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 This DHR highlights concerns about limited agency engagement with the victim and missed opportunities to identify the perpetrator's history of domestic abuse and firearm access. It also notes challenges in GP cooperation with DHRs and the …
AI-generated summary This DHR found no prior indication of domestic abuse or agency contact, concluding the homicide was unpredictable. However, it highlights learning points regarding alcohol, social isolation, controlling behaviours, risks at relationship br…
AI-generated summary The review highlights the long-term impact of domestic violence and abuse on children and parenting capacity, and the need for improved multi-agency assessment and support for adolescents with complex needs, particularly regarding trauma-i…
AI-generated summary The review identified concerns regarding inconsistent record-keeping and unassured domestic abuse policies at a primary care practice. It also highlighted areas for improvement in counsellor supervision and referral pathways within primary…
AI-generated summary The review identified challenges in managing the perpetrator's long-term mental illness, including issues with historical risk documentation and care plan adherence. It also noted gaps in information sharing between health and social care …
AI-generated summary The DHR identified challenges in agency engagement and communication with the Polish community, noted the lack of information on foreign criminal convictions, and questioned the DHR guidance's applicability to cases without an intimate rel…
AI-generated summary The review found no prior agency contact with the victim or perpetrator, preventing prediction or prevention of the homicide. It also identified issues with DHR process familiarity, information sharing between agencies, and health data qua…
AI-generated summary The review highlights systemic failures in inter-agency information sharing, inconsistent risk assessments, and inadequate referrals for domestic violence and safeguarding concerns. Agencies often focused solely on the perpetrator's mental…
AI-generated summary The review highlights challenges in multi-agency coordination and information sharing, particularly regarding the perpetrator's escalating distress as a carer and his declining offers of support. It also notes issues with firearms licensin…
AI-generated summary Agencies missed multiple opportunities to identify and respond to escalating domestic violence risks, particularly around separation. This included failures in risk assessment, inter-agency information sharing, and adherence to domestic vi…
AI-generated summary The report highlights missed opportunities for mental health admission and robust care planning, poor inter-agency communication, and inconsistent police responses to domestic abuse and mental health incidents. It also notes issues with mu…
AI-generated summary The review highlights missed opportunities by agencies to identify risks related to the perpetrator's alcohol misuse and controlling behaviour, coordinate support for the child, and address communication barriers for the victim.
AI-generated summary The report identifies systemic failures in recognising domestic abuse, particularly for victims with complex needs and chaotic lifestyles, leading to missed opportunities for multi-agency intervention and support.
AI-generated summary The review identified missed opportunities for statutory agencies to routinely inquire about domestic abuse during healthcare appointments and police visits. Challenges in engaging immigration services and the perpetrator's coercion relate…
AI-generated summary Agencies failed to consistently identify domestic abuse, use risk assessment tools, and share information effectively, leading to missed opportunities for safeguarding the victim and her child.
AI-generated summary The review identified significant failures in inter-agency information sharing and risk assessment regarding domestic violence. Concerns were raised about the support for young people leaving care, the management of mental health and subst…
AI-generated summary The review identified a lack of inter-agency information sharing regarding the perpetrator's gambling and funds, and insufficient support and information for carers, including a lack of crisis line details and effective involvement in risk…
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 identifies systemic challenges in managing complex cases involving co-occurring domestic abuse, mental health issues, and substance misuse, particularly concerning risk assessment for male victims and inter-agency information sh…
AI-generated summary The review identified concerns regarding the monitoring of the perpetrator's mental health, particularly in relation to repeat prescriptions and communication between mental health services and the GP. It also questioned the suitability of…
AI-generated summary The report identifies systemic failures in multi-agency information sharing, risk assessment, and coordination, particularly regarding the perpetrator's unsupervised release from prison and the victim's obscured status as a domestic violen…
AI-generated summary The review identified missed opportunities by agencies to recognise domestic abuse indicators, explore Adult A's social circumstances, and share information effectively, particularly given Adult A's vulnerabilities related to mental health…
AI-generated summary The review identified systemic failures across police forces and an NHS Trust in consistently applying domestic abuse policies, conducting risk assessments, safeguarding vulnerable adults, and sharing critical information. These shortcomin…
AI-generated summary Agencies failed to consistently recognise and respond to domestic abuse, especially in interfamilial relationships and when alcohol misuse was a factor. Challenges were noted in mental health and alcohol care pathways for intoxicated indiv…
AI-generated summary The report identifies confusion among agencies regarding the assessment of vulnerable adults in the context of domestic abuse, leading to missed opportunities for risk assessment and intervention. It also highlights a lack of information s…
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.