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
Ealing review
CSP: EalingPublished: February 2026Year of death: 2020Extracted: 5 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
The review identified shortcomings in mental health service delivery, including poor information management and insufficient carer support. It also highlighted a lack of effective inter-agency coordination during crises and limitations in legal powers for managing individuals with mental illness.
Home Office classifications
28 tags
Source-supplied classifications used by the Home Office to catalogue this review.
Victim - housing issues
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 - substance misuse
Perpetrator - mental ill health
Perpetrator - anxiety
Perpetrator - depression
Perpetrator - psychosis
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 mental health services as a domestic abuse perpetrator
Perpetrator - known to others as a domestic abuse perpetrator
Perpetrator - known to family as a domestic abuse perpetrator
Perpetrator - attended drug and alcohol services
Perpetrator - supervised by mental health services
Aggravating factors - psychological or emotional abuse
Aggravating factors - physical abuse
DHR process - family contributed to dhr
DHR process - health services recommendations
DHR process - community safety partnership recommendations
DHR process - technology systems recommendation themes
DHR process - policy recommendation themes
DHR process - multi agency working recommendation themes
DHR process - other recommendation themes
Extracted recommendations
5 recommendations pulled from the report · 5 matched to organisations in the index
(a) WLMHT to implement a homogenous approach across the Mental Health Integrated Network Teams (known as MINT) to manage emergent tasks via local duty with a clear, standardised system to avoid potential confusion (b) WLMHT is currently developing new policy and guidance as part of the transformation to Mental Health Integrated Network Teams. The new measures should be implemented as a priority
Addressed to
Northwest London Integrated Care Board
The local Integrated Care Commissioning Board should explore improved mechanisms for liaison, information sharing and operational planning in respect of individuals assessed to be at risk of mental health crises, especially where there is a history of violence (including domestic violence).
WLNHS to develop an ERTE system to ensure individual clinicians and their managers are alerted to any cases where risk assessment are falling out of date and that updates are audited.
Addressed to
Home Office | Department of Health and Social Care
Home Office and DHSS to consider instituting a review of legal powers and policy to improve the ability of agencies to safely and effectively manage those undergoing mental health crises.