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

Telford and Wrekin review

CSP: Telford and Wrekin Published: June 2026 Year of death: 2023 Extracted: 16 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

This review highlights the increased risk of suicide among domestic abuse perpetrators and identifies systemic issues in agency responses to domestic abuse allegations, including counter-allegations and inconsistent risk assessment. It also notes gaps in routine domestic abuse enquiry in primary care and systematic bereavement support.

Extracted recommendations

16 recommendations pulled from the report

#	Recommendation	Addressed to
1	The Home Office to consider liaising with the Department of Health and Social Care and NICE to ensure that there is consistency across all clinical guidance for routine enquiry into domestic abuse for relevant health conditions which are evidence-based indicators of potential domestic abuse, such as those for depression and anxiety specifically.	Home Office
10	Clearly Identify the reason for a patient seeking medical attention and highlight this to the consulting clinician in case of lack of contact with the patient	The GP Practice
11	A return to primary face to face appointments	The GP Practice
12	Separate investigators are allocated to cases where both alleged offender and alleged victim make allegations of domestic abuse against each other.	Lancashire Constabulary
13	Provide evidence of improved quality of domestic abuse investigations (completed).	Lancashire Constabulary
14	Provide evidence-based assurance that reports of harassment are robustly investigated, including those received by email, and victims updated of progress in line with the Victim’s Code	West Mercia Police
15	Provide evidence-based assurance that cases of stalking and harassment are adequately supervised and not closed prematurely	West Mercia Police
16	Provide evidence-based assurance on the robustness of referral pathways to support services	West Mercia Police
2	Telford and Wrekin Public Health Team with the ICB, through the Primary Care Networks (PCNs) and GP Safeguarding Leads, to provide assurance to the Domestic Abuse Local Partnership Board that the domestic abuse pathway for primary care, which includes the PCN social prescribers, is effective in identifying and responding to domestic abuse in primary care.	Telford and Wrekin Public Health Team \| ICB
3	Telford and Wrekin Suicide Prevention Action Group, coordinated by the Public Health Team, to ensure that domestic abuse perpetrators, as well as domestic abuse victims, feature within their suicide prevention strategy.	Telford and Wrekin Suicide Prevention Action Group
4	Telford and Wrekin Public Health to liaise with the Coroner and encourage local sign-up with the Real Time Suspected Surveillance System	Telford and Wrekin Public Health
5	Home Office to liaise with the chief coroner in respect of guidance to coroners to ensure that all coroners are part of Real Time Suspected Surveillance System	Home Office
6	West Mercia Police and Telford Mind to work together to strengthen links and develop a referral route which will ensure that bereaved families are systematically offered signposting to specialist support services following police attendance at a sudden death.	West Mercia Police \| Telford Mind
7	The Home Office to consider adding to their suite of leaflets for families and friends, leaflets specifically concerning domestic abuse related suicides.	Home Office
8	Safer Telford and Wrekin to ensure that a suicide prevention specialist sits on all future Domestic Abuse Related Death Reviews involving suicide in their area	Safer Telford and Wrekin
9	Clinicians to ask about abuse when patients present with depression, anxiety or low mood	The GP Practice
Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗