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
Wandsworth review
CSP: WandsworthPublished: June 2023Year of death: 2013Extracted: 7 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The report identifies missed opportunities for statutory agencies to engage with the perpetrator, communication weaknesses between health agencies, and flawed police risk assessments. It also highlights the need for improved national intelligence sharing on domestic abuse and better recognition of displaced aggression.
Home Office classifications
31 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - housing issues
Children - under 18 shared parental responsibility (between perpetrators)
Perpetrator - case heard in court
Perpetrator - issued life sentence
Perpetrator - alcohol misuse
Perpetrator - substance misuse
Perpetrator - housing issues
Perpetrator - mental ill health
Perpetrator - anxiety
Perpetrator - depression
Perpetrator - panic attacks
Perpetrator - self harm
Perpetrator - suicidal thoughts
Perpetrator - suicide attempts
Perpetrator - known to others as a domestic abuse perpetrator
Perpetrator - known to family as a domestic abuse perpetrator
Aggravating factors - separation
Aggravating factors - coercive or controlling behaviour
Aggravating factors - psychological or emotional abuse
Aggravating factors - physical abuse
DHR process - police recommendations
DHR process - social services recommendations
DHR process - health services recommendations
DHR process - technology systems recommendation themes
DHR process - identification of risk recommendation themes
DHR process - training 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
7 recommendations pulled from the report · 7 matched to organisations in the index
intelligence about domestic abuse and persons of interest be routinely held on the PND so that information on suspected abusers is not geographically restricted by police force boundaries.
Addressed to
Local GP Practices | SW London & St. George’s Mental Health Team NHS Trust
they be restarted as this mechanism could, in the future, be a valuable platform where high risk patients, issues of mutual concern, training and the problem of DNAs are discussed or escalated.
victim’s families be put in contact with the charity Advocacy After Fatal Domestic Abuse (AAFDA) which has a great deal of expertise in helping bereaved families with the DHR process.
FLOs, as our first point of contact with the families of victims, should have specific training about DHRs and how families can help the reviewers see the tragedy through the eyes of the victim, their family and friends and therefore help them to make the best recommendations.
It is recommended that staff/supervisors from Met CC and Wandsworth Grip and Pace Centre are reminded of their responsibilities and the correct processes when dealing with a potential missing or vulnerable person.
It is recommended that Wandsworth Borough officers and supervisors are reminded of the requirement to complete an ‘Adult Coming to Notice’ report when dealing with any incident involving a vulnerable adult.
Addressed to
St George’s Healthcare NHS Trust | SW London & St. George’s Mental Health Team NHS Trust
There is an identified need to review the way the mental health risk scoring matrix is used, in conjunction with the psychiatry liaison service and it would be advisable to devise and implement a policy that states referrals from the ED or GPs to specialist teams cannot be refused and that such specialist teams must review patients before making such judgements.