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

Tewkesbury review

CSP: Tewkesbury Published: September 2023 Year of death: 2014 Extracted: 33 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 identified systemic issues in multi-agency information sharing and risk assessment, particularly concerning the perpetrator's history of violence. Gaps in policy application, victim engagement, and consistent police response to domestic abuse incidents were also highlighted.

Home Office classifications

45 tags

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

  • Victim - had been a victim of an abuser before
  • Perpetrator - case heard in court
  • Perpetrator - issued life sentence
  • Perpetrator - alcohol misuse
  • Perpetrator - substance misuse
  • Perpetrator - housing issues
  • Perpetrator - mental ill health
  • Perpetrator - anxiety
  • Perpetrator - depression
  • Perpetrator - self harm
  • 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 idva or other domestic abuse support service as a domestic abuse perpetrator
  • Perpetrator - known to probation services as a domestic abuse perpetrator
  • Perpetrator - known to housing services as a domestic abuse perpetrator
  • Perpetrator - known to others as a domestic abuse perpetrator
  • Perpetrator - known to family as a domestic abuse perpetrator
  • Perpetrator - supervised by mental health services
  • Aggravating factors - separation
  • Aggravating factors - stalking
  • Aggravating factors - physical stalking
  • Aggravating factors - digital stalking
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical abuse
  • DHR process - family contributed to dhr
  • DHR process - family consulted about terms of reference
  • DHR process - family supported by expert specialist advocate
  • DHR process - family received draft report
  • DHR process - police recommendations
  • DHR process - social services recommendations
  • DHR process - idva or other domestic abuse support service recommendations
  • DHR process - probation services recommendations
  • DHR process - housing services recommendations
  • DHR process - community safety partnership recommendations
  • DHR process - technology systems recommendation themes
  • 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 - record keeping recommendation themes
  • DHR process - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

33 recommendations pulled from the report · 16 matched to organisations in the index

Recommendation 17.1.1

Addressed to Information Commissioner's Office

That the Information Commissioner provides clarification/guidance re the legality of domestic abuse specialist support services being able to retain information relating to perpetrators of domestic abuse, to enable them to provide information, via the police, to safeguard vulnerable new partners of the perpetrators, under Domestic Violence Disclosure Scheme (Clare’s law).

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

Recommendation 17.1.2

Addressed to CAADA

That CAADA reviews the national training given to IDVAs and to domestic abuse support services relating to the Data Protection Act and the Domestic Violence Disclosure Scheme (Clare’s law).

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

Recommendation 17.2.1

Addressed to Gloucestershire Domestic Abuse and Sexual Violence Commissioning Steering Group

A public awareness campaign should be rolled out encouraging third parties including friends and family aware of domestic abuse to contact the police and/or independent local specialist support services.

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

Recommendation 17.2.2

Addressed to Gloucestershire Domestic Abuse and Sexual Violence Commissioning Steering Group

Encourage companies and organisations to implement HR workplace policies in relation to domestic abuse.

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

Recommendation 17.2.3

Addressed to Gloucestershire Domestic Abuse and Sexual Violence Commissioning Steering Group

Encourage companies and organisations to appoint key members of staff as Domestic Abuse Champions.

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

Recommendation 17.3.1

Addressed to Bristol, Gloucestershire, Somerset and Wiltshire Community Rehabilitation Company Limited

A reminder should be given to probation staff to continue to advise the courts that the probation service provides a comprehensive service to the courts including written reports as well as oral advice in regard to sentencing options. Probation staff are on hand to provide this. The courts are not bound to act on this advice. However, the probation service recognises the need to remind courts of the advisability of including a supervision requirement in cases where there is evidence of domestic abuse.

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

Recommendation 17.3.2

Addressed to National Probation Service

A senior National Probation Service (NPS) manager will write to HM Courts and Tribunal service in Gloucestershire to advise Magistrates and Judges of the benefits to risk management, of always adding a supervision requirement for offenders with a background of domestic abuse where a stand-alone unpaid work requirement is being considered. (For offences committed post 1st February 2015 the supervision requirement becomes a Rehabilitation Activity Requirement as per the Offender Rehabilitation Act 2014).

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

Recommendation 17.4.1

Addressed to Cheltenham Borough Homes

Domestic Abuse Awareness training to be arranged for front line staff. This will enable staff to recognise and respond appropriately to victims of domestic abuse.

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

Recommendation 17.4.2

Addressed to Cheltenham Borough Homes

Identify key staff to act as “domestic abuse champions,” to become a single point of contact for identifying victims and provide the necessary training to enable them to facilitate the role.

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

Recommendation 17.4.3

Addressed to Cheltenham Borough Homes

Review existing processes and guidelines where “housing debt” may be a barrier to a victim receiving appropriate support of obtaining a move to a safe environment and to ensure each case is given appropriate consideration.

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

Recommendation 17.4.4

Addressed to Cheltenham Borough Homes

Ensure victims records include full information and records of contact, including confirmation that the victim’s situation has been assessed and that the record are maintained that provide the rationale behind the decision.

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

Recommendation 17.5.1

Addressed to Gloucestershire County Council

Gloucestershire County Council, where they are the lead professional, will speak to all children in a domestic abuse household following a domestic abuse incident.

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

Recommendation 17.5.2

Addressed to Gloucestershire County Council | Gloucestershire Safeguarding Children’s Board

Agencies need to consider the safeguarding needs of all children in a domestic abuse household following a domestic abuse incident and take the appropriate action according to the agreed Gloucestershire Safeguarding Children’s Board Levels of Need document and complete a DASH form as appropriate.

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

Recommendation 17.6.1

Addressed to Gloucestershire Domestic Abuse Support Service | Gloucestershire Constabulary

That DASHs are sent through to GDASS as quickly as possible to enable contact with the victim to be made quickly after the event when they are most vulnerable.

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

Recommendation 17.7.1

Addressed to Gloucester City Council Housing Service

There is a need to ensure that written consent from every adult, listed as an applicant on any approach for homeless assistance, is obtained. This is currently the case for all households approaching for statutory homeless assistance, but not for those who do not meet the vulnerability homeless criteria (as outlined in the Housing Act 1996 as amended). In future the Gloucester City Council Housing Service will require written consent before proceeding with any non-statutory assistance to non-priority households.

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

Recommendation 17.7.2

Addressed to Gloucester City Council Housing Service

There should be in depth housing and homelessness expertise available to clients at the point of first contact. This is necessary to extract relevant information from clients, and offer the most appropriate advice for a range of situations. Customer Services Officers have a generalised knowledge of council services and cannot offer sufficient expertise in this area. The two tier system of customer service screen, with reference to Homeless Officers for advice on difficult cases, fails homeless customers as it inevitably relies on a précis of the customer’s situation by telephone which may not include relevant factors. Homeless officers should therefore be the first contact for anyone facing homeless crisis.

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

Recommendation 17.7.3

Addressed to Gloucester City Council Housing Service

The initial enquiry pro-forma should be amended to include a prompt to consider local connections to the Gloucester area to ensure appropriate details are considered.

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

Recommendation 17.7.4

Addressed to Gloucester City Council Housing Service

Implement a local Domestic Abuse policy linked to Countywide Policy, at CHIG (countywide housing implementation group) to formulate consistent local policies across the county

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

Recommendation 17.7.5

Addressed to Gloucester City Council Housing Service

Implement regular refresher training on Domestic Abuse for all front line housing staff.

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

Recommendation 17.8.1

Addressed to Gloucestershire Multi-Agency Risk Assessment Conference

That MARAC meetings are held within 48 hours of any incident where possible to ensure early intervention. (This is now the agreed protocol)

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

Recommendation 17.8.2

Addressed to Gloucestershire Multi-Agency Risk Assessment Conference

A system of action tracking will be introduced to ensure that allocated actions are carried out and reviewed.

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

Recommendation 17.9.1

Addressed to Gloucestershire Constabulary

Analysis of intelligence is required regularly, in order to feed into the Constabulary's intelligence (NIM) processes so as to identify those most at risk of causing harm.

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

Recommendation 17.9.2

Addressed to Gloucestershire Constabulary

Force Control Room Managers should ensure that all relevant information pertaining to the threat and risk of harm to and from the perpetrator is captured through careful management of the initial call and the record of that information is made available to the attending officers at the time.

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

Recommendation 17.9.3

Addressed to Gloucestershire Constabulary

Incidents of Domestic Abuse must not be closed without the attending officers confirming (within the incident itself) that a Risk Assessment has been completed and submitted to a supervising officer.

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

Recommendation 17.9.4

Addressed to Gloucestershire Constabulary | Crown Prosecution Service

In consultation with the Crown Prosecution Service, officers in the case are expected to ensure that applications for Restraining Orders are made in appropriate cases.

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

Recommendation 17.9.5

Addressed to Gloucestershire Constabulary

Supervisors to ensure that any incident identified as Domestic Abuse is fully updated detailing the fact that a DASH has been completed.

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

Recommendation 17.9.6

Addressed to Gloucestershire Constabulary

The Constabulary Training Department to re-enforce the understanding by officers of the definition of Domestic Abuse and to ensure that where an alleged crime is reported, it is appropriately recorded as a crime.

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

Recommendation 17.9.7

Addressed to Gloucestershire Constabulary

Gloucestershire Constabulary considers using Body Worn Video devices in an operational capacity.

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

Recommendation 17.10.1

Addressed to HM Courts & Tribunals Service

HM Courts & Tribunals Service will conduct a review of our service to victims and witnesses, in conjunction with Gloucestershire Constabulary Witness Care Unit and Victim Support – to be concluded by 31st January 2015.

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

Recommendation 17.10.2

Addressed to HM Courts & Tribunals Service

HM Courts & Tribunals Service will meet with Probation managers to discuss the consideration of supervision requirements on any community orders imposed following domestic abuse charges, by 31st January 2015.

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

Recommendation 17.10.3

Addressed to HM Courts & Tribunals Service

HM Courts & Tribunals Service will conduct a review of domestic abuse training for magistrates and staff, and implement any changes or refresher training required by 31st March 2015.

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