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

Fenland review

CSP: Fenland Published: April 2023 Year of death: 2018 Extracted: 12 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
The report highlights a lack of multi-agency coordination and professional curiosity in identifying and responding to domestic abuse, substance misuse, and safeguarding risks to children. It notes insufficient information sharing, inadequate investigation of domestic abuse incidents, and limited support for perpetrators.

Home Office classifications

38 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 - self harm
  • Victim - suicidal thoughts
  • Victim - serious or life limiting illness
  • Victim - had been a victim of an abuser before
  • Victim - referred to marac at any time
  • Children - under 18 shared parental responsibility (between perpetrators)
  • Children - living with victim (including adult children)
  • Children - living with perpetrator (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 - alcohol misuse
  • Perpetrator - substance misuse
  • 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 friends as a domestic abuse perpetrator
  • Perpetrator - known to family as a domestic abuse perpetrator
  • Aggravating factors - physical abuse
  • DHR process - family contributed to dhr
  • 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 - school recommendations
  • DHR process - other educational institution recommendations
  • DHR process - community safety partnership recommendations
  • DHR process - technology systems recommendation themes
  • DHR process - identification of risk 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

Extracted recommendations

12 recommendations pulled from the report

Recommendation 1

Addressed to Fenland Community Safety Partnership

The Fenland Community Safety Partnership should ensure that they compile a list of all agencies that are operating or can provide domestic abuse services within their area. They should make this list available to their partnership, so agencies are aware of what services are available to support victims of domestic abuse and that victims are appropriately referred to them.

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

Recommendation 2

Addressed to Cambridgeshire and Peterborough Domestic Abuse Partnership

The Cambridgeshire and Peterborough Domestic Abuse Partnership should consider what the offer is to those who subject others to domestic abuse or coercive behaviour and want support to address their behaviour.

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

Recommendation 3

Addressed to Fenland Community Safety Partnership

The Fenland Community Safety Partnership should seek assurance from Cambridgeshire Children Services and Cambridgeshire Constabulary that: - • Appropriate cases are referred to MARAC. • That high-risk cases coming into MASH are referred in a timely fashion. From Cambridgeshire Children Services • That where cases of domestic abuse are discussed at safeguarding meetings that IDVA services are represented where possible.

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

Recommendation 4

Addressed to Fenland Community Safety Partnership

The Fenland Community Safety Partnership should seek assurance from Cambridgeshire Children Services. i) that when Domestic Abuse and its damaging effects are recognised, that there is an effective assessment undertaken and effective multi-agency plan put in place to support children according to the risk being presented when thresholds are met, in particular those identified as high and medium risk. ii) that record keeping in similar cases, includes within the narrative sufficient detail to ensure it is clear who the perpetrator of the domestic abuse is.

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

Recommendation 5

Addressed to Fenland Community Safety Partnership

The Fenland Community Safety Partnership should seek assurance from Cambridgeshire Constabulary that the recording and investigation of domestic abuse offences is appropriate to be able to support and sustain a prosecution and will not be limited by statutory limitations, as was the case with the December 2017 assault and that the following investigation is effective.

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

Recommendation 6

Addressed to Fenland Community Safety Partnership

The Fenland Community Safety Partnership should write a practice note to make all agencies aware of the provisions of the Domestic Abuse Disclosure Scheme and ensure that due consideration is given to it when there are previous instances of domestic abuse. Further awareness should be considered to coincide and complement the Domestic Abuse Bill 2020.

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

Recommendation 7

Addressed to Fenland Community Safety Partnership

The Fenland Community Safety Partnership should consider convening with their partners a practitioner event across the Fenland area for professionals and agencies using this case to highlight the effect of alcohol and coercive and controlling behaviour and domestic abuse.

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

Recommendation 8

Addressed to Fenland Community Safety Partnership

The Fenland Community Safety Partnership should seek assurance from Cambridgeshire County Council Education Safeguarding Team that they have or will provide advice that at the student intake process, it includes an enquiry as to the status of the parent/carer/guardian and to establish if there are any care or guardianship orders in place.

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

Recommendation 9

Addressed to Cambridgeshire Clinical Commissioning Group

The Cambridgeshire Clinical Commissioning Group should brief health practitioners that when they identify or are informed about substance misuse and/or anger management issues, in a patient, this should trigger professional curiosity regarding the potential for domestic abuse in the household.

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

Recommendation 10

Addressed to Fenland CSP | County DASV Partnership

Fenland CSP and County DASV Partnership should ensure the impact of alcohol and its links to domestic abuse still forms part of any awareness raising events and they reflect current best practise and provides practitioners with the tools to identify alcohol related domestic abuse and the ability to sign post perpetrators to appropriate support services

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

Recommendation 11

Addressed to Fenland Community Safety Partnership

The Fenland Community Safety Partnership should be assured that where CGL Drug and Alcohol Services receive a disclosure regarding domestic abuse that a referral is made to domestic abuse services.

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

Recommendation 12

Addressed to Fenland Community Safety Partnership

The Fenland Community Safety Partnership should work with the Domestic Violence Strategic Partnership to highlight the risk of non-fatal strangulation and use this case to initiate training and awareness of the new offence and how this will feature in risk assessment.

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