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

Bromley review

CSP: Bromley Published: September 2023 Year of death: 2013 Extracted: 26 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 identifies concerns regarding the serial perpetrator's history of violence and missed opportunities for multi-agency intervention. It highlights the victim's vulnerability due to childhood difficulties and inadequate support, alongside a lack of coordinated agency response to domestic abuse.

Home Office classifications

36 tags

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

  • Victim - alcohol misuse
  • Victim - mental ill health
  • Victim - neurodiverse condition diagnosis
  • Victim - depression
  • Victim - panic attacks
  • Victim - had been a victim of an abuser before
  • Perpetrator - case heard in court
  • Perpetrator - issued life sentence
  • Perpetrator - substance misuse
  • Perpetrator - mental ill health
  • Perpetrator - neurodiverse condition diagnosis
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Perpetrator - known to probation services as a domestic abuse perpetrator
  • 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 - coercive or controlling behaviour
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical abuse
  • DHR process - family contributed to dhr
  • DHR process - family received draft report
  • DHR process - police recommendations
  • DHR process - social services recommendations
  • DHR process - health services recommendations
  • DHR process - idva or other domestic abuse support service recommendations
  • DHR process - probation 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

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

Recommendation 4.3.2a

Addressed to Metropolitan Police

Officers should be reminded to review the investigation as a whole, ensuring sufficient enquiries are undertaken to identify any existing or potential witnesses.

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

Recommendation 4.3.2b

Addressed to Metropolitan Police

Supervisors must ensure that they provide intrusive, timely and effective supervision, detailing clear action plans and direction to investigating officers. These actions and directions must be documented and checked for completion.

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

Recommendation 4.3.2c

Addressed to Metropolitan Police

Investigating Officers are reminded that any DA Risk Assessment assessed as medium or high must lead to completion of a Part 2/Secondary risk assessment.

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

Recommendation 4.3.3a

Addressed to Victim Support

Victim Support management in the Southeast Division audit against internal policies shown below, a sample of domestic abuse referrals randomly from the Case Management System (CMS) for the borough of Bromley for the period January – March 2014: • Victim Support’s DV Service Delivery Operating Instructions (DVSDOI) • Victim Support’s Safeguarding adult and children policies • Victim Support’s Data Compliance policy.

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

Recommendation 4.4.1

Addressed to Bromley Community Safety Partnership | Bromley Children and Adult Safeguarding Boards

The local domestic abuse partnership must review its membership, structure and processes to ensure the delivery of a coordinated response to domestic abuse and report directly to the Community Safety Partnership and local Children and Adult Safeguarding Boards.

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

Recommendation 4.4.2

Addressed to All partnership agencies

All partnership agencies should provide all staff with domestic abuse training appropriate to their level of responsibility (e.g. all staff should receive basic awareness training, and staff at level 3 or above should receive advanced training to include risk assessment, safeguarding and referral pathways.) Providing this training is the responsibility of individual agencies that will nominate a lead officer and maintain records of their training programme and levels of delivery.

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

Recommendation 4.4.3

Addressed to All agencies | Bromley Community Safety Partnership | Bromley Children and Adult Safeguarding Boards

All agencies work with the CSP and the Children and Adult Safeguarding Boards to identify a domestic abuse champion within their agency, each department, or each team (according to size) to attend advanced training and take responsibility for disseminating updates, sharing best practice, and maintaining awareness of domestic abuse within their agency.

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

Recommendation 4.4.4

Addressed to Local agencies | Bromley Community Safety Partnership | Bromley Children and Adult Safeguarding Boards

Local agencies must review or introduce core competencies, training plans, and policies and procedures in relation to domestic abuse, and provide these to the Community Safety Partnership (CSP) and local Children and Adult Safeguarding Boards.

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

Recommendation 4.4.5

Addressed to Bromley Clinical Commissioning Group | Public Health Bromley

That the local CCG and Public Health Bromley consider implementing the IRIS programme to support GP’s in identifying and responding to domestic abuse.

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

Recommendation 4.4.6

Addressed to All Health agencies

All Health agencies to implement and use the NICE guidance to support the delivery of recommendations within this review as they relate to Health.

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

Recommendation 4.4.7

Addressed to Bromley Safeguarding Children’s Board | Schools | Colleges | Youth services

The Bromley Safeguarding Children’s Board (BSCB) should work closely with schools, colleges and youth services to ensure both young people and the professionals working with them are aware of the realities and dynamics of domestic abuse and where support is available.

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

Recommendation 4.4.8

Addressed to Bromley Children’s Services | Bromley Safeguarding Children’s Board

Children’s Services & the BSCB should review ‘The Child’s Journey In Bromley ’ to ensure referral routes to early intervention services & children’s social care services are clear for all partners and that ‘escalation’ is also clear when referrals are not sufficiently addressed.

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

Recommendation 4.4.9

Addressed to Bromley Children’s Services | Bromley Safeguarding Children’s Board

Children’s Services & the BSCB should consider how to improve the success of necessary interventions when families are resistant to those interventions.

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

Recommendation 4.4.10

Addressed to Bromley Children’s Services

Children’s Services to lead on a multi-agency SCIE review, using this case as an example, to improve practice in relation to vulnerable young people who may come into contact with oppressive and abusive individuals.

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

Recommendation 4.4.11

Addressed to All agencies | Bromley Community Safety Partnership

All agencies should work with the CSP to accurately map the prevalence of domestic abuse in the borough, and the provision of services to feed into an updated strategy and commissioning plan.

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

Recommendation 4.4.12

Addressed to Bromley Community Safety Partnership | Bromley Safeguarding Boards | Partner agencies

The CSP and safeguarding boards should work with partner agencies to organise public awareness campaigns to raise residents’ understanding of domestic abuse and publicise services: including what friends or family members can do if they are concerned about someone they know.

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

Recommendation 4.5.1

Addressed to Home Office | Department of Health

The Home Office to consider further developing, in partnership with the Department of Health, a minimum standard of reporting and response in all health settings, i.e. beyond the NICE guidance to ensure better support for victims of domestic violence.

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

Recommendation 4.5.2

Addressed to Her Majesty’s Courts Service | Partners

That Her Majesty’s Courts Service and partners reconsider the issue of a Specialist Domestic Violence Court in Bromley (which may include other relevant boroughs who utilise this court) to ensure a more effective delivery of justice in domestic violence cases.

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

Recommendation 4.5.3

Addressed to Metropolitan Police Service | National Probation Service | Community Rehabilitation Company

The MPS and Probation Services (NPS and CRC) review how closer work between the police CSUs and Probation could strengthen the management of domestic abuse cases.

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

Recommendation 4.5.4

Addressed to Police

Police lists of Previous Convictions (MG16) should always note where a violent offence is an offence of domestic abuse or where any offence is committed in a domestic abuse context.

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

Recommendation 4.5.6

Addressed to Metropolitan Police Service

That the MPS review their use of the ‘Recency-Frequency-Gravity-Risk’ model to ensure that it addresses the harm, opportunity and threat posed by high impact offenders of domestic abuse

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

Recommendation 4.5.7

Addressed to Metropolitan Police Service | Association of Chief Police Officers

That the MPS (with ACPO) consider the viability of a National Flagging System for serial perpetrators and repeat victims of domestic abuse to ensure the most dangerous perpetrators are identified and response are made commensurate to that risk.

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

Recommendation 4.5.8

Addressed to Her Majesty’s Prison Service

That Her Majesty’s Prison Service recognises the importance of programmes for violent abusers, including those on short sentences, and reviews their capacity to deliver such programmes to take the opportunity to change perpetrators behaviours before release.

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

Recommendation 4.5.9

Addressed to All criminal justice agencies

That the identification (flagging) of domestic abuse perpetrators be introduced in all criminal justice agencies to ensure that the characteristics of such abuse are addressed within reports, sentencing and joint responses.

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

Recommendation 4.5.10

Addressed to Bexley Community Safety Partnership

That this review, when finalised, be forwarded to the CSP at Bexley for them to consider the learning opportunities possible from the evidence of the perpetrator’s possible needs when a child within that borough.

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