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.

Original review (PDF) ↗ Source: Home Office DHR Library

Summary AI-generated

Verify against the full report at the source link
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.

Home Office classifications

26 tags

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

  • Victim - alcohol misuse
  • Victim - substance misuse
  • Victim - mental ill health
  • Victim - anxiety
  • Victim - depression
  • Victim - psychosis
  • Victim - suicidal thoughts
  • Victim - serious or life limiting illness
  • Victim - had been a victim of an abuser before
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to others as a domestic abuse perpetrator
  • Perpetrator - known to friends as a domestic abuse perpetrator
  • Perpetrator - died by suicide
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - stalking
  • Aggravating factors - physical stalking
  • DHR process - family contributed to dhr
  • DHR process - family consulted about terms of reference
  • DHR process - family received draft report
  • DHR process - health services recommendations
  • DHR process - idva or other domestic abuse support service recommendations
  • DHR process - housing services recommendations
  • DHR process - training recommendation themes
  • DHR process - policy recommendation themes
  • DHR process - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

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

Recommendation 1

Addressed to All agencies

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.

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

Recommendation 2

Addressed to All agencies

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.

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

Recommendation 3

Addressed to Hertfordshire Partnership University NHS Foundation Trust

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.

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

Recommendation 4

Addressed to Barnet, Enfield, and Haringey Mental Health NHS Trust

The Trust are to run a learning event in relation to this case with their Psychiatric team to incorporate the learnings from this review

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

Recommendation 5

Addressed to B3 Living

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.

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

Recommendation 6

Addressed to All agencies

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.

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

Recommendation 7

Addressed to B3 Living

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.

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

Recommendation 8

Addressed to B3 Living

B3 Living to join the Domestic Abuse Housing Alliance to develop and improve their knowledge of, and response to, domestic abuse.

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

Recommendation 9

Addressed to Hertfordshire Domestic Abuse Partnership

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.

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

Recommendation 10

Addressed to Hertfordshire Domestic Abuse Partnership

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.

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