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 gaps in inter-force information sharing regarding serial domestic abuse perpetrators, challenges in completing comprehensive risk assessments, and the need for improved processes to identify and manage risk, particula…
AI-generated summary The review identifies escalating, unreported domestic abuse and coercive control, exacerbated by the victim's involvement in prostitution. Key concerns include barriers to reporting abuse within the Romanian community due, in part, to fear…
AI-generated summary The review identified inadequate multi-agency risk assessment conference (MARAC) processes, poor information sharing, and missed opportunities by agencies to identify domestic abuse indicators and offer support. It also highlighted issues …
AI-generated summary The review highlights the under-recognition of male victims of domestic abuse by professionals and the public, alongside inconsistent multi-agency information sharing and risk assessment. It also notes challenges in perpetrator engagement …
AI-generated summary The review identified inconsistent multi-agency coordination, particularly between MARAC and adult safeguarding, and challenges in engaging the victim due to complex needs and the perpetrator's controlling behaviour. Issues included limite…
AI-generated summary The review highlights significant gaps in information sharing between mental health services and primary care, leading to missed opportunities to identify and respond to long-standing domestic abuse and coercive control. It also identifies…
AI-generated summary The review identifies systemic failures in inter-agency collaboration, risk assessment, and the application of domestic abuse frameworks. Despite both the victim and the perpetrator having complex needs and agency support, the risk of homi…
AI-generated summary The review found limited agency involvement and no clear indications of risk or violence prior to the homicides, making the event largely unpredictable. However, it identified a need to review policies for managing 'did not attend' appoint…
AI-generated summary The review identified differing understandings of domestic abuse, leading to missed opportunities for safeguarding interventions despite clear signs of the victim's vulnerability, self-neglect, and exploitation by the perpetrator. There we…
AI-generated summary The review highlights the deterioration of a sibling relationship following parental deaths and an inheritance dispute, leading to a fatal assault. It notes challenges in predicting violence escalation and the limited applicability of dome…
AI-generated summary The review identified concerns regarding the perpetrator's lack of engagement with support services, gaps in continuity of support during transitions, and missed opportunities in risk management and information sharing. It also highlighted…
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…
AI-generated summary The review identified concerns regarding the incomplete transfer of the victim's medical history between GP practices and a lack of professional curiosity in exploring relationship status during healthcare consultations. It also highlighte…
AI-generated summary The review identified systemic failures in multi-agency risk assessment, information sharing, and professional curiosity, particularly regarding the perpetrator's history of violence and the dynamic nature of risk. It highlighted inadequat…
AI-generated summary The review identified a lack of coordinated multi-agency response to escalating domestic abuse, inconsistent risk assessments, and inadequate adult safeguarding training. Challenges in information sharing and the perpetrator's known histor…
AI-generated summary The DHR identified missed opportunities for early intervention and support for the victim, particularly regarding domestic violence and substance misuse. Agencies struggled with information sharing, collaborative working, and consistently …
AI-generated summary The review identified missed opportunities by agencies, particularly police and GP practices, to identify and respond to escalating domestic abuse, including coercive control, economic abuse, and image-based sexual abuse. It also highlight…
AI-generated summary The review identifies systemic issues including gender bias in domestic violence responses, leading to the victim not being recognised as a victim and the perpetrator as a perpetrator. It also highlights missed opportunities for child prot…
AI-generated summary The review identifies missed opportunities by GPs to explore wider implications of the perpetrator's mental health and family conflict, including fabricated events, which limited agencies' ability to assess risk. This highlights the need f…
AI-generated summary The review identifies concerns regarding inadequate risk assessment and management in cases of inter-familial domestic violence, particularly for same-gender relationships. It highlights failures in inter-agency information sharing and a l…
AI-generated summary The report highlights systemic failures in information sharing and multi-agency risk assessment, particularly concerning domestic abuse, mental health, and substance misuse. Agencies often lacked a full family picture, leading to missed op…
AI-generated summary The review highlights concerns regarding agencies' ability to identify and manage the victim's significant vulnerabilities, particularly her susceptibility to abusive relationships, after her children were removed from her care. There were…
AI-generated summary The report identifies missed opportunities for multi-agency intervention, superficial responses to complex family needs, and a lack of professional curiosity and information sharing, particularly regarding domestic abuse and alcohol misuse.
AI-generated summary The review found no prior agency contact with the victim or perpetrator, preventing any risk assessment or intervention. Concerns were raised regarding the availability of information on substance misuse support for families and the safegu…
AI-generated summary The review highlights concerns regarding inadequate information sharing with families of mental health patients, impacting their understanding of risk and ability to provide care. It also identifies issues with the completeness of informat…
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.