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

Peterborough review

CSP: Peterborough Published: August 2026 Year of death: 2024 Extracted: 16 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 report identifies concerns regarding inconsistent multi-agency information sharing, particularly about the victim's relationship status and engagement with services. It highlights missed opportunities to safeguard the victim and her children, address her mental health and substance abuse, and ensure sensitive communication with her family.

Home Office classifications

52 tags

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

  • Victim - died by suicide
  • Victim - alcohol misuse
  • Victim - housing issues
  • Victim - pregnancy
  • Victim - mental ill health
  • Victim - anxiety
  • Victim - panic attacks
  • Victim - suicidal thoughts
  • Victim - suicide attempts
  • Victim - had been a victim of an abuser before
  • Victim - referred to marac at any time
  • Victim - case heard at marac before homicide
  • Children - subject to child protection or domestic abuse prior to homicide
  • Children - removed into care
  • Perpetrator - alcohol misuse
  • Perpetrator - substance misuse
  • Perpetrator - mental ill health
  • Perpetrator - suicidal thoughts
  • Perpetrator - suicide attempts
  • 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 idva or other domestic abuse support service as a domestic abuse perpetrator
  • Perpetrator - known to probation services as a domestic abuse perpetrator
  • Perpetrator - known to housing services as a domestic abuse perpetrator
  • Perpetrator - known to school 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 perpetrator programme
  • Perpetrator - attended drug and alcohol services
  • Perpetrator - supervised by probation services
  • Aggravating factors - separation
  • Aggravating factors - coercive or controlling behaviour
  • Aggravating factors - sexual abuse
  • Aggravating factors - psychological or emotional abuse
  • Aggravating factors - physical abuse
  • Aggravating factors - economic abuse
  • DHR process - family contributed to dhr
  • DHR process - family received draft report
  • DHR process - police recommendations
  • DHR process - social services recommendations
  • DHR process - health services recommendations
  • DHR process - probation services recommendations
  • DHR process - housing services recommendations
  • DHR process - identification of risk recommendation themes
  • DHR process - training recommendation themes
  • DHR process - policy recommendation themes
  • DHR process - multi agency working recommendation themes
  • DHR process - record keeping recommendation themes
  • DHR process - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

16 recommendations pulled from the report · 9 matched to organisations in the index

Recommendation 1

Addressed to Cambridgeshire Constabulary

Cambridgeshire Constabulary to review their processes for the documentation and recording of Domestic Violence Disclosures (Clare’s Law). The Domestic Violence Report dated 17/05/2016 regarding the Domestic Violence Disclosure has never been finalised to show that the victim was informed. Current processes need to be reviewed to ensure any future disclosures are fully documented with the outcome prior to finalisation.

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

Recommendation 2

Addressed to Cambridgeshire Constabulary

Cambridgeshire Constabulary to amend their processes to ensure that domestic abuse related investigations with the same suspect are linked. This will ensure that cases are investigated as a whole and not in isolation so that they are presented to the CPS/Court with full facts of offending so that all evidence of all offences can be taken into consideration.

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

Recommendation 3

Addressed to Cambridgeshire Constabulary

Cambridgeshire Constabulary to renew their Intelligence processes to ensure that repeat domestic abusers are flagged to enable consideration of action to be taken against such individuals. This will negate the same repeat offender with different victims being dealt with in isolation and ensure the Courts are presented with the accumulative offending and risk posed. It will also provide opportunities for other offences nonrelated to be processed as a disruptive safeguarding measure.

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

Recommendation 4

Addressed to Cambridgeshire Constabulary

Cambridgeshire Constabulary to review their responses for dealing with detainees suspected of mental health issues and/or suicidal thoughts. Although processes are in place, the review has highlighted areas such as whether police custody is a suitable place, family contact/involvement that could enhance the safeguarding when released from custody and reduce demand etc.

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

Recommendation 5

Addressed to Cambridgeshire Constabulary

Cambridgeshire Constabulary to consider implementing their own specific Domestic Abuse, Child Protection and Adults at Risk SOPs. This will make the processes and responses in these areas specific and bespoke to the needs of Cambridgeshire whilst dovetailing into the National policy and strategies.

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

Recommendation 6

Addressed to Cambridgeshire Police

Cambridgeshire Police to implement a process that when an offender is on remand or sentenced, they provide the prison with witness and victim numbers to be barred from the PIN list. This will provide ongoing safeguarding by preventing the offender directly contacting the victim or witnesses and asserting control or fear from within the prison.

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

Recommendation 8

Addressed to Cambridgeshire and Peterborough MARAC

Cambridgeshire and Peterborough MARAC to ensure that discussions during the meeting include confirming safe contact details and if the victim has access to a phone. This will provide shared information and confirmation of the safeguarding required and implemented safety plan for the victim.

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

Recommendation 9

Addressed to Probation Service

Probation Service to re-communicate the process to practitioners in relation to the use of home visits and frequency of police call-out checks. This will provide early communication with the perpetrator and potentially the only contact with a victim if they have disengaged with other services and are still in a relationship with the perpetrator providing information to risk assess. Call-out information will enhance Probations knowledge of contact with the victim and perpetrator

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

Recommendation 10

Addressed to Peterborough Children Social Care

Peterborough Children Social Care to include in processes when there is a risk of domestic abuse and the alleged perpetrator is incarcerated, Child in Need planning should be focussed on supporting the victim with strengthening their support network, including holding a family meeting. This will ensure that every opportunity is taken to provide support at the optimum time which may lead to the children being able to stay with the parent who is the victim of the abuse.

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

Recommendation 11

Addressed to Peterborough Children Social Care

Peterborough Children Social Care to ensure that escalations to Child Protection should be timely and the impact of domestic abuse on the child’s wellbeing fully considered alongside their lived experience when making a threshold decision. This is to include the use of multiagency information for holistic decision making to negate decisions being based on what they have been told by the person/persons involved. It should also include the recognition of children being victims of domestic abuse whilst living in the household.

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

Recommendation 12

Addressed to Peterborough Children Social Care

Peterborough Children Social Care to ensure that the recommendation to make a Clare’s law application features in children’s plans. This will provide an opportunity for a victim to have further information on how they and their children have been at unknown risk and allow informed decision making which can be taken into account to try and prevent victims of domestic abuse also losing parental control of their children.

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

Recommendation 13

Addressed to Peterborough Children Social Care

Peterborough Children Social Care to ensure that plans have multi-agency contribution to consider all the risks and understand the support they can offer to both CSC and families. This will provide holistic specialist support to meet the bespoke needs of the family. It will also contain information from all sources providing a holistic picture of their needs and an understanding of the situation with greater context.

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

Recommendation 14

Addressed to Peterborough Children Social Care

Peterborough Children Social Care to ensure plans consider the work to be completed by perpetrators of abuse alongside any work to be completed by the victim. This will assist the family in the future if the relationship remains.

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

Recommendation 15

Addressed to GP Surgery

the victim’s GP surgery to implement a process that any patient discussed in Management daily meetings will be followed up by the safeguarding administration to ensure a continuation of care is met. This will provide further opportunity for support and proactiveness on the information received.

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

Recommendation 16

Addressed to Cross Keys Homes

Cross Keys Homes to revise their domestic abuse policy and procedure to ensure action to hold perpetrators of domestic abuse to account is included and assurances that survivors are signposted to make well informed housing related decisions. This may negate or minimise the occasions when a victim of domestic abuse moves into a Cross Keys Homes property with the perpetrator when they are already known as a domestic abuse victim.

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

Recommendation 17

Addressed to Cambridgeshire Fire and Rescue Service

Cambridgeshire Fire and Rescue Service to re-communicate and promote the information sharing protocol for all fire relating concerns including threats. This will provide intelligence to analyse, identify patterns of potential risk and provide the Fire Service with opportunities to potentially negate or minimise the risk.

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