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

Swindon review

CSP: Swindon Published: April 2023 Year of death: 2016 Extracted: 16 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 review highlights the perpetrator's history of violence and substance misuse, which was not adequately addressed by agencies. It also identifies the victim's non-reporting of abuse and a broader public reluctance to report witnessed or heard domestic violence.

Home Office classifications

41 tags

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

  • Victim - mental ill health
  • Victim - anxiety
  • Victim - depression
  • Victim - had been a victim of an abuser before
  • Children - under 18 shared parental responsibility (between victims)
  • Children - under 18 shared parental responsibility (between perpetrators)
  • Children - living with victim (including adult children)
  • Children - living with perpetrator (including adult children)
  • Child - primary address same as victim
  • Perpetrator - case heard in court
  • Perpetrator - issued life sentence
  • 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
  • Perpetrator - attended perpetrator programme
  • Aggravating factors - separation
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - sexual abuse
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical abuse
  • Aggravating factors - economic abuse
  • DHR process - family contributed to dhr
  • DHR process - family supported by expert specialist advocate
  • DHR process - family received draft report
  • DHR process - family attended dhr panel
  • DHR process - police recommendations
  • DHR process - health services recommendations
  • DHR process - idva or other domestic abuse support service recommendations
  • DHR process - probation services recommendations
  • DHR process - housing services 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 - record keeping recommendation themes
  • DHR process - awareness raising recommendation themes

Extracted recommendations

16 recommendations pulled from the report · 11 matched to organisations in the index

Recommendation 1

Addressed to Swindon CSP | Partnership agencies | Swindon Women's Aid | The Diversity Trust

There is an apparent lack of public understanding on what course of action to take if a third party witnesses or hears an incidence of domestic abuse occurring. This should be addressed with a Swindon-wide campaign involving family, friends and communities to raise public awareness on what to do if they are aware of domestic abuse taking place. Part Two After evaluating the Campaign to promote it nationally through Women’s Aid g in e c n lu e d ra in l g p u e b m li - c, t A ic b use. ployers, friends, neighbours and colleagues in addition to victims of dog domestic abuse themselves. This will build on the Swindon Community Safety Partnership Domestic Abuse Awareness Programme that was initiated after a Domestic homicide Review in 2015. 3) Swindon’s Women Aid will contact the top 100 employers in Swindon to inform them of Women Aid Employers Resource Package and offer their Companies Domestic Abuse Training and assistance in developing Domestic Abuse Workplace Policies.’ 4) Swindon Women’s Aid and Swindon CPS to evaluate the Campaign then promote it nationally through Women’s Aid.

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

Recommendation 2

Addressed to Swindon CSP

It is recommended that specialist support Services including Victim support should provide help to innocent families of perpetrators. Currently Police FLOs, AAFDA and VS only provide support to the families of victims. This blanket policy misses the facts 1) that perpetrators can also be victims. 2) Their families have committed no crime and are left to pick up the pieces. In this case the perpetrator’s sister being aware of the reluctance to help has indicated she no longer wishes to receive any helps from VS as her GP is arranging counselling.

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

Recommendation 3

Addressed to Residential Landlords’ Association | Swindon Women’s Aid

The national association of residential landlords (RLA) will promulgate domestic abuse awareness to members and will place a domestic abuse policy on national website

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

Recommendation 4

Addressed to Bristol, Gloucestershire, Somerset and Wiltshire Community Rehabilitation Company | National Probation Service

BGSW CRC and NPS staff to ensure that changes to frequency of reporting is based on the dynamic risk factors of the service user and not solely on the completion of a requirement or intervention.

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

Recommendation 5

Addressed to Great Western Hospital NHS Foundation Trust

Review and amend processes to increase opportunities for disclosure of Domestic Abuse (DA)

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

Recommendation 6

Addressed to Great Western Hospital NHS Foundation Trust

Review and amend processes to increase opportunities for disclosure of Domestic Abuse (DA)

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

Recommendation 7

Addressed to Great Western Hospital NHS Foundation Trust

Develop Policy to increase opportunities for disclosure of Domestic Abuse Ratify and launch Trust-Wide DA Policy

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

Recommendation 8

Addressed to Swindon Borough Council Children Families and Community Health Services

That all supervisory personnel are reminded of the statutory requirements to respond fully to requests for information from Domestic Homicide Reviews

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

Recommendation 9

Addressed to Swindon Borough Council Children Families and Community Health Services

Indexing of closed pare records to be reviewed facilitate easier access.

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

Recommendation 10

Addressed to Swindon GP Practices | Swindon CCG

In consultations where details of sexual relations are being discussed, Clinicians should consider including a question such as "and are you comfortable with that?" which would give the patient the opportunity to disclose any concerns they might have about their relationship(s) without causing offence in cases where there were none.

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

Recommendation 11

Addressed to Swindon GP Practices | Swindon CCG

When a GP Practice member has discussions with a patient around their ability to cope with thoughts of self-harm this needs to be fully documented. It should include all the patient comments on how they are feeling and managing their feelings, rather than being summed up in a single phrase that may not give the next clinician a clear insight into the situation.

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

Recommendation 12

Addressed to Swindon GP Practices | Swindon CCG

Publicise within the GP Practice information regarding the support that Swindon Women’s Aid can provide confidentially to victims of domestic Abuse. i.e. a leaflet showing that : Swindon Women's Aid is a domestic abuse service for residents living in the Swindon area. The service operates 24 hours a day and 365 days a year, it’s confidential and free of charge. There is a 24/7 direct telephone helpline which is answered by specialist staff irrespective of the time of the call, day or night. They are also able to offer emergency refuge for women and children fleeing violence and abuse, and a community services which provides outreach support to both female and male victims, including those in same sex relationships

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

Recommendation 13

Addressed to Wiltshire Police

That where a victim of domestic abuse discloses criminal offences a record is made of their preferred outcome.

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

Recommendation 14

Addressed to Wiltshire Police

Where a victim discloses recent or non-recent domestic abuse attending officers should take positive action. If the Suspect is not arrested for an offence for which there is a power of arrest the officer must record their rationale in their pocket note book and on the PPD1.

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

Recommendation 15

Addressed to Wiltshire Police

Supervisors reviewing PPD1’s will be expected to make reference within the PPD1 to the decision taken not to arrest as part of their oversight into such matters, cognisant of the decision making process from the attending officer and the risks known at that time.

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

Recommendation 16

Addressed to Wiltshire Police

Operational officers will be reminded of Force Policy that if either drugs or alcohol are key factors in an offence for which an individual has been arrested, the arrested person should be signposted to a substance abuse support service and this should be recorded on the Custody Record.

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