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 HamletsPublished: May 2023Year of death: 2011Extracted: 5 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The review identifies systemic failures in inter-agency information sharing and risk assessment, leading to an incomplete understanding of the perpetrator's risk and the victim's vulnerability. This resulted in poor case management and bail decisions.
Home Office classifications
34 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - substance misuse
Victim - had been a victim of an abuser before
Victim - referred to marac at any time
Children - subject to child protection or domestic abuse prior to homicide
Children - removed into care
Perpetrator - alcohol misuse
Perpetrator - substance misuse
Perpetrator - housing issues
Perpetrator - mental ill health
Perpetrator - anxiety
Perpetrator - depression
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 idva or other domestic abuse support service as a domestic abuse perpetrator
Perpetrator - known to others as a domestic abuse perpetrator
Perpetrator - known to family as a domestic abuse perpetrator
Perpetrator - attended drug and alcohol services
Perpetrator - died by suicide
Aggravating factors - psychological or emotional abuse
Aggravating factors - physical abuse
DHR process - family received draft report
DHR process - police recommendations
DHR process - idva or other domestic abuse support service recommendations
DHR process - community safety partnership recommendations
DHR process - technology systems recommendation themes
DHR process - identification of risk 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 · 3 matched to organisations in the index
Addressed to
London Borough of Tower Hamlets | Police (Tower Hamlets BOCU)
It is therefore recommended that Tower Hamlets be used as the site of a MASH pilot to focus on DV reduction. Recommendations within the THSAU IMR concerning the establishment of interface meetings with Probation and the Drugs Intervention Project, for Adult Mental Health Teams to access THSAU clinical data and for making referrals to MARAC are subsumed within this recommendation to institute a MASH.
A post implementation review by the IDVA service to examine issues relating to client consent and engagement with the IDVA service, in light of the changed processes and (possibly) increased caseloads. In particular the review should consider the extent to which the service is achieving the CAADA standard of engagement with clients: 70-75% of referrals. The review should also consider the need for specific protocols for encouraging clients to engage with the service.
The establishment of a DV focussed MASH in Tower Hamlets will provide an ideal context for an inter-agency awareness raising programme about the new capabilities and the need for all professionals to consider the DV aspects of incidents they deal with and clients they assist. Whilst the judiciary and administrators of the courts must remain independent of the MASH arrangements, judicial decision makers and Legal Advisers must be informed of the new capability and its potential impact on court workloads. Specific awareness raising should be targeted at supervisory officers and staff in relation to ensuring better compliance with existing protocols, policies and operating procedures in relation to the management of domestic violence cases.
The MPS has identified the need to enhance the information held in its Emerald Wanted Management System (EWMS) to include information for officers about the bail status of individuals and the conditions attached to their bail.
The Home Office commissions a feasibility study with a view to individuals’ bail compliance histories being incorporated into the Police National Database.