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: FenlandPublished: February 2025Year of death: 2022Extracted: 12 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
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
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.
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.
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.
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
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.
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.’
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.
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.
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.