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

Bedford review

CSP: Bedford Published: December 2022 Year of death: 2018 Extracted: 17 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 missed opportunities to identify and assess domestic abuse risks for the victim and perpetrator, particularly concerning male victims and older individuals. There were inconsistencies in information sharing, internal processes, and training on counter-allegations and alcohol misuse.

Home Office classifications

28 tags

Source-supplied classifications used by the Home Office to catalogue this review.

  • Victim - was a carer
  • Victim - carer for perpetrator
  • Victim - alcohol misuse
  • Perpetrator - case heard in court
  • Perpetrator - alcohol misuse
  • Perpetrator - physical disability
  • Perpetrator - mental ill health
  • Perpetrator - depression
  • Perpetrator - serious or life limiting illness
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Perpetrator - known to others as a domestic abuse perpetrator
  • Perpetrator - known to family as a domestic abuse perpetrator
  • Perpetrator - supervised by mental health services
  • 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 - community safety partnership recommendations
  • DHR process - technology systems recommendation themes
  • 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 - awareness raising recommendation themes

Extracted recommendations

17 recommendations pulled from the report · 8 matched to organisations in the index

Recommendation 1

Addressed to Ministry of Justice

The Ministry of Justice to develop guidance for prisons in relation to their role in the DHR process, including the pro-active steps they should take to enable engagement with perpetrators.

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

Recommendation 2

Addressed to Central Bedfordshire Community Safety Partnership | Bedfordshire Domestic Abuse Partnership

The CSP to work with partners in the BDAP to agree on a mechanism for collating and sharing findings and recommendations systematically from local DHRs.

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

Recommendation 3

Addressed to Corporate Domestic Abuse Board

The Corporate Domestic Abuse Board to ensure that its review of CBC’s Domestic Abuse Strategy takes a gender informed approach, and that the revised strategy identifies the specific actions that will be taken, proportionally to need, to support male victims.

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

Recommendation 4

Addressed to Central Bedfordshire Community Safety Partnership

The CSP should review existing strategic arrangements with local partners to ensure that these can support a robust multi-agency CCR locally.

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

Recommendation 5

Addressed to Central Bedfordshire Council Children Services

CBC Children Services to ensure that the ‘get help’ section of the BDAP website is reviewed to make it more easily navigable.

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

Recommendation 6

Addressed to Central Bedfordshire Community Safety Partnership | Victim Support | Signpost Hub

The CSP and the relevant commissioners to work with Victim Support and the Signpost Hub to develop shared policy, procedure and training for the identification, management and assessment of counter-allegations across domestic abuse services locally.

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

Recommendation 7

Addressed to Corporate Domestic Abuse Board

The Corporate Domestic Abuse Board to ensure that its review of CBC’s Domestic Abuse Strategy identifies the specific actions that will be taken to support older victims.

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

Recommendation 8

Addressed to Bedfordshire Police

Bedfordshire Police to ensure there is a consistent and robust process for the subversion all of domestic abuse incidents / crimes, with this supported by a training package that ensures that police officers and their supervisors are confident in the use of risk tools.

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

Recommendation 9

Addressed to Bedfordshire Police

Bedfordshire Police to audit the timeframes for referrals made at periods of peak demands and identify mitigating actions to ensure prompt onward referral to partner agencies.

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

Recommendation 11

Addressed to Safeguarding Adults Board

The SAB to audit local referral pathways for adults who are victims of domestic abuse, and for whom there may be vulnerability or safeguarding concerns, to ensure these offer a robust response regardless of whether someone meets the level for statutory intervention.

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

Recommendation 12

Addressed to Bedfordshire Clinical Commissioning Group | Central Bedfordshire Council

Within the Better Care Fund Plan for Central Bedfordshire, the Bedfordshire CCG and CBC review funding for local HIDVA services to ensure that there is a consistent and equitable service offer.

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

Recommendation 13

Addressed to Bedfordshire Clinical Commissioning Group

Bedfordshire CCG to work with GPs to evaluate the impact of the changes to the discharge notifications from local hospitals and ensure that this GPs take follow up action if required.

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

Recommendation 14

Addressed to Public Health Commissioners

Public Health Commissioners to develop a programme to raise awareness of best practice in relation to the identification and offer of brief advice by local services in relation to alcohol use.

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

Recommendation 15

Addressed to Pan Bedfordshire Learning Academy

The Pan Bedfordshire Learning Academy to review the current training available in relation to male victims of domestic abuse and ensure that: (a) Key messages are integrated across all introductory training (b) Staff can access intermediary and advanced level training.

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

Recommendation 16

Addressed to Pan Bedfordshire Learning Academy

The Pan Bedfordshire Learning Academy to ensure that domestic abuse training content addresses typologies of domestic violence and abuse.

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

Recommendation 17

Addressed to Pan Bedfordshire Learning Academy

The Pan Bedfordshire Learning Academy to review the current training available locally and ensure it addresses the identification, management and assessment of counter-allegations. This should include integrating key messages across training content and also developing bespoke training content.

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