Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of vulnerability assessment for domestic violence recipients
The earlier warning
Katie Madden · 30 May 2024 · Nigel Parsley, Suffolk
“No evidence was seen that recipients of a 'Claires Law' Domestic Violence Disclosure are treated as being of greater vulnerability”
judiciary.uk/…/katie-madden-prevention-of-future-deaths-report
What was promised
Stated action 1 · response to Katie Madden (30 May 2024) · stated timescale: none stated
“NSFT has asked all clinicians that receive referrals into services to identify those where treatments have been recommended by non-NSFT clinicians in order to offer an assessment prior to signposting elsewhere on the basis that: - there may be an alternative treatment available within NSFT services that is appropriate and could be offered, based on NSFT clinical assessment; and/or - if NSFT clinicians agree that a treatment not available within standard services is required and individual”
Stated action 2 · response to Katie Madden (30 May 2024) · stated timescale: September
“The SARP would like to explore the opportunities for a joined-up review process as part of this ongoing piece of work. An update regarding the proposal for a domestic homicide review is expected in September.”
Stated action 3 · response to Katie Madden (30 May 2024) · stated timescale: none stated
“Norfolk and Suffolk NHS Foundation Trust has said in its response to you that it has asked all its clinicians that receive referrals into mental health services to identify those where treatments have been recommended by clinicians from outside the Trust in order to offer an assessment prior to any decision being made on the most appropriate way forward”
What recurred
- 4 May 2026 · Suseel Rana · Emma Whitting · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · Katie Madden · 30 May 2024
“No evidence was seen that recipients of a 'Claires Law' Domestic Violence Disclosure are treated as being of greater vulnerability”
Later · Suseel Rana · 4 May 2026
“In seeking some reassurance as to her safety, the Deceased had made a Clare's Law application under the Domestic Violence Disclosure Scheme (DVDS) prior to her death; however, this was had not been progressed by Police.”
What happened next
No web check of the stated actions has been published for this chain.