Review summaries are AI-generated from the published reports; victim and perpetrator names are removed.
Published September 2023
9 verified recommendations
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…
Original review (PDF) ↗
Published June 2023
4 verified recommendations
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…
Original review (PDF) ↗
Published May 2023
2 verified recommendations
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. …
Original review (PDF) ↗
Published May 2023
5 verified recommendations
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…
Original review (PDF) ↗
Published April 2023
4 verified recommendations
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…
Original review (PDF) ↗
Published April 2023
8 verified recommendations
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…
Original review (PDF) ↗
Published April 2023
7 verified recommendations
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…
Original review (PDF) ↗