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: WycombePublished: April 2023Extracted: 14 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
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
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.
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)
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.
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.
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.
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.
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.
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.
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.
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.