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: Lambeth Published: December 2022 Year of death: 2017 Extracted: 9 recs

Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.

Original review (PDF) ↗ Source: Home Office DHR Library

Summary AI-generated

Verify against the full report at the source link
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

Recommendation 1

Addressed to DWP

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.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 2

Addressed to Home Office

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.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 3

Addressed to UK Government

The UK Government to include abuse of process in the statutory definition of domestic violence and abuse and the associated statutory guidance.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 4

Addressed to MOPAC

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.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 5

Addressed to Metropolitan Police Service

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.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 6

Addressed to The Gaia Centre (run by Refuge)

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.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 7

Addressed to Victim Support

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.

Verified wording from the published review · Original review (PDF) ↗

Recommendation 8

Addressed to DWP

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).

Verified wording from the published review · Original review (PDF) ↗

Recommendation 9

Addressed to DWP

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.

Verified wording from the published review · Original review (PDF) ↗