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

Broxbourne review

CSP: Broxbourne Published: August 2023 Year of death: 2018 Extracted: 10 recs

Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.

View full report (PDF) ↗ Source: Home Office DHR Library

Summary

Agencies repeatedly missed opportunities to identify and respond to domestic abuse, often treating the victim's substance misuse and mental health issues in isolation. Misconceptions about how victims present and a lack of integrated, trauma-informed practice hindered effective intervention.

Extracted recommendations

10 recommendations pulled from the report

#	Recommendation	Addressed to
1	Professionals are to be reminded of the importance of holding conversations with individuals who identify as being subjected to domestic abuse, no matter what the circumstances are on presentation. These conversations are to take place in private and to be followed up if the person presenting appears to be under the influence of alcohol or drugs or suffering from a mental health crisis.	All agencies
10	Hertfordshire Domestic Abuse Partnership to develop a way to manage perpetrators of domestic abuse. Alongside this, the Partnership should develop processes for identifying perpetrators, including training and guidance as required, for all agencies that have participated in this review.	Hertfordshire Domestic Abuse Partnership
2	All frontline professionals within the agencies participating in this review should consider victims’ additional support needs when competing domestic abuse risk assessments. Awareness needs to be raised regarding the links between, and impacts of, substance abuse, mental health, homelessness and domestic abuse. There should be a clear process in place for professionals to use where additional support needs are identified, including where best to refer or signpost to and how to facilitate joint working between organisations supporting a victim.	All agencies
3	The Trusts social care leads to run a learning event for the Adult Community Mental Health Team around recognising social care assessments which might be needed and when to offer Social Care Outcomes.	Hertfordshire Partnership University NHS Foundation Trust
4	The Trust are to run a learning event in relation to this case with their Psychiatric team to incorporate the learnings from this review	Barnet, Enfield, and Haringey Mental Health NHS Trust
5	Awareness training is to take place for all B3 Living operatives and staff having contact with tenants in their homes in relation to domestic abuse and safeguarding of adults and children.	B3 Living
6	Agencies are to review their internal and external literature and training to look at the way that victims and perpetrators of domestic abuse are portrayed, amending where there appear to be stereotypes and/or ‘myths’ around domestic abuse.	All agencies
7	B3 Living are to make explicit in their policies and procedures the expected timeframes for attending a tenant’s home following a report. Where the tenant is known or suspected to be a victim of domestic abuse, B3 Living should ensure that the tenant is quickly and safely as possible, ensuring they are spoken to alone to allow for safe enquiry about domestic abuse.	B3 Living
8	B3 Living to join the Domestic Abuse Housing Alliance to develop and improve their knowledge of, and response to, domestic abuse.	B3 Living
9	The Hertfordshire Domestic Abuse Partnership is to agree an approach to embedding trauma-informed practice within all agencies that participated in this review. Once agreed, an implementation plan is to be developed and monitored by the Board.	Hertfordshire Domestic Abuse Partnership
Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗