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 identified failures in information collation and sharing across agencies, leading to inadequate risk assessments and missed opportunities for intervention. It highlighted insufficient police investigations despite the victim's r…
AI-generated summary The review found that agencies could not have reasonably foreseen the homicide. However, it identified systemic failures in policies and procedures, staff training, and information sharing regarding disclosures of historical child abuse an…
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…
AI-generated summary The review highlights systemic failures in recognising domestic abuse, conducting comprehensive risk assessments, and sharing information across agencies. Professionals over-relied on the victim's ability to self-protect and lacked suffici…
AI-generated summary The report identifies systemic failures in following up domestic abuse disclosures, conducting risk assessments, and sharing information across agencies. It highlights a lack of holistic understanding of the victim's complex needs as a car…
AI-generated summary The review highlights the perpetrator's coercive and controlling behaviour as the core issue, exacerbated by agencies' difficulty in identifying the true victim due to binary classification systems and perpetrator manipulation. There were …
AI-generated summary Agencies failed to recognise the perpetrator's controlling behaviour and risk, leading to poor risk assessments and lack of effective intervention for escalating abuse. Substance misuse services did not address domestic abuse, and there wa…
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 review identified an escalation of abuse, a lack of a composite picture across agencies due to selective disclosure by the victim, and missed opportunities for routine inquiry by GPs. It also highlighted the complexity of identifying a…
AI-generated summary The review identified that services were unaware of the short-term abusive relationship, and the victim and family were reluctant to report abuse. Key issues included inadequate information sharing between health services, insufficient ris…
AI-generated summary The review identified limited agency contact, a lack of holistic family assessment, and a failure to recognise domestic abuse indicators, including coercive control and morbid jealousy. Risk assessments primarily focused on self-harm, miss…
AI-generated summary The review identified systemic failures in multi-agency coordination, risk assessment, and information sharing regarding a victim of domestic abuse with complex needs, including problematic alcohol use and mental health issues. Missed oppo…
AI-generated summary The review identified a lack of professional awareness and appropriate policies regarding older victims of domestic abuse, leading to underestimation of risk. It also highlighted issues with the use of restorative justice in domestic abuse…
AI-generated summary The review identified systemic failures in inter-agency information sharing, risk assessment, and coordinated management of the perpetrator's mental ill-health and substance misuse. Gaps in the prison release process and insufficient famil…
AI-generated summary The review identified failures in agencies' recognition and thorough exploration of honour-based violence indicators, incomplete information sharing, and missed opportunities for full disclosure from the victim. Gaps in policy adherence an…
AI-generated summary The review highlights a lack of understanding of child-to-parent abuse, inconsistent multi-agency information sharing, and failures in assessing the perpetrator's mental health and educational needs. It also notes a missed opportunity to r…
AI-generated summary The review identified failures in inter-agency information sharing and risk assessment procedures, particularly between police forces, which led to the perpetrator's extensive criminal history not being considered. It also highlighted the …
AI-generated summary The review highlights concerns regarding agencies' 'Think Family' approach, particularly in considering children's welfare and parental mental health. It also identifies issues with police categorisation in non-crime domestic incidents, th…
AI-generated summary The review identified a lack of agency contact with the victim and perpetrator, despite the victim experiencing chronic coercive control and economic abuse. Key concerns include the need for professionals to recognise subtle signs of abuse…
AI-generated summary The review identifies concerns regarding the management of transition from children's to adult services, challenges in assessing mental capacity in coercive relationships, and inadequate multi-agency risk assessment and information sharing…
AI-generated summary The review identified a widespread lack of understanding of coercive control among professionals and the wider community, leading to missed opportunities for intervention. Gaps in information sharing between health services and with educat…
AI-generated summary The review highlights a significant lack of third-party reporting of domestic abuse, stemming from public reluctance to interfere and limited awareness of support services. It also identifies missed opportunities by health and social care …
AI-generated summary The report highlights failures in safeguarding procedures, risk assessment, and inter-agency information sharing, particularly in underestimating the risk posed by an elderly perpetrator with declining health and potential dementia. It not…
AI-generated summary The review identified systemic failures in multi-agency responses to domestic abuse, including inadequate risk assessment, poor information sharing, and a lack of understanding regarding the heightened risk during separation. Cultural fact…
AI-generated summary The review highlights missed opportunities by agencies to identify and respond to coercive and controlling behaviour and to support children exposed to domestic abuse. It also notes the dangers of informal partner background checks and the…
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.