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

Wakefield review

CSP: Wakefield Published: August 2026 Year of death: 2022 Extracted: 17 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 identified missed opportunities by health and probation services to address the perpetrator's substance misuse and associated risks. Concerns include an inadequate police response to the victim's prior stalking report, delayed police notification by the ambulance service, and a lack of awareness regarding the dangers of non-fatal strangulation and GHB use in sexual activity.

Home Office classifications

17 tags

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

  • Victim - self harm
  • Victim - had been a victim of an abuser before
  • Perpetrator - case heard in court
  • Perpetrator - substance misuse
  • Perpetrator - died by suicide
  • DHR process - family contributed to dhr
  • DHR process - family consulted about terms of reference
  • DHR process - family supported by expert specialist advocate
  • DHR process - family received draft report
  • DHR process - police recommendations
  • DHR process - health services recommendations
  • DHR process - probation services recommendations
  • DHR process - community safety partnership recommendations
  • 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

17 recommendations pulled from the report · 12 matched to organisations in the index

Recommendation 1

Addressed to Wakefield Safer Together Partnership

The Wakefield Safer Together Partnership should ensure that learning summaries have been produced and circulated within the agencies providing services in Wakefield and participated in the review.

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

Recommendation 1

Addressed to Home Office | Department of Health and Social Care

The Home Office should consult with the Department of Health and Social Care on whether further research and guidance are required on the use of GHB as part of sex.

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

Recommendation 1

Addressed to NHS West Yorkshire Integrated Care Board (WYICB)

Primary care clinicians encountering any sort of drug misuse for the first time should consider undertaking a comprehensive assessment as per UK Guidelines.

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

Recommendation 1

Addressed to Probation Service

Probation Service to offer adequate numbers of Unpaid Work placements for those sentenced to requirements by the Courts

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

Recommendation 1

Addressed to The Yorkshire Ambulance Service

To continue to raise awareness in YAS staff of attempted suicide as a potential indicator of domestic abuse.

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

Recommendation 2

Addressed to Wakefield Safer Together Partnership

The Wakefield Safer Together Partnership should ensure that local DASH training and guidance include the significance and purpose of routine inquiry about non-fatal strangulation as well as any use of substances.

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

Recommendation 2

Addressed to Home Office | National College of Policing

The Home Office consult with the National College of Policing about whether further training and guidance is required on the investigation of deaths associated with strangulation during sex giving attention to issues such as how consent and sexual history are handled.

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

Recommendation 2

Addressed to Probation Service

All people subject to Probation Supervision are to be offered minimum monthly contact with a probation practitioner.

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

Recommendation 2

Addressed to The Yorkshire Ambulance Service

To actively encourage professional curiosity and to purposefully question when concerns are evident during a call to 999/111.

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

Recommendation 3

Addressed to Wakefield Safer Together Partnership

The Wakefield Safer Together Partnership should consider what further action should be taken to increase the awareness and response to the risks associated with non-fatal strangulation.

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

Recommendation 3

Addressed to Home Office | Department of Health and Social Care

The Home Office to consult with the Department of Health and Social Care about strategies for increasing public and professional awareness of the dangers associated with strangulation and GHB during sex.

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

Recommendation 3

Addressed to The Yorkshire Ambulance Service

To raise awareness of the importance of time-critical police reporting

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

Recommendation 4

Addressed to Director of Public Health in Wakefield

The Director of Public Health in Wakefield should consider whether additional training and guidance to health professionals are indicated in responding to patients who present with a history of steroid use.

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

Recommendation 4

Addressed to Home Office | Department of Health and Social Care

The Home Office should consult with the Department of Health and Social Care as to whether any additional guidance should be issued to ambulance trusts on how requests for police response are managed under critical response pathways.

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

Recommendation 5

Addressed to The Yorkshire Ambulance Service

The YAS should ensure that a focused learning briefing is issued to staff to ensure that practitioners understand their responsibilities in notifying the police as soon as possible and know how to use the specific call response protocol and pre-alerting hospitals about relevant information.

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

Recommendation 5

Addressed to Home Office | Department of Health and Social Care

The Home Office should consult with the Department of Health and Social Care about further advice to primary health care providers to undertake a comprehensive assessment of drug misuse in line with the 2017 UK Guidelines on Drug Misuse (section 2.2.2).

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