Review summaries are AI-generated from the published reports; victim and perpetrator names are removed.
Published September 2023
3 verified recommendations
AI-generated summary The review identified missed opportunities to assess the perpetrator's role as a carer, particularly given his own mental health issues and the victim's increasing dependency. Concerns were also raised about the detail in GP records, medic…
Original review (PDF) ↗
Published September 2023
16 verified recommendations
AI-generated summary The review identified systemic failures in multi-agency risk management, particularly regarding the intersection of domestic abuse, substance misuse, homelessness, and trauma. There was a lack of adequate mental health support, suicide pre…
Original review (PDF) ↗
Published August 2023
7 verified recommendations
AI-generated summary The review highlights systemic failures in inter-agency communication and risk assessment, particularly regarding domestic abuse and mental health. Key concerns include missed opportunities to act on disclosures of coercive control, inadeq…
Original review (PDF) ↗
Published June 2023
4 verified recommendations
AI-generated summary The review identifies significant barriers for non-UK born residents, particularly the Polish community, in accessing domestic abuse support due to language and cultural issues, lack of specialist services, and inadequate staff training. I…
Original review (PDF) ↗
Published April 2023
33 verified recommendations
AI-generated summary The report highlights systemic weaknesses in multi-agency coordination (DVIC, MARAC, MASH), inconsistent information sharing, and policy non-compliance. These issues, coupled with failures to address root causes like alcohol misuse and man…
Original review (PDF) ↗
Published December 2022
11 verified recommendations
AI-generated summary The review highlights missed opportunities by agencies to conduct comprehensive risk assessments, particularly regarding the perpetrator's controlling behaviour and the victim's vulnerability. Insufficient information sharing and contextua…
Original review (PDF) ↗