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
Shropshire review
CSP: Shropshire
Published: May 2025
Year of death: 2021
Extracted: 12 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 review found that while the victim's direct needs were met, the perpetrator had a long history of unmanaged complex needs, including domestic abuse towards partners, mental health issues, and substance misuse. Agencies missed opportunities for earlier intervention and consistent information sharing regarding the perpetrator's volatile behaviours.
Extracted recommendations
| # | Recommendation | Addressed to |
|---|---|---|
| 1 | The Partnership to examine the early help offer specifically considering educational and preventative interventions with young people who commit offences, and who have complex needs based on a) earlier childhood adversity, b) presenting mental health difficulties, c) presenting with substance misuse, d) are involved with multiple agencies. | Shropshire Safeguarding Community Partnership |
| 2 | The Partnership to raise awareness about the need to be professionally curious when working with service users and routinely enquire about family relationships and dynamics. This should be extended to all professional groups that have contact with service users. Leaders should seek assurance that efforts to increase front-line professional curiosity are having an impact. | Shropshire Safeguarding Community Partnership |
| 3 | The Partnership to promote awareness about Domestic Abuse Disclosure Schemes/Clare’s Law through websites, publications and professional development events. | Shropshire Safeguarding Community Partnership |
| 4 | Undertake a review of whether relevant MARAC information is shared with GP Practices across the Partnership; seek to implement a robust process which remedies any gaps identified. | Shropshire Safeguarding Community Partnership |
| 5 | The Partnership to review how agencies approach communicate and support parents who have had children removed (or they are unable to see) to support them to manage triggers that could lead to deterioration in wellbeing and further negative responses or behaviour. | Shropshire Safeguarding Community Partnership |
| 6 | The Partnership to develop a resource which supports people to consider the hidden harm of the older persons abuse. | Shropshire Safeguarding Community Partnership |
| 8.2a | Ensure all incidents/risks relating to a service user are communicated to their GP within 24 hours. | Shropshire Recovery Partnership (We are with You) |
| 8.2b | Promote the use of professional curiosity across all staff. | Shropshire Recovery Partnership (We are with You) |
| 8.3 | Implement a revised triage process which covers completing the Domestic Abuse, Stalking, Harassment and Honour based violence Assessment Tool (DASH), alongside completing a DASH on all linked perpetrators to the victim/survivor. | Shropshire Domestic Abuse Services |
| 8.4a | Increase awareness about alcohol abuse on the wider family - encourage clinicians to keep their view wide when considering management and assessing risk. | GP Practices |
| 8.4b | Highlight patients with combination of alcohol / drug abuse and poorly controlled mental health and look at flagging – adding a note or code to the electronic record – that highlights patients at higher levels of concern. | GP Practices |
| 8.5 | Historic domestic abuse to be explored as part of all Strategy meetings. | Children’s Social Care |
| Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗ | ||