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: 2016 Extracted: 5 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 a lack of joined-up agency activity and missed safeguarding opportunities, particularly regarding information sharing about the perpetrator's history of violence and the victim's vulnerabilities, including isolation, disabilities, and substance misuse.

Home Office classifications

37 tags

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

  • Victim - alcohol misuse
  • Victim - substance misuse
  • Victim - physical disability
  • Victim - mental ill health
  • Victim - anxiety
  • Victim - depression
  • Victim - psychosis
  • Victim - serious or life limiting illness
  • Victim - had been a victim of an abuser before
  • Perpetrator - case heard in court
  • Perpetrator - issued life sentence
  • Perpetrator - was a carer
  • Perpetrator - carer for victim
  • Perpetrator - alcohol misuse
  • Perpetrator - substance misuse
  • Perpetrator - housing issues
  • Perpetrator - mental ill health
  • Perpetrator - depression
  • Perpetrator - self harm
  • 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 probation services as a domestic abuse perpetrator
  • Perpetrator - known to others as a domestic abuse perpetrator
  • Perpetrator - known to family as a domestic abuse perpetrator
  • Aggravating factors - separation
  • Aggravating factors - physical abuse
  • DHR process - family contributed to dhr
  • DHR process - police recommendations
  • DHR process - health services recommendations
  • DHR process - community safety partnership recommendations
  • 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
  • DHR process - other recommendation themes

Extracted recommendations

5 recommendations pulled from the report

Recommendation 1

Addressed to Fenland Community Safety Partnership

The Fenland Community Safety Partnership (FCSP) should encourage all six Community Safety Partnerships within the Cambridgeshire and Peterborough area: i. To produce and implement a single set of guidance to ensure statutory requirements are complied with in respect of Domestic Homicide reviews commissioned. This will also help to ensure the learning from these reviews is embedded, in a systematic and auditable fashion. ii. To produce and implement an information sharing protocol for tackling domestic abuse. It is proposed that this could take place in the Multi-agency safeguarding hub. This will help to improve inter-agency communication and proactive information sharing. This is in response to the way that information sharing in this case seemed not to take place due to individuals not spotting the signs and referring. The arrangements should include voluntary sector organisations where possible in particular those agencies supporting persons with alcohol and drug addictions.

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

Recommendation 2

Addressed to Fenland Community Safety Partnership

The FCSP proposes to the Home Office the commissioning of a toolbox for professionals on how best to increase awareness in those close to people affected by Domestic Abuse. The aim of this toolbox would be to seek opportunities for educating family, friends and neighbours of the effects of domestic abuse and how they can safely and confidentially report their concerns. This should be combined with publicity as to guidance concerning the Domestic Violence Disclosure Scheme. The FCSP do currently deliver this community awareness once a year, but should consider looking for opportunities to broaden its promotion.

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

Recommendation 3

Addressed to Fenland Community Safety Partnership

The FCSP contacts critical partners engaged in tackling Domestic Abuse to point out the benefits of building in some of the key elements of this case into their risk assessment processes. The partnership should request that Cambridgeshire Constabulary systems and partners processes take into account any identified disabilities, both physical and mental health of victim, perpetrator and relevant children. This would ensure that all risks are considered as part of the dynamic risk assessment process vital to the safe management of such abuse cases.

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

Recommendation 4

Addressed to Fenland Community Safety Partnership

The FCSP seeks assurance from the MASH Governance board that awareness-building programmes are being provided in relation to the MASH and referral processes. This awareness programme should highlight how referrals are made to the MASH from organisations in their area and in particular General Practitioners in relation to Domestic Abuse.

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

Recommendation 5

Addressed to Fenland Community Safety Partnership

The FCSP should contact the Safeguarding board to satisfy itself on the level of checking carried out on paid carers. It is important to stress that the perpetrator in this case was in a relationship with Laraine and was not in receipt of funding for the care he provided for her. The learning from this case, however, should prompt the FCSP to request assurance from the Safeguarding Adult Board about carer recruitment. It is vital that those agencies which commission paid carers carry out safer recruitment practices. These practices should include necessary safeguarding checks in relation to the recruitment of carers. Advice should be made available on how to carry out the necessary checks, whenever a carer is engaged via a direct payment or by a person who is self-funding their care.

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