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

Chiltern review

CSP: Chiltern Published: July 2023 Year of death: 2016 Extracted: 5 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 identifies missed opportunities by the GP to identify the victim's vulnerabilities and coercive control. It also highlights the narrow definition of domestic abuse for extended family and the potential for modern slavery/debt bondage in the victim's living situation.

Home Office classifications

19 tags

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

  • Victim - died by suicide
  • Victim - had been a victim of an abuser before
  • Victim - immigration involvement
  • 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 - 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 received draft report
  • DHR process - health services recommendations
  • DHR process - community safety partnership recommendations
  • DHR process - technology systems recommendation themes
  • DHR process - identification of risk recommendation themes
  • DHR process - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

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

Recommendation CCG Recommendation 1

Addressed to Buckinghamshire Clinical Commissioning Group

To ensure GPs in Buckinghamshire have systems and processes in place to support the identification of individuals at risk of honour-based violence and exploitation.

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

Recommendation CCG Recommendation 2

Addressed to Buckinghamshire Clinical Commissioning Group

To share learning from this review in respect to how GPs should be careful not to consider their own values and beliefs in relation to identification of risk.

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

Recommendation National - Recommend

Addressed to HM Government

HM Government to review and consider extending the description of “family” domestic abuse in the Draft Domestic Abuse Bill 2018, to cover those living in the same household as per the requirements to undertake a domestic homicide review.

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

Recommendation National - Recommend

Addressed to Home Office | Advocacy After Fatal Domestic Abuse (AAFDA)

The Home Office’s preferred support agency for families of domestic homicides, Advocacy After Fatal Domestic Abuse (AAFDA) should be recommended by the Home Office Domestic Homicide Review Quality Assurance Panel, to amend their leaflet to cover suicide or to add an additional leaflet. The current leaflet only refers to homicide and, whilst the service say they will help with Suicide Reviews, the leaflets are not appropriate for this at present.

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