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: WakefieldPublished: August 2026Year of death: 2022Extracted: 17 recs
Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.
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
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).