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: Ealing Published: February 2026 Year of death: 2020 Extracted: 5 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 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.

Extracted recommendations

5 recommendations pulled from the report

#	Recommendation	Addressed to
1	(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	West London NHS Trust
2	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).	Northwest London Integrated Care Board
3	WLNHS to ensure that recovery teams offer support for all families and carers of clients with psychosis, as recommended by NICE guidance.	West London NHS Trust
4	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system to ensure individual clinicians and their managers are alerted to any cases where risk assessment are falling out of date and that updates are audited.	West London NHS Trust
5	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.	Home Office \| Department of Health and Social Care
Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗