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

Fenland review

CSP: Fenland Published: February 2025 Year of death: 2022 Extracted: 12 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
Key concerns include inadequate multi-agency responses to domestic abuse, particularly for vulnerable individuals with mental health and alcohol issues. Gaps in information sharing, risk assessment, and specialist support for older and LGBTQ+ victims led to missed opportunities for intervention.

Home Office classifications

39 tags

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

  • Victim - died by suicide
  • Victim - was a carer
  • Victim - alcohol misuse
  • Victim - mental ill health
  • Victim - anxiety
  • Victim - depression
  • Victim - panic attacks
  • Victim - psychosis
  • Victim - self harm
  • Victim - suicidal thoughts
  • Victim - suicide attempts
  • Victim - had been a victim of an abuser before
  • Perpetrator - alcohol misuse
  • Perpetrator - mental ill health
  • Perpetrator - anxiety
  • Perpetrator - depression
  • Perpetrator - suicidal thoughts
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Perpetrator - known to others as a domestic abuse perpetrator
  • Perpetrator - known to family as a domestic abuse perpetrator
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - stalking
  • Aggravating factors - digital stalking
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical abuse
  • DHR process - family contributed to dhr
  • DHR process - police recommendations
  • DHR process - social services recommendations
  • DHR process - health 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

Extracted recommendations

12 recommendations pulled from the report · 4 matched to organisations in the index

Recommendation 1

Addressed to Home Office

A database for research on safeguarding matters in order for Housing departments and associations to ably risk assess suitability of accommodation for applicant to be explored for feasibility.

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

Recommendation 2

Addressed to Fenland Community Safety Partnership

Victims and perpetrators should be asked directly to self-define their sexual orientation and how they identify themselves, for the purpose of signposting them to the appropriate additional support services, and this should be recorded appropriately and accurately.

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

Recommendation 3

Addressed to Fenland Community Safety Partnership

The Fenland Community Safety Partnership to ensure the promotion and wider publicity of LGBTQ+ support services within Cambridgeshire to provide awareness for professionals to signpost and utilise these services. Other CSP’s in the area are to consider this.

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

Recommendation 4

Addressed to Cambridgeshire Police | Adult Social Care – Cambridgeshire County Council

Cambridgeshire Police and Adult Social Care to ensure compliance of the process for Supervisors, Gatekeepers, Managers and MASH staff to ensure all DASH risk assessments and any referrals pertinent to any subjects, have been:
• Physically seen and endorsed accordingly
• Reviewed and revisited alongside any significant developments or changes in the investigation for accuracy and recording purposes
• Submitted to the relevant specialists and agencies for action
• Decisions and amendments to the grading of STANDARD/MEDIUM/HIGH to reflect the circumstances of the victim at that time, and recorded on the investigation log

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

Recommendation 5

Addressed to Cambridgeshire Constabulary

Cambridgeshire Constabulary to speak with Public Health for an adaptation of their training programmes for suitability of the Constabulary’s needs.

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

Recommendation 6

Addressed to Cambridgeshire Police

Cambridgeshire Police Reinforcement of the DASH and DVPN/DVPO policies, particularly in cases of counter allegations, expectations, and standards across the workforce, to ensure consistency of practice and early intervention support services, for vulnerable victims and perpetrators of domestic abuse.

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

Recommendation 7

Addressed to Clarion Housing

Clarion Housing to revise the Homelink housing application to include the applicant to comment on ‘You or a member of your household needs to move away from another area to escape violence or harm.’

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

Recommendation 8

Addressed to Change Grow Live (CGL) Cambridgeshire

CGL Cambridgeshire will upskill staff to ensure they are aware of how consensual information sharing can support a service user throughout their treatment journey. Staff will feel confident in explaining and exploring consent with service users, particularly in relation to a change in their risk or circumstances.

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

Recommendation 9

Addressed to Fenland Community Safety Partnership

Domestic Abuse training must include reference to the needs of the LGBTQ+ community.

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

Recommendation 10

Addressed to GP Practices | Pharmacists

Stronger working relationships and communication channels are required between the GPs and pharmacists to prevent any delay in the administering of prescriptions with an escalation process or safety plan to address issues when a technical error occurs and is identified.

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

Recommendation 11

Addressed to GP Practices

A robust process to be established to prevent any delay in the signing of prescriptions and where a capacity concern is identified, there needs to be an escalation process to be able to re-act in a timely manner.

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

Recommendation 12

Addressed to Cambridgeshire Public Health

Cambridgeshire Public Health to progress and advance its data collation into suspected suicides of the LGBTQ+ community.

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