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
Lambeth review
CSP: LambethPublished: December 2022Year of death: 2017Extracted: 9 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
Agencies failed to adequately identify and respond to domestic violence, economic abuse, and abuse of process, leading to missed opportunities for risk assessment and support. Procedural disputes and limited inter-agency communication further compromised victim safety.
Home Office classifications
54 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - housing issues
Victim - mental ill health
Victim - depression
Victim - panic attacks
Victim - had been a victim of an abuser before
Children - under 18 shared parental responsibility (victim and perpetrator)
Children - under 18 shared parental responsibility (between victims)
Children - under 18 shared parental responsibility (between perpetrators)
Children - living with victim (including adult children)
Children - present at homicide (including adult children)
Children - subject to child protection or domestic abuse prior to homicide
Child - primary address same as victim
Perpetrator - case heard in court
Perpetrator - issued life sentence
Perpetrator - alcohol misuse
Perpetrator - substance misuse
Perpetrator - mental ill health
Perpetrator - depression
Perpetrator - suicidal thoughts
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 school as a domestic abuse perpetrator
Perpetrator - known to others as a domestic abuse perpetrator
Perpetrator - known to friends as a domestic abuse perpetrator
Perpetrator - known to family as a domestic abuse perpetrator
Perpetrator - known to workplace (employer) as a domestic abuse perpetrator
Aggravating factors - separation
Aggravating factors - coercive or controlling behaviour
Aggravating factors - stalking
Aggravating factors - physical stalking
Aggravating factors - digital stalking
Aggravating factors - honour based violence
Aggravating factors - psychological or emotional abuse
Aggravating factors - physical abuse
Aggravating factors - economic abuse
DHR process - family contributed to dhr
DHR process - family consulted about terms of reference
DHR process - family supported by expert specialist advocate
DHR process - family received draft report
DHR process - police recommendations
DHR process - social services recommendations
DHR process - health services recommendations
DHR process - idva or other domestic abuse support service recommendations
DHR process - housing services recommendations
DHR process - employer recommendations
DHR process - community safety partnership recommendations
DHR process - identification of risk recommendation themes
DHR process - training recommendation themes
DHR process - policy recommendation themes
DHR process - multi agency working recommendation themes
DHR process - record keeping recommendation themes
DHR process - awareness raising recommendation themes
DHR process - other recommendation themes
Extracted recommendations
9 recommendations pulled from the report · 6 matched to organisations in the index
The DWP to ensure that its agencies and public bodies have processes in place to enable them to participate in DHRs in a timely and appropriate manner.
The Home Office to amend the multi-agency statutory guidance for the conduct of DHRs by extending the duty ‘to have regard’ to government departments and the agencies and public bodies associated with them.
MOPAC to work with local boroughs to develop a sustainable media-based public health awareness campaign to establish people's rights and promote community-building and primary prevention activities that tackle underlying assumptions in society.
The MPS quarterly recommendations meeting to review the learning from this report and take action to be assured that there is consistent practice across BOCU’s regarding the resolution of disputes over responsibility for an investigation so that these are resolved promptly, and the safety of victims is prioritised.
The Gaia Centre (run by Refuge) to revise its operating procedures to ensure staff routinely enquire of a client whether they are working with other services.
Victim Support to ensure the practice in its specialist domestic abuse teams (to routinely enquire of a client whether they are working with other services) is reflected in its procedures.
The DWP to direct the CMS to urgently review its public facing literature to ensure it addresses domestic violence and abuse in line with best practice around awareness raising, including specific reference to economic abuse (what it is and how it operates in post separation abuse).
The DWP to urgently commission an independent review into the CMS’s policy and procedure around domestic violence, informed by substantive consultation with victim/survivors and specialist domestic abuse services. This review to include in scope: the response to disclosures of domestic violence when making a child maintenance application; provision of independent specialist advice in that context; and the identification and management of risks by (alleged) perpetrators.