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

Wycombe review

CSP: Wycombe Published: April 2023 Extracted: 14 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 fragmented agency responses, missed opportunities to identify and address domestic abuse and mental health issues, and inconsistent information sharing, particularly concerning the victim's disclosures and the specific needs of the Traveller community.

Home Office classifications

37 tags

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

  • Victim - died by suicide
  • Victim - was a carer
  • Victim - carer for perpetrator
  • Victim - alcohol misuse
  • Victim - substance misuse
  • Victim - mental ill health
  • Victim - anxiety
  • Victim - depression
  • Victim - suicidal thoughts
  • Victim - suicide attempts
  • Victim - had been a victim of an abuser before
  • Perpetrator - alcohol misuse
  • Perpetrator - substance misuse
  • Perpetrator - mental ill health
  • Perpetrator - anxiety
  • Perpetrator - depression
  • Perpetrator - post traumatic stress disorder (ptsd)
  • Perpetrator - self harm
  • Perpetrator - suicidal thoughts
  • Perpetrator - suicide attempts
  • 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 social services as a domestic abuse perpetrator
  • Perpetrator - known to health services as a domestic abuse perpetrator
  • Perpetrator - known to mental health services as a domestic abuse perpetrator
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - economic abuse
  • DHR process - health services recommendations
  • DHR process - housing services 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 - other recommendation themes

Extracted recommendations

14 recommendations pulled from the report · 4 matched to organisations in the index

Recommendation 1

Addressed to Oxford Health (NHS) Foundation Trust – Mental Health Services

Manager and Deputy Managers for the Chiltern Crisis Response and Home Treatment Team (formerly assessment function) to routinely monitor the quality of assessments and risk assessments during managerial supervision, reviewing two per month of each clinician to ensure that staff are completing all necessary paperwork.

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

Recommendation 2

Addressed to Buckinghamshire Clinical Commissioning Group (CCG) General Practitioner (GP)

Patients should be appropriately coded/flagged as Victims of Domestic Abuse within GP notes. This can be achieved by training to all the GP safeguarding leads in Bucks at PSLN sessions (practice safeguarding leads network)

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

Recommendation 3

Addressed to Buckinghamshire Clinical Commissioning Group (CCG) General Practitioner (GP)

Training to all GP safeguarding leads on awareness of the higher risk of abuse in at risk groups, which includes the travelling community.

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

Recommendation 4

Addressed to Buckinghamshire Council

Buckinghamshire Council to review the effectiveness of learning and development courses that are available to practitioners regarding Domestic Abuse

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

Recommendation 5

Addressed to Wycombe District Council (now Buckinghamshire Council) - Housing

Housing Officers to be reminded that if anybody fleeing domestic abuse fails to contact or disengages that they conclude the case by trying to establish whether the client is safe or has returned to the abuser.

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

Recommendation 6

Addressed to Wycombe District Council (now Buckinghamshire Council) - Housing

If a client fails to turn up or take up the offer of accommodation and there are concerns about domestic abuse, the case officer is to ensure that a report is sent to relevant third parties advising that the applicant had failed to turn up and that their housing case is closed.

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

Recommendation 7

Addressed to Red Kite Housing

Review the current tenancy sign up process, to include home visits to improve the process for both tenants and Red Kite.

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

Recommendation 8

Addressed to Red Kite Housing

Red Kite Community Housing ASB policy to be reviewed to include completion of a Domestic Abuse process health check.

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

Recommendation 9

Addressed to South Central Ambulance Service

The ‘Refusal to Travel to Hospital’ form is to be strengthened with some additional wording to show the signatory understands the risks of not attending hospital.

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

Recommendation 10

Addressed to Red Kite Housing | Buckinghamshire Council

Red Kite and Wycombe District Housing Authorities (Buckinghamshire from 1st April 2020) review the sign-up procedures to ensure that all clients are asked if the need support to read and understand any documents they are sent or asked to sign.

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

Recommendation 11

Addressed to Buckinghamshire Community Safety Partnership

The Buckinghamshire Safeguarding Referral Procedure is clear about which service has lead responsibility and that the identified lead agency will be responsible for managing the case and sharing of information with relevant organisations.

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

Recommendation 12

Addressed to Buckinghamshire Community Safety Partnership

Front line services are to remind relevant staff that in appropriate cases a multi-agency Professionals Meeting can be called to ensure a co-ordinated response is delivered.

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

Recommendation 13

Addressed to Thames Valley Police | Oxford Health (NHS) Foundation Trust | Buckinghamshire Clinical Commissioning Group | Buckinghamshire Council | Buckinghamshire Healthcare NHS Trust | Wycombe Women’s Aid | Buckinghamshire Fire and Rescue Service | Red Kite Housing | South Central Ambulance Service NHS Foundation Trust

All Services involved in Review are to verify that there is currently support for those engaging with their service if they cannot read or write. If this provision is not currently in place, steps are to be taken to include such support in the relevant policies and procedures.

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

Recommendation 14

Addressed to Buckinghamshire Community Safety Partnership

A multi-agency awareness raising event is held for key frontline staff to improve their knowledge and understanding of matters relating to Travellers and domiciled Travellers.

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