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.
View full report (PDF) ↗
Source: Home Office DHR Library
Summary
The report highlights concerns regarding the victim's vulnerability due to childhood difficulties and learning difficulties, the perpetrator's history of serial violence, and a lack of coordinated inter-agency response, leading to missed opportunities for intervention and risk assessment.
Extracted recommendations
| # | Recommendation | Addressed to |
|---|---|---|
| 1 | Borough Level– Investigation. Officers should be reminded to review the investigation as a whole, ensuring sufficient enquiries are undertaken to identify any existing or potential witnesses. | Metropolitan Police |
| 2 | Borough Level – Supervision. 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. | Metropolitan Police |
| 3 | Service Level. 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. | Metropolitan Police |
| 4 | 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. | Victim Support |
| 4.4.1 | 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. | Bromley Domestic Abuse Partnership | Bromley Community Safety Partnership | Bromley Children Safeguarding Board | Bromley Adult Safeguarding Board |
| 4.4.10 | 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. | Bromley Children’s Services |
| 4.4.11 | 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. | All agencies | Bromley Community Safety Partnership |
| 4.4.12 | 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. | Bromley Community Safety Partnership | Bromley Children Safeguarding Board | Bromley Adult Safeguarding Board | Partner agencies |
| 4.4.2 | 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. | All partnership agencies |
| 4.4.3 | 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. | All agencies | Bromley Community Safety Partnership | Bromley Children Safeguarding Board | Bromley Adult Safeguarding Board |
| 4.4.4 | 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. | Local agencies | Bromley Community Safety Partnership | Bromley Children Safeguarding Board | Bromley Adult Safeguarding Board |
| 4.4.5 | That the local CCG and Public Health Bromley consider implementing the IRIS programme to support GP’s in identifying and responding to domestic abuse. | Bromley Clinical Commissioning Group | Public Health Bromley |
| 4.4.6 | All Health agencies to implement and use the NICE guidance to support the delivery of recommendations within this review as they relate to Health. | All Health agencies |
| 4.4.7 | 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. | Bromley Safeguarding Children’s Board |
| 4.4.8 | 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. | Bromley Children’s Services | Bromley Safeguarding Children’s Board |
| 4.4.9 | Children’s Services & the BSCB should consider how to improve the success of necessary interventions when families are resistant to those interventions. | Bromley Children’s Services | Bromley Safeguarding Children’s Board |
| 4.5.1 | 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. | Home Office | Department of Health |
| 4.5.10 | 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. | Bexley Community Safety Partnership |
| 4.5.2 | 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. | Her Majesty’s Courts Service | Partners |
| 4.5.3 | 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. | Metropolitan Police | National Probation Service | Community Rehabilitation Company |
| 4.5.4 | 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. | Police |
| 4.5.5 | Probation should request from Police a full intelligence picture on all domestic abuse perpetrators. | Probation Services | Police |
| 4.5.6 | 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 | Metropolitan Police |
| 4.5.7 | 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. | Metropolitan Police | Association of Chief Police Officers (ACPO) |
| 4.5.8 | 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. | Her Majesty’s Prison Service |
| 4.5.9 | 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. | All criminal justice agencies |
| Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗ | ||