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

Wokingham review

CSP: Wokingham Published: July 2025 Year of death: 2018 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 identified systemic failures by agencies to recognise and respond to coercive control, economic abuse, and the increased risk during separation. It also highlighted issues of victim-blaming, institutional bias, and inadequate inter-agency information sharing and referrals to specialist support.

Home Office classifications

36 tags

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

  • Victim - had been a victim of an abuser before
  • Children - under 18 shared parental responsibility (victim and perpetrator)
  • Children - under 18 shared parental responsibility (between victims)
  • Children - under 18 shared parental responsibility (between perpetrators)
  • Children - living with victim (including adult children)
  • Children - living with perpetrator (including adult children)
  • Children - present at homicide (including adult children)
  • Child - primary address same as victim
  • Perpetrator - case heard in court
  • Perpetrator - known to agencies as a domestic abuse perpetrator
  • Perpetrator - known to police as a domestic abuse perpetrator
  • Perpetrator - known to social services as a domestic abuse perpetrator
  • Perpetrator - known to health 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 - separation
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical abuse
  • Aggravating factors - economic abuse
  • DHR process - family contributed to dhr
  • DHR process - family supported by expert specialist advocate
  • DHR process - family received draft report
  • DHR process - family attended dhr panel
  • DHR process - police recommendations
  • DHR process - social services recommendations
  • DHR process - health services recommendations
  • DHR process - other educational institution 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 - record keeping recommendation themes
  • DHR process - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

26 recommendations pulled from the report · 11 matched to organisations in the index

Recommendation 1.

Addressed to Wokingham Community Safety Partnership

This training should be capable of highlighting issues such as: o Domestic abuse as a pattern of behaviour o Diverse communities and unconscious bias o Coercive control and economic abuse o The danger of exiting an abusive relationship

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

Recommendation 2.

Addressed to Wokingham Community Safety Partnership

Wokingham Community Safety Partnership should invite Imkaan to meet with senior management from all agencies involved in this review. This will enable discussion to take place about the learning identified in this case

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

Recommendation 3.

Addressed to Wokingham Community Safety Partnership

Wokingham Community Safety Partnership should review the available commissioned and non-commissioned specialist 'violence against women and girls' support pathways for Black and minoritised women/girls. This should ensure that agencies can seek expert advice, support and information

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

Recommendation 4.

Addressed to Wokingham Community Safety Partnership

Future domestic homicide reviews in Wokingham involving Black and minoritised women should always have appropriate representatives from the 'violence against women and girls' sector as well as a specialist Black and minority ethnic organisation

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

Recommendation 5.

Addressed to Home Office

The Home Office should consider updating the Statutory Guidance on the Conduct of Domestic Homicide Reviews to make it compulsory to have representation from a specialist Black and minority ethnic organisation on the panel in cases involving Black and minoritised women

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

Recommendation 6.

Addressed to Home Office

The Home Office should consult with Imkaan, Women's Aid and Safelives to review the effectiveness of the DASH (domestic abuse, stalking and honour-based violence) risk assessment for Black and minoritised women experiencing domestic violence and abuse.

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

Recommendation i.

Addressed to Thames Valley Police

Thames Valley Police to review its processes for assessing risk in domestic abuse including the importance of secondary risk assessing

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

Recommendation i.

Addressed to Children's social care

A review should be undertaken of the criteria for making multi-agency safeguarding hub (MASH) checks

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

Recommendation i.

Addressed to Berkshire Healthcare NHS Foundation Trust

An audit should be undertaken to ensure that the processes that are in place for transferring children from universal services to targeted services are being followed in a timely manner.

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

Recommendation i.

Addressed to Primary care

Primary care should review the procedure around receiving domestic abuse notifications. This should include: a. What is expected of GP staff on receipt of a notification b. How the information should be recorded or flagged c. How long such information should be kept

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

Recommendation i.

Addressed to early years settings

Information to be available to early years settings to raise awareness of domestic abuse and how to respond to suspicions or disclosures by children or parents

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

Recommendation ii.

Addressed to Thames Valley Police

Contact Management staff are already subject to ongoing CDI (Crime Data Integrity) training. It is recommended that this case is used as a case study in that training and through other communication channels

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

Recommendation ii.

Addressed to Children's social care

Children's social care should review how the threshold for holding a strategy meeting is applied. Any change to the threshold should: a. Be in conjunction with the leadership team within children's social care, so resource implications are considered b. Be communicated to all managers across the service

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

Recommendation ii.

Addressed to Berkshire Healthcare NHS Foundation Trust

The process for transferring vulnerable children out of area should be updated to include temporary moves. This should ensure that the health visiting service in the new area is contacted, information is shared and actions for health visiting teams are clearly communicated.

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

Recommendation ii.

Addressed to GP Practice staff

GP Practice staff should receive training on how to respond sensitively (but in a professionally curious manner) to patients following a notification (irrespective of the risk grading).

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

Recommendation iii.

Addressed to Thames Valley Police

Thames Valley Police has commissioned the Safe Lives charity to deliver its 'Domestic Abuse Matters' training to all front-line officers from January 2020

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

Recommendation iii.

Addressed to Children's social care

A review should be undertaken of the domestic abuse training provided to social workers to ensure: a. It adequately addresses the complexity of the issue including coercive control, economic abuse, cultural aspects of abuse and the danger of separation b. Professionals recognise that DASH (domestic abuse, stalking and honour-based violence) risk assessments should be undertaken at the earliest opportunity c. It meets the needs of workers

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

Recommendation iv.

Addressed to Thames Valley Police

Thames Valley Police to review how it ensures that all frontline officers have completed mandatory training

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

Recommendation iv.

Addressed to Children's social care

A review should be undertaken of how, when and by whom referrals should be made to the local specialist domestic abuse services

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

Recommendation v.

Addressed to Thames Valley Police

Thames Valley Police to set clear expectations on the use of Operational Guidance and to test whether these expectations are met

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

Recommendation v.

Addressed to Children's social care

Detailed information should be provided verbally and in writing to everyone referred to children’s social care following a domestic abuse incident even when the person appears to have decided to leave an abusive relationship.

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

Recommendation vi.

Addressed to Thames Valley Police

Thames Valley Police to deliver CDI (Crime Data Integrity) training from January 2020 in the context of domestic abuse

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

Recommendation vi.

Addressed to Children's social care

Ensure that professional curiosity and the need to fully explore disclosures is embedded in practice.

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

Recommendation vii.

Addressed to Thames Valley Police

Thames Valley Police to clarify if and when it is acceptable to respond to a domestic incident and complete a risk assessment over the phone.

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

Recommendation vii.

Addressed to Children's social care

Ensure a risk-based approach coupled with ongoing assessments frequently monitors cases where domestic abuse is a factor and that appropriate contact arrangements are put in place which take account the safety of the alleged victim. This includes minimising opportunities for the alleged perpetrator to use visits to control or coerce the victim. Arrangements should continue to be frequently reviewed alongside any changes in information to assist with contact management.

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