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
Bexley review
CSP: BexleyPublished: September 2023Extracted: 11 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The review identified systemic issues in multi-agency information sharing, risk assessment, and a lack of holistic understanding of the victim's complex needs, including domestic abuse, mental health, and substance use. Concerns also arose regarding the application of bail conditions and restraining orders in court processes.
Home Office classifications
20 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - died by suicide
Victim - alcohol misuse
Victim - substance misuse
Victim - housing issues
Victim - mental ill health
Victim - depression
Victim - post traumatic stress disorder (ptsd)
Victim - had been a victim of an abuser before
Victim - referred to marac at any time
Perpetrator - known to agencies as a domestic abuse perpetrator
Perpetrator - known to police as a domestic abuse perpetrator
Aggravating factors - coercive or controlling behaviour
DHR process - idva or other domestic abuse support service 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 - awareness raising recommendation themes
Extracted recommendations
11 recommendations pulled from the report · 2 matched to organisations in the index
Community Safety Partnership to share this learning from the Review and request all organisations in Bexley to review policies, procedures, guidance and training to ensure that accurate language is adopted that reflects responsibility for domestic abuse (the nature of this will be specific to each organisation and their requirements).
Addressed to
Community Safety Partnership | Local Safeguarding Children’s Board (SHIELD) | Adult Safeguarding Board | Health and Wellbeing Board | Bexley Voluntary Sector Council
Community Safety Partnership and other partnership boards in Bexley to communicate to all members the learning from this case and the need for accurate recording of the facts, not of opinions, unless these have been corroborated, and to ensure that in cases of domestic abuse the victim’s voice is present.
All services and agencies to ensure they have an appropriate Domestic Abuse Champion in place, and that all Champions have accessed the relevant Level 3 Borough-wide training on domestic abuse, which includes coercive and controlling behaviours.
Addressed to
Domestic Abuse Partnership Strategic Board | MARAC Steering Group
Domestic Abuse Partnership Strategic Board and MARAC Steering Group to put in place an escalation process to address any issues in agency referrals, meeting attendance, information sharing and completing of actions in relation to MARAC.
Addressed to
Community Safety Partnership | MARAC Coordinator
Community Safety Partnership to receive assurances from core MARAC agencies that leads are identified and consistently attend MARAC. MARAC Coordinator to ensure that agency MARAC representatives receive appropriate inductions to their role.
MARAC to ensure that, when an individual is discussed and they are seen to have a high level of needs, an appropriate lead practitioner is identified who coordinates an additional professionals’ meeting.
Addressed to
Community Safety Partnership | Local Safeguarding Children’s Board (SHIELD) | Adult Safeguarding Board | Health and Wellbeing Board | Bexley Voluntary Sector Council
Community Safety Partnership, and other partnership boards in Bexley, to communicate to all members the expectation that organisations will support and train staff to be proactive in calling professionals’ meetings when required for service users.
Addressed to
Community Safety Partnership | Local Safeguarding Children’s Board (SHIELD) | Adult Safeguarding Board | Health and Wellbeing Board | Bexley Voluntary Sector Council
Community Safety Partnership and other partnership boards in Bexley to communicate to all members the learning from this case and the need for professionals to appropriately enquire into service users’ histories, social and family circumstances and how these may impact on their ongoing needs; and to consider the impact of any trauma on service users’ behaviours. For agencies to, as appropriate to their role, share this within internal communications and supervision and seek training.
Addressed to
Local Safeguarding Children’s Board (SHIELD) | Bexley Domestic Abuse Partnership Strategic Board
Local Safeguarding Children’s Board (SHIELD) and the Bexley Domestic Abuse Partnership Strategic Board to learn from good practice in Greenwich and elsewhere about what works in responding to children and young people who have experienced domestic abuse from a parent or a parent’s partner. To act locally to work towards addressing this gap.
Addressed to
Community Safety Partnership | Bexley Magistrate’s Court | Crown Prosecution Office
Community Safety Partnership, Bexley Magistrate’s Court and local Crown Prosecution Office representatives to review the response to domestic abuse cases that come to court, with reference to the learning identified in this Review, to ensure that bail conditions are appropriately put in place and restraining orders are consistently considered.