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

Cardiff review

CSP: Cardiff Published: April 2023 Year of death: 2019 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

Verify against the full report at the source link
The review identified a widespread lack of understanding of coercive control among professionals and the wider community, leading to missed opportunities for intervention. Gaps in information sharing between health services and with educational institutions also hindered a comprehensive multi-agency response to the victim's vulnerabilities and the perpetrator's abusive behaviour.

Home Office classifications

44 tags

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

  • Victim - housing issues
  • Victim - mental ill health
  • Victim - anxiety
  • Victim - depression
  • Victim - psychosis
  • Victim - self harm
  • Victim - suicidal thoughts
  • Victim - suicide attempts
  • Victim - had been a victim of an abuser before
  • Victim - referred to marac at any time
  • Victim - case heard at marac before homicide
  • Perpetrator - case heard in court
  • Perpetrator - issued life sentence
  • Perpetrator - was a carer
  • Perpetrator - carer for victim
  • Perpetrator - substance misuse
  • Perpetrator - housing issues
  • Perpetrator - mental ill health
  • Perpetrator - suicidal thoughts
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Perpetrator - known to idva or other domestic abuse support service 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 - known to workplace (employer) as a domestic abuse perpetrator
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - stalking
  • Aggravating factors - physical stalking
  • 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 - police recommendations
  • DHR process - health services recommendations
  • DHR process - idva or other domestic abuse support service recommendations
  • DHR process - other educational institution recommendations
  • DHR process - community safety partnership recommendations
  • DHR process - technology systems recommendation themes
  • DHR process - identification of risk recommendation themes
  • DHR process - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

7 recommendations pulled from the report

Recommendation 1

Addressed to Cardiff & Vale Regional Safeguarding Board

That Cardiff & Vale Regional Safeguarding Board explore with Digital Health Care Wales improving the means by which specific health teams can access GP records.

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

Recommendation 2

Addressed to All agencies contributing to this review

That all agencies contributing to this review provide evidence and assurances to Cardiff Community Safety Partnership that their agency can demonstrate professional’s knowledge and understanding in recognising and responding to domestic abuse, in particular cases of coercion and control and known vulnerabilities and disabilities.

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

Recommendation 3

Addressed to Cardiff Community Safety Partnership

That Cardiff Community Safety Partnership ensures that information is available to the wider community on the dynamics of domestic abuse, including coercion and control, and how they can report concerns or seek access to support.

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

Recommendation 4

Addressed to Cardiff Community Safety Partnership | All Higher and Further Education providers

That Cardiff Community Safety Partnership, in conjunction with all Higher and Further Education providers undertake a targeted communication strategy to highlight the dynamics of domestic abuse, including coercion and control amongst the student population.

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

Recommendation 5

Addressed to Cardiff Community Safety Partnership

That the Cardiff Community Safety Partnership ensures the Regional VAWDASV Strategy details what access to support and information, including perpetrator programmes is available in responding to perpetrators of domestic abuse.

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

Recommendation 6

Addressed to Cardiff Community Safety Partnership

That the Cardiff Community Safety Partners ensures the learning in relation to public and professionals’ confidence to identify and respond to perpetrators, and the need for increased knowledge of referral pathways for services available for perpetrators is shared with the Welsh Government to support further enhancement of the existing National Framework.

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

Recommendation 7

Addressed to Cardiff Community Safety Partnership

That the Cardiff Community Safety Partnership ensures that information sharing pathways are embedded within all Higher and Further education establishments and partner agencies involved in this review.

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