Find recommendations from statutory reviews of domestic homicides, published in the Home Office DHR Library. Victim and perpetrator names are never displayed on this page.
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AI-generated summary The review identified systemic failures in multi-agency coordination, professional curiosity, and understanding of complex vulnerabilities including substance misuse, exploitation, mental health, and homelessness. It highlighted the impact…
AI-generated summary The review identified missed opportunities by agencies for professional curiosity and comprehensive risk assessment, particularly regarding non-fatal strangulation and its delayed medical complications. Challenges in inter-agency communica…
AI-generated summary The review identifies systemic invisibility and inadequate support for the victim, a male carer experiencing domestic abuse, alongside missed opportunities for multi-agency collaboration, comprehensive risk assessment, and information shar…
AI-generated summary The review highlights systemic failures in understanding trauma and domestic abuse, leading to missed opportunities for risk assessment, information sharing, and appropriate interventions for the victim. It also notes unconscious bias in a…
AI-generated summary The review identified inconsistent domestic abuse risk assessments, inadequate responses to coercive control and stalking, and fragmented multi-agency information sharing. Concerns also include a lack of trauma-informed practice and insuff…
AI-generated summary Agencies missed opportunities to identify and respond to domestic abuse, mental health concerns, and the cumulative impact of trauma on the family. Information was often held in isolation, hindering a comprehensive understanding of the ris…
AI-generated summary The review identified disjointed interagency communication, inconsistent identification and response to domestic abuse, and a lack of professional curiosity regarding the victim's multiple and intersecting vulnerabilities, including mental…
AI-generated summary The report identifies concerns with multi-agency information sharing, particularly between civilian and military services, and between health and specialist DVA services. Missed opportunities for intervention were noted given the victim's …
AI-generated summary The review identified concerns regarding the police's assessment of malicious communication and witness intimidation complaints, and the GP practice's provision of domestic violence and abuse (DVA) information and continuity of patient car…
AI-generated summary The review identifies limited agency contact, unrecognised coercive control, and missed opportunities for professional curiosity regarding relationship difficulties and mental health. Concerns include inconsistencies in firearms licensing …
AI-generated summary The review identifies a lack of holistic, multi-agency support for the victim, who experienced complex needs including domestic abuse (intimate partner and familial), mental health issues, and substance misuse. Agencies often addressed con…
AI-generated summary The review identified systemic failures in recognising and responding to domestic abuse for a vulnerable victim with complex needs, including inconsistent information sharing, inadequate risk assessment, and gaps in multi-agency support. B…
AI-generated summary The review identified concerns regarding the incomplete transfer of the victim's medical history between GP practices and a lack of professional curiosity in exploring relationship status during healthcare consultations. It also highlighte…
AI-generated summary The review identified inconsistent use of DASH risk assessments and MARAC referrals, a lack of professional curiosity, and poor multi-agency information sharing. Challenges in supporting individuals with co-occurring mental health, substan…
AI-generated summary The review highlights inconsistent agency responses to older victims of domestic abuse, including issues with risk assessment, multi-agency coordination, and understanding of coercive control and perpetrator behaviour. Concerns also exist …
AI-generated summary Key concerns include missed opportunities for multi-agency intervention, inconsistent information sharing, and a lack of robust action against the perpetrator. Conflicting advice and an inadequate understanding of domestic abuse dynamics a…
AI-generated summary The review identified missed opportunities for a full psychiatric assessment of the perpetrator and highlighted outdated domestic abuse policies across several agencies. It also noted an over-reliance on internet-based communication for pu…
AI-generated summary The review identified systemic failures in recognising the victim as a male victim of domestic abuse, a lack of professional curiosity across agencies, and poor information sharing. Agencies also struggled to adequately assess and manage r…
AI-generated summary Key concerns include the identification and robust handling of stalking, inter-agency communication and information sharing across authorities and between domestic abuse and mental health services. Delays in accessing mental health support…
AI-generated summary The report highlights concerns regarding the identification and support of male victims of domestic abuse, particularly within the BAME community, and the need for increased professional curiosity and effective information sharing among ag…
AI-generated summary The review identified a lack of coordinated multi-agency response to the victim's domestic abuse, mental health, and substance abuse issues. Key concerns include insufficient information sharing, lack of professional curiosity, and the imp…
The index holds 692 reviews from the Home Office library. 9 are not yet listed here while recommendation extraction and verification completes. 5,050 of 10,174 verified recommendations are matched to organisations tracked in the index.
These are statutory reviews under section 9 of the Domestic Violence, Crime and Victims Act 2004.