principles  Values 
                       Locally the implication is that the requirement for DHRs is an additional
IMPLICATIONS FOR       workload with no additional funding. The workload is also unpredictable - in
SERVICE DELIVERY &     recent years domestic homicide in Sheffield has varied from 0 to 5 and across
FINANCIAL IMPACT       South Yorkshire from 4 to 11.
                       Domestic Violence, Crime and Victims Act (2004).
CONSIDERATION OF       Safeguarding Adults, No Secrets (2010)
LEGAL ISSUES           NHS Act 2006

                       Non-endorsement of this guidance will make it difficult for our commissioners
                       and Local Authority partners and will stop us fulfilling our legal obligations.

Author of Report       Rashna Hackett

Designation            Senior Nurse, Safeguarding

Date of Report         June 2011
                                           SUMMARY REPORT                                  Board of Directors
                                                                                             27 July 2011
                                                                                                Item 10
Report to:         Board of Directors

Date:              27 July 2011

Subject:           Domestic Homicide Reviews (DHRs)

From:              Liz Lightbown, Executive Director of Nursing and Integrated Governance

Prepared by: Rashna Hackett, Senior Nurse for Safeguarding
_________________________________________________________________________________

1.       Purpose

To brief the Board on the new requirements to carry out Domestic Homicide Reviews (DHRs) and to
inform the Board of the process as set out in the guidance.

2.       Summary

DHRs were established on a statutory basis under section 9 of the Domestic Violence, Crime and
Victims Act (2004) and came into force on 13 April 2011.

This legal requirement to carry out a review for any domestic homicide in the local authority area, is
similar to Case Reviews following the death of a child or vulnerable adult. The review process has
been established to ensure agencies are responding appropriately to victims of domestic violence by
offering and putting in place appropriate support mechanisms, procedure, resources and interventions
with an aim to avoid future incidents of domestic homicide and violence.

SHSC is one of seven local partners who have a duty to have regard to the guidance, which supports
a multi-agency, independently-led review that seeks to learn lessons and improve policies and practice
at a local and national level.

DHR Process

The flowchart outlining the process for a Domestic Homicide Review is attached at appendix 1.

The guidance stipulates the following requirements:

         The Community Safety Partnership (CSP) is informed of a probable domestic homicide and
          decides whether to carry out a full Domestic Homicide Review (DHR).

          For Sheffield, the CSP is Sheffield First Safer and Sustainable Communities Partnership, who
          is responsible for initiating and co-ordinating DHRs. However, the DHR panel acts as an
          independent body.

         The CSP appoints the chair and membership of the Review Panel.

         Information is gathered through sub-reviews in each agency that dealt with the victim,
          perpetrator and/or family, and by contacting family, friends, colleagues etc of the victim.

         Based on this information, the Panel chair, with the support of the Review Panel, produces an
          overview report, executive summary and action plan.

     
          After approval from the CSP and clearance from the Home Office, anonymous versions of
           documents are published.

          The CSP implements the action plan and disseminates lessons learnt and good practice.

 3.       Next Steps

NHS Sheffield has endorsed the guidance at their July Board meeting and is requesting that SHSC
adopt it and make the necessary preparations to respond to this statutory guidance. Once this
guidance is adopted, the Safeguarding Steering Group will be tasked to review SHSC’s policies in
order to meet statutory obligations.

4.        Required Actions

The Board of Directors is asked to:

          receive and adopt the multi-agency statutory guidance for conducting Domestic Homicide
           Reviews;
          direct the Safeguarding Steering Group to urgently review SHSC’s policies in order to meet
           statutory obligations.

5.        Monitoring Arrangements

              The Safeguarding Steering Group
              Patient Safety Group
              Quality Assurance Committee

6.        Contact Details

For further information, please contact:
       Rashna Hackett, Senior Nurse for Safeguarding, tel: 2716379
       Rashna.hackett@shsc.nhs.uk
                                         Domestic Homicide Review Flowchart                                  Appendix 1

         Partnership                                                                            Agency response:
         response: the                                             1                                the Individual
         Domestic                                       Domestic homicide occurs                    Management
         Homicide Review                                                                                  Review


                                           2                                             A
                             Police informs CSP in writing                Secure case records and begin to
                                                                         draw up a chronology of involvement

                                          3
                         CSP establishes whether to carry out
                                       a DHR
             One month




                                          4
                         CSP informs Home Office of decision
                               to carry out DHR or not


                                         5
                                  CSP sets up panel


                                          6
                         Panel chair and panel draw up terms
                                of reference for DHR


                                           7                                              B
                         Panel chair writes to senior manager                Senior manager commissions
                            in each participating agency,                   Individual Management Review
                                 commissioning IMR


                                           8                                               C
                          Panel informs family/friends/others of           IMR author interviews staff, holds
                         review through a designated advocate               discussions, reviews evidence
                              and agrees their involvement

                                                                                          D
                                           9                                IMR author produces Individual
                            Panel interviews people, holds                      Management Review
                            discussions, reviews evidence
                                                                                         E
                                          10                             Senior manager quality-assures IMR
                           Panel chair draws together IMRs,
                         reports from other professionals and
                                    other evidence                                        F
                                                                          Senior manager feeds back to and
                                                                                debriefs staff on IMR
Six months




                                           11
                           Panel chair drafts overview report
               Domestic Homicide Review Flowchart                           Appendix 1


                 12
Panel quality assures overview report


                13
     Panel develops action plan


                   14
Provide completed report to family etc
        for their consideration


                15
   Panel sends final report, exec
  summary and action plan to CSP


               16
 CSP agrees reports and action plan
      and anonymises them


                17                                       17
CSP feeds back to and debriefs family    Senior manager feeds back to and
                etc                            debriefs staff on DHR


                18
 CSP sends final reports and action
     plan to the Home Office


                 19
  Home Office expert panel quality
assures report and gives clearance for
             publication


               20
 CSP publishes exec summary and
   overview report on website



               21
CSP implements and monitors action
              plan



                22
CSP formally concludes DHR process
        and audits progress

								
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