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

Bridgend review

CSP: Bridgend Published: July 2023 Year of death: 2013 Extracted: 20 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 identifies systemic failures in multi-agency risk assessment, information sharing, and domestic abuse awareness, leading to missed opportunities to safeguard the victim and her children. Concerns include the perpetrator's manipulation of services and inadequate support for the victim from health and social care.

Home Office classifications

49 tags

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

Victim - mental ill health
Victim - anxiety
Victim - depression
Victim - panic attacks
Victim - self harm
Victim - suicidal thoughts
Victim - had been a victim of an abuser before
Victim - referred to marac at any time
Victim - case heard at marac before homicide
Children - under 18 shared parental responsibility (victim and perpetrator)
Children - under 18 shared parental responsibility (between victims)
Children - under 18 shared parental responsibility (between perpetrators)
Children - subject to child protection or domestic abuse prior to homicide
Perpetrator - case heard in court
Perpetrator - issued life sentence
Perpetrator - alcohol misuse
Perpetrator - substance misuse
Perpetrator - mental ill health
Perpetrator - anxiety
Perpetrator - depression
Perpetrator - panic attacks
Perpetrator - suicidal thoughts
Perpetrator - suicide attempts
Perpetrator - known to agencies as a domestic abuse perpetrator
Perpetrator - known to police as a domestic abuse perpetrator
Perpetrator - known to social services as a domestic abuse perpetrator
Perpetrator - known to health services as a domestic abuse perpetrator
Perpetrator - known to mental health services 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
Aggravating factors - separation
Aggravating factors - coercive or controlling behaviour
Aggravating factors - 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 - social services recommendations
DHR process - health services recommendations
DHR process - idva or other domestic abuse support service recommendations
DHR process - probation services recommendations
DHR process - community safety partnership recommendations
DHR process - identification of risk recommendation themes
DHR process - training recommendation themes
DHR process - multi agency working recommendation themes
DHR process - record keeping recommendation themes
DHR process - other recommendation themes

Extracted recommendations

20 recommendations pulled from the report · 7 matched to organisations in the index

Recommendation 1

Addressed to Bridgend Community Safety Partnership

Bridgend Community Safety Partnership to ensure Western Bay Adult and Safeguarding Boards commission a multi-agency partnership to develop strategy to ensure the implementation of the NICE Guidance 2014 and the new Domestic Abuse and Sexual Violence (Wales) Bill.

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

Recommendation 2

Addressed to Bridgend Community Safety Partnership

Bridgend Community Safety Partnership to ensure that all GPs are complying with the General Practitioners Guidance on Domestic Violence issued in 2011 and that within six months from the date this report is accepted by the Bridgend CSP Board, each GP surgery confirms with the Bridgend Community Safety Partnership that the guidance had been adhered to and training for all medical and none medical staff is underway.

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

Recommendation 3

Addressed to DASG (Bridgend Domestic Abuse Steering Group)

DASG (Bridgend Domestic Abuse Steering Group) to ensure all agencies review and agree a personal Information Sharing Protocol (ISP - WASPI) which includes the competition of risk assessments.

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

Recommendation 4

Addressed to Bridgend Community Safety Partnership

Bridgend Community Safety Partnership considers organising a ‘Learning Event’ involving practitioners involved in this case once the Overview report has been presented and accepted by the Community Safety Partnership Board, in order that the recommendations and learning from this review can be disseminated.

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