Recommendation 1
That all agencies report progress on their internal action plan to the relevant task and finish group of London Borough of Tower Hamlets CSP.
Verified wording from the published review · Original review (PDF) ↗
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
Tower Hamlets review
CSP: Tower Hamlets
Published: April 2023
Year of death: 2014
Extracted: 7 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
The review found systemic failures in multi-agency risk assessment and information sharing regarding the perpetrator's mental health, violence, and substance misuse. It highlights missed opportunities to classify adolescent-on-parent violence as domestic abuse, hindering specialist interventions and victim support due to conflicting definitions and inadequate training.
Home Office classifications
34 tags
Source-supplied classifications used by the Home Office to catalogue this review.
- Victim - had been a victim of an abuser before
- Victim - immigration involvement
- Children - under 18 shared parental responsibility (between victims)
- 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
- Children - removed into care
- Child - primary address same as victim
- Child - immigration involvement
- Perpetrator - case heard in court
- Perpetrator - substance misuse
- Perpetrator - mental ill health
- Perpetrator - panic attacks
- Perpetrator - psychosis
- Perpetrator - self harm
- 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 mental health services as a domestic abuse perpetrator
- Perpetrator - known to housing services as a domestic abuse perpetrator
- Perpetrator - known to others as a domestic abuse perpetrator
- Perpetrator - known to family as a domestic abuse perpetrator
- Perpetrator - immigration involvement
- Aggravating factors - sexual abuse
- Aggravating factors - psychological or emotional abuse
- Aggravating factors - physical abuse
- DHR process - social services recommendations
- DHR process - health 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
Extracted recommendations
Recommendation 2
That the Home Office amend their definition of ‘Domestic Abuse’ to incorporate incidents involving perpetrators of domestic abuse under the age of sixteen years.
Verified wording from the published review · Original review (PDF) ↗
Recommendation 3
The Home Office and Ministry of Justice review the Asset Plus structured assessment tool used by YOS in England to ensure that the system considers children and young people as perpetrators of domestic abuse and has clear pathways to DASH risk assessment and MARAC.
Verified wording from the published review · Original review (PDF) ↗
Recommendation 4
That ELFT, London Borough of Tower Hamlets, Lifeline and MPS – Tower Hamlets Borough review processes and referral pathways to substance misuse services. This should be followed up with an awareness training programme for all staff. Training should include understanding a young person presentation with substance misuse problems and how to refer to support services.
Verified wording from the published review · Original review (PDF) ↗
Recommendation 5
That London Borough of Tower Hamlets CSC and YOS conduct a review of training on domestic violence procedures and processes, including DASH risk assessment and MARAC.
Verified wording from the published review · Original review (PDF) ↗
Recommendation 6
The London Borough of Tower Hamlets, East London Foundation Trust, Tower Hamlets CCG, Metropolitan Police Service and Non-Government Organisations involved in this DHR process scope, develop and deliver training on cultural sensitivities in the Borough.
Verified wording from the published review · Original review (PDF) ↗
Recommendation 7
London Borough of Tower Hamlets CSP review the work of the new High Risk Management Panel and promote any good practice identified to the Home Office and London Safeguarding Board.
Verified wording from the published review · Original review (PDF) ↗