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.
Newest publication first
AI-generated summary The review highlights missed opportunities by health services to address the victim's deteriorating mental health and potential domestic abuse, including a missed referral and lack of a risk assessment. It also notes communication gaps bet…
AI-generated summary The review identified concerns regarding inaccurate record-keeping and intelligence checks by police, and inadequate safeguarding responses and referrals by schools. It also highlighted missed opportunities by housing providers to identify…
AI-generated summary The review identified a lack of agency awareness regarding intra-familial domestic abuse and potential barriers for the perpetrator to access substance misuse support due to service focus. It also highlighted issues with the prompt provisi…
AI-generated summary The review identified missed opportunities by West Yorkshire Police to link domestic incidents and make adult safeguarding referrals in Leeds. In Tower Hamlets, agencies lacked awareness of escalating domestic abuse prior to the homicide. …
AI-generated summary The review identifies systemic failures in inter-agency information sharing and risk assessment, leading to an incomplete understanding of the perpetrator's risk and the victim's vulnerability. This resulted in poor case management and bai…
AI-generated summary Key concerns include missed opportunities for early diagnosis and intervention for the perpetrator's paranoid schizophrenia due to a lack of information sharing and integrated assessment between his General Practice and his employer's Occu…
AI-generated summary The review identified missed opportunities by police, adult social care, and health agencies to share information, assess risks, and intervene effectively in a household with a history of domestic conflict, substance misuse, and mental hea…
AI-generated summary The review found systemic failures in multi-agency risk assessment and information sharing regarding the perpetrator's mental health, violence, and substance misuse. It highlights missed opportunities to classify adolescent-on-parent viole…
AI-generated summary The report identifies concerns regarding the identification of vulnerability and provision of support for the perpetrator's mental health and substance use, alongside the victim's 'invisible' carer role. It also highlights the need to enha…
AI-generated summary The review identifies inconsistent agency identification and response to domestic abuse, exacerbated by inappropriate use of family as interpreters and poor information sharing. Issues with risk assessment, MARAC thresholds, and a lack of …
AI-generated summary The review identified systemic missed opportunities by multiple agencies to identify and respond to escalating domestic abuse, coercive control, and stalking. These included failures in information sharing, consistent referral to specialis…
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.