Home / Sources / Domestic Homicide Reviews / Bromley · Jun 2023
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

Bromley review

CSP: Bromley Published: June 2023 Year of death: 2019 Extracted: 4 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 report highlights systemic failures in NPS risk management, including delayed recall of the perpetrator despite escalating risk, and critical communication shortcomings between the NPS and Metropolitan Police regarding the perpetrator's history and the victim's vulnerability.

Home Office classifications

32 tags

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

  • Victim - substance misuse
  • Victim - mental ill health
  • Victim - neurodiverse condition diagnosis
  • Victim - anxiety
  • Victim - depression
  • Victim - psychosis
  • Victim - self harm
  • Victim - suicidal thoughts
  • Victim - suicide attempts
  • Victim - had been a victim of an abuser before
  • Perpetrator - case heard in court
  • Perpetrator - issued life sentence
  • Perpetrator - alcohol misuse
  • Perpetrator - substance misuse
  • Perpetrator - mental ill health
  • Perpetrator - managed by mappa
  • Perpetrator - supervised by probation services
  • Aggravating factors - separation
  • Aggravating factors - coercive or controlling behaviour
  • 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 - probation services 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 - other recommendation themes

Extracted recommendations

4 recommendations pulled from the report · 4 matched to organisations in the index

Recommendation 1

Addressed to NPS London

Revise and re-launch the Recall Policy Framework to reflect the findings from the SFO Review and brief all staff with regard to recall thresholds

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

Recommendation 2

Addressed to NPS London

Devise and introduce an escalation process for Approved Premises staff to escalate concerns with residents direct to Heads of Service

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

Recommendation 3

Addressed to NPS London

A specific action plan for the Probation staff involved in the supervision of the perpetrator, with these themes: a. The Appropriate responses to escalating risk of harm b. Consultation with Head of Service with regard to breaches of Licence Reviewing of drug residential rehabilitation placements in Hackney c. Timely countersignature of risk assessments d. Risk assessment reviews to be completed when behaviour is escalating e. Drug testing to take place as stated within the AP

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

Recommendation 4

Addressed to NPS London | Metropolitan Police Service

Using the findings from this DHR as a case study, conduct a review of the Information Sharing Agreement between the NPS and MPS and implement revisions necessary to prevent future shortcomings in the system for information sharing.

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