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

Cheltenham review

CSP: Cheltenham Published: June 2023 Extracted: 13 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
Agencies consistently failed to recognise the high-risk indicators of domestic abuse, coercive control, and stalking over 40 years, leading to a lack of robust intervention and support for the victim. There was also a lack of consistent information sharing and understanding of financial abuse and victim intimidation across services.

Home Office classifications

30 tags

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

  • Victim - housing issues
  • Victim - physical disability
  • Victim - mental ill health
  • Victim - depression
  • Victim - serious or life limiting illness
  • Perpetrator - case heard in court
  • Perpetrator - issued life sentence
  • 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
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - stalking
  • Aggravating factors - digital stalking
  • Aggravating factors - sexual abuse
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical abuse
  • Aggravating factors - economic abuse
  • DHR process - family contributed to dhr
  • DHR process - family consulted about terms of reference
  • DHR process - family received draft report
  • DHR process - police recommendations
  • DHR process - housing services recommendations
  • 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 - awareness raising recommendation themes

Extracted recommendations

13 recommendations pulled from the report · 2 matched to organisations in the index

Recommendation 1

Addressed to Public-sector agencies represented on DHR panel and Cheltenham Strategic Leadership Group | VCS agencies

Each public-sector agency that is represented on the DHR panel and on Cheltenham Strategic Leadership Group (SLG), will adopt a domestic abuse policy and procedures, based on a county-wide template, to guide how their agencies responds to domestic abuse and stalking. VCS agencies will be encouraged to adopt a domestic abuse policy.

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

Recommendation 2

Addressed to Strategic County Domestic Abuse and Sexual Violence Coordinator | Cheltenham Strategic Leadership Group

There will be a requirement that selected agencies delivering public-facing services on behalf of public sector partners have a domestic abuse policy.

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

Recommendation 3

Addressed to Gloucestershire Domestic Abuse and Sexual Violence Commissioning Group (GDASVIG)

A training needs analysis will be coordinated by the GDASVIG and a plan developed for how to roll out training across agencies.

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

Recommendation 4

Addressed to Strategic County Domestic Abuse and Sexual Violence Coordinator | Domestic Abuse and Sexual Violence Commissioning Group (DASVCG)

An awareness campaign implemented using the branding of the local domestic abuse specialist agency and the glostakeastand website to raise awareness.

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

Recommendation 5

Addressed to Crown Prosecution Service (CPS) | Magistrates

As a trial is a public event and is retained in public records it should reflect reality, it is recommended that CPS prosecutors in domestic homicide cases and Magistrates have training in recognising the practices of coercive control, stalking and domestic abuse

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

Recommendation 6

Addressed to Gloucestershire Constabulary

It is a responsibility of the police to identify vulnerable and intimidated witnesses and respond accordingly.

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

Recommendation 7

Addressed to Health practitioners and professionals | GP practices

All health practitioners and professionals should consider Routine Enquiry in cases where depression or anxiety, or any condition potentially related to domestic abuse, is discussed with a patient.

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

Recommendation 8

Addressed to Cheltenham Borough Council (Benefit Fraud investigators)

Benefit Fraud investigators should be aware that in cases where coercive control is exercised that financial abuse and control of the victim’s finances is more probable than possible and should therefore be trained in domestic abuse and have enhanced training in financial abuse.

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

Recommendation 9

Addressed to Social care agencies | Housing agencies | Probation services | Local councils | Benefits Agencies | Health Agencies

All agencies should have identified individuals who are competent in identifying risk factors and understanding their significance (eg strangulation) More agencies need to be trained including: • Social care • Housing • Probation • Local councils • Benefits Agencies • Health Agencies

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

Recommendation 10

Addressed to Gloucestershire Constabulary

Police should use their professional judgement and consider all options available to them when attending calls for help in cases of domestic abuse. The police have a number of actions available to them, all of which would be aided by meticulous evidence gathering at the time. The use of evidence gathering aides, such as body worn cameras should be discussed within the Constabulary

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

Recommendation 11

Addressed to Specialist domestic abuse court (prosecutors, magistrates, judges, supporting personnel)

The specialist domestic abuse court should be staffed by professionals with enhanced training in domestic abuse and coercive control. This would include the prosecutors, magistrates, judges and supporting personnel.

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

Recommendation 12

Addressed to Local agencies | GDASS | Infobuzz | Office of the Police and Crime Commissioner (OPCC) | Domestic Abuse and Sexual Violence Commissioning Group (DASVCG) | Schools

There should be an assessment of the needs of children and young people where Domestic Abuse has occurred and this should be part of any risk assessment. It is considered that there is a need for specialist group and individual programmes which would support children witnessing or affected by domestic abuse. This review recommends that local agencies are supported in bidding for funding to begin developing such support for children.

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

Recommendation 13

Addressed to All local agencies

All local agencies recognise the significance of strangulation or choking attempts when they happen in the context of domestic abuse. Research was considered which showed a correlation between such assaults and future homicide

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