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

Buckinghamshire review

CSP: Buckinghamshire Published: August 2026 Year of death: 2015 Extracted: 15 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 identifies systemic failures in professional curiosity, multi-agency information sharing, and the identification of domestic abuse, particularly concerning an older gay male victim experiencing economic abuse and gaslighting. Agencies missed opportunities to recognise the perpetrator's coercive control and the victim's heightened vulnerability.

Home Office classifications

27 tags

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

  • Victim - alcohol misuse
  • Victim - substance misuse
  • Victim - mental ill health
  • Victim - anxiety
  • Victim - depression
  • Victim - psychosis
  • Victim - suicidal thoughts
  • Victim - serious or life limiting illness
  • Perpetrator - case heard in court
  • Perpetrator - issued life sentence
  • Perpetrator - was a carer
  • Perpetrator - carer for victim
  • 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 received draft report
  • DHR process - police recommendations
  • DHR process - social services recommendations
  • DHR process - religious institution 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 - awareness raising recommendation themes
  • DHR process - other recommendation themes

Extracted recommendations

15 recommendations pulled from the report · 6 matched to organisations in the index

Recommendation Recommendation 1

Addressed to Thames Valley Police

OBRT staff to be included in the relevant pool to receive safeguarding training commensurate with their role. This was signed off on 19th June 2020 and assigned to a Superintendent and a Contract Management Manager for action.

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

Recommendation Recommendation 1

Addressed to Buckinghamshire Council | Oxford Health NHS Foundation Trust

Working protocols between Buckinghamshire Council and Oxford Health NHS Foundation Trust should be reviewed. This review has already commenced.

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

Recommendation Recommendation 1

Addressed to Diocese of Oxford

Promote safeguarding prevention, especially awareness of the impact of social isolation and loneliness, recognising the need for intimacy, and challenging ageism and attitudes towards sexuality, and promote this nationally within the CoE (Dr. Cooper 2020, para 7.1).

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

Recommendation Recommendation 2

Addressed to Thames Valley Police

TVP Policing Strategy Unit to develop a Moodle Package to refresh knowledge of Operational guidance in relation to Unusual, Unexplained or Suspicious Deaths.

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

Recommendation Recommendation 2

Addressed to Diocese of Oxford

Within the Diocese, work on LGBTI+ inclusivity, should focus on raising awareness of the safeguarding risks for some older people and the Diocese should promote this nationally within the Church of England. (Dr. Cooper 2020, para 7.1)

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

Recommendation Recommendation 3

Addressed to Thames Valley Police

The importance of conducting proportionate secondary investigation when formulating an investigation plan should be re-visited in relation to student officer training and the IDP programme. Stronger emphasis needs to be embedded into the revised training in order to ensure understanding and competence.

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

Recommendation Recommendation 3

Addressed to Diocese of Oxford

Address any culture of ‘secrecy’ and promote an open culture in the context of duties to care and provision of community support for vulnerable adults so that safeguarding concerns can be expressed and addressed and promote this nationally within the Church of England (Dr. Cooper 2020, para 7.1).

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

Recommendation Recommendation 4

Addressed to Thames Valley Police

Consideration should be given to converting the current secondary investigation guidance on the ‘Knowzone’ into dedicated Operational Guidance (http://knowzone/kz-inv-si). The Guidance needs to include the importance of checking primary information systems including Command and Control and CMP for investigative actions. Reference should be made to Endeavour principle 5 and particular emphasis given to the understanding of proportionality of secondary research and subsequent lines of enquiry.

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

Recommendation Recommendation 4

Addressed to Diocese of Oxford

Work with Parishes asking them to regularly audit their volunteering processes and practices against CoE and Charity Commission standards regarding safer practices in volunteer recruitment, training, monitoring, support and supervision, including expectations regarding volunteer conduct to establish if proper processes and practices are being consistently delivered and are effective in identifying risks, volunteer support and development needs. (This could include reporting through the Archdeacons visits and peer review processes with other local groups) (Dr. Cooper 2020, para 7.4).

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

Recommendation Recommendation 5

Addressed to Diocese of Oxford

Consider how to improve awareness of the complexities of risks for people with care and support needs who may be at risk of abuse or neglect, in particular: •issues of mental capacity and safeguarding adults; •issues when carers prevent/hinder access to people they provide care for; •having difficult conversations with people who may be subject to harm and advocate for inclusion of these areas in the national safeguarding training programme (Dr. Cooper 2020, para 7.5)

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

Recommendation Recommendation 6

Addressed to Diocese of Oxford

A concerted effort to be made to reduce the stigma of being gay within the wider Church of England communion, so that it can provide a safer place for LGBTQ+ men and women to worship, as is its intent (Dr. Cooper 2020, para 5.10)

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

Recommendation Recommendation 7

Addressed to Diocese of Oxford

Training that develops the knowledge and core skills of PSO’s and other Church Leaders e.g. holding difficult conversations, offering feedback and routine inquiry (Dr. Cooper 2020, para 5.12)

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

Recommendation Recommendation 8

Addressed to Diocese of Oxford

The CoE to develop a process to audit whether the recruitment, management and support of volunteers are consistently following the Church of England’s guidance on Safer Recruitment and other relevant policies, as well as meeting the Charity Commissioners’ standards. The audit would also need to check whether the mechanisms for safe recruitment, training, monitoring, support and supervision, including expectations expressed in codes of conduct, regarding volunteer roles are effective (Dr. Cooper 2020, para 5.40).

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

Recommendation Recommendation 9

Addressed to Diocese of Oxford

Training to be devised and delivered to include raising awareness of mental capacity, the impact of coercive control, identifying signs of abuse in changes of behaviour and temperament, and where there are concerns about ‘unwise decisions’ that are out of character, and what can help the person and those around them understand what is occurring. This can be included in basic awareness, foundation, and leadership levels of training as appropriate to the roles and responsibilities of those attending. Particular focus should be on the prevention aspects of safeguarding as well as the reactive protection aspects and should be covered at all levels of training (Dr. Cooper 2020, para 5.48).

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