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
Enfield review
CSP: EnfieldPublished: December 2022Year of death: 2016Extracted: 8 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The review highlights significant failures in inter-agency coordination and information sharing, leading to an uncoordinated response to the victim's complex needs, including mental health, substance misuse, and domestic abuse. Professionals underestimated the perpetrator's coercive control and manipulation, and did not adequately assess the escalating risk to the victim.
Home Office classifications
45 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - alcohol misuse
Victim - substance misuse
Victim - mental ill health
Victim - anxiety
Victim - depression
Victim - panic attacks
Victim - psychosis
Victim - self harm
Victim - suicidal thoughts
Victim - suicide attempts
Victim - had been a victim of an abuser before
Victim - referred to marac at any time
Victim - case heard at marac before homicide
Perpetrator - case heard in court
Perpetrator - issued life sentence
Perpetrator - alcohol misuse
Perpetrator - substance misuse
Perpetrator - housing issues
Perpetrator - mental ill health
Perpetrator - anxiety
Perpetrator - depression
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 - known to idva or other domestic abuse support service as a domestic abuse perpetrator
Perpetrator - known to probation services as a domestic abuse perpetrator
Perpetrator - attended perpetrator programme
Perpetrator - supervised by mental health services
Perpetrator - supervised by probation services
Aggravating factors - coercive or controlling behaviour
Aggravating factors - stalking
Aggravating factors - digital stalking
Aggravating factors - psychological or emotional abuse
Aggravating factors - physical abuse
DHR process - family contributed to dhr
DHR process - family received draft report
DHR process - police recommendations
DHR process - health services recommendations
DHR process - idva or other domestic abuse support service recommendations
DHR process - probation services recommendations
DHR process - community safety partnership recommendations
DHR process - training recommendation themes
DHR process - multi agency working recommendation themes
DHR process - record keeping recommendation themes
DHR process - other recommendation themes
Extracted recommendations
8 recommendations pulled from the report · 1 matched to organisations in the index
The key agencies within this review must consider how complex cases are managed and report back to the Community Safety Partnership and other senior level Boards by March 2018
Addressed to
Violence Against Women and Girls Group
The individual management reviews in this case were particularly poor. The Violence Against Women and Girls Group should consider providing multi-agency training to improve agency's understanding of the process
Staff in Accident and Emergency Departments should receive training about self-harm and self-harm should be included in all local domestic abuse training. (This should ensure that staff have an understanding of unusual self-inflicted injuries (e.g. the victim's facial injury or 'accidental' injuries)
The Community Safety Partnership should consider funding a domestic abuse advocate/educator for the Accident and Emergency Department at North Middlesex Hospital
The victim's mother and daughter had a number of questions they wanted answered about the chain of events following the victim's death (see section 2.2.1.). The Metropolitan Police Service should consider how best to address those questions