PFD report

Angela · Prevention of Future Deaths report

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Issued 13 Aug 2024•Berkshire

Report record

Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

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Concerns
3

Raised in this report

Recipients
2

Named on the report

Responses found
2

Of 2 recipients

Stated actions
15

Described in responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

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Report evidence summary

Concerns raised3

  1. Insufficient frontline staff understanding of domestic abuse and coercive and controlling behaviour
    Part of recurring concern: Failure to recognise and respond to coercive and controlling behaviour
  2. Failure of the domestic abuse risk assessment form to clearly include psychological harm from coercive and controlling behaviour within serious harm
    Part of recurring concern: Domestic abuse risk assessment is unreliablePart of recurring concern: Failure to recognise and respond to coercive and controlling behaviour
  3. Non-adoption of the new domestic abuse risk-assessment tool
    Part of recurring concern: Failure to reliably recognise and assess domestic abuse risks
Responses linked to these concerns

Each statement is shown once, even when linked to more than one concern.

Actions described in response An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.12

  1. Action

    Explore an interim solution for incorporating DARA questions and the serious-harm definition into the current crime-recording system.

    Stated by Thames Valley PoliceStated plannedThe respondent said that this action was planned when they made their response on 13 August 2024.
  2. Action

    Deliver DA Matters training, including coercive-control content, to all frontline officers.

    Stated by Thames Valley PoliceStated completedThe respondent said that this action was complete when they made their response on 13 August 2024.
  3. Action

    Develop a new Contact Management training package covering coercive control and using Angela’s death as a case study.

    Stated by Thames Valley PoliceStated in progressThe respondent said that this action was in progress when they made their response on 13 August 2024.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.5

  1. Position

    DARA cannot currently be implemented because of NICHE compatibility, contractor, training and partner-agency integration challenges.

    Stated by Thames Valley PoliceUnable to actThe respondent said that a constraint prevented them from taking the relevant action.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Insufficient frontline staff understanding of domestic abuse and coercive and controlling behaviour

Wider context from the report

“1. Whether sufficient steps have been taken to ensure that frontline staff have a clear understanding of domestic abuse and coercive and controlling behaviour – to think not just about physical abuse, but also about controlling behaviour and how that may escalate. ”

Is this part of a recurring concern?

Yes — Failure to recognise and respond to coercive and controlling behaviour.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure of the domestic abuse risk assessment form to clearly include psychological harm from coercive and controlling behaviour within serious harm

Wider context from the report

“2. I am concerned that Thames Valley Police’s DASH risk assessment form (called a DOM5) does not make it sufficiently clear that the definition of “serious harm” can include psychological harm from coercive and controlling behaviour. It may be that other formulations of this document nationally do make this clear – I have looked only at the form used by Thames Valley Police. ”

Is this part of a recurring concern?

Yes — Domestic abuse risk assessment is unreliable; Failure to recognise and respond to coercive and controlling behaviour.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Non-adoption of the new domestic abuse risk-assessment tool

Wider context from the report

“3. I heard evidence about a new tool for risk assessing domestic abuse, created by the College of Policing. Both the senior Thames Valley Police officer and the College of Policing witness gave evidence that this system is likely to result in better risk assessment for domestic abuse. As I understand it, this new tool has not been adopted by Thames Valley Police at this time, because of competing financial priorities, and an issue with compatibility with the Niche system. ”

Is this part of a recurring concern?

Yes — Failure to reliably recognise and assess domestic abuse risks.

Open source report

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Explore an interim solution for incorporating DARA questions and the serious-harm definition into the current crime-recording system.

Verbatim wording from the response

“There are challenges to implementing the DARA risk assessment model within our current version of the NICHE crime recording system. In the future TVP will be looking to adopt an updated NICHE safeguarding and vulnerability module when available. In the mean time I have asked Detective Superintendent ████████ to explore an interim solution. This will include the replacement of the current questions in the DOM5 with the questions contained within the DARA and include clear reference to the College of Policing definition of serious harm which can include psychological harm from coercive and controlling behaviour. This will be attached to the crime recording system in the form of a template. The DARA includes a number of questions designed to assess the level of coercive and controlling behaviour and the level of risk posed.”

Source location

Response from Thames Valley Police
Page 3 · response
Published 13 August 2024

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Deliver DA Matters training, including coercive-control content, to all frontline officers.

Verbatim wording from the response

“Thames Valley Police have commissioned the Safe Lives charity to deliver its ‘DA Matters’ training to all front-line officers since January 2020. This includes sessions on coercive and controlling behaviour. This training also includes an input known as ‘Crime Data Integrity’. This is essentially training officers to identify and accurately record crime and to that end specific videos have been produced covering behavioural crimes such as harassment, stalking and coercive and controlling behaviour.”

Source location

Response from Thames Valley Police
Page 2 · response
Published 13 August 2024

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Develop a new Contact Management training package covering coercive control and using Angela’s death as a case study.

Verbatim wording from the response

“In 2024 Contact Management leaders commissioned an external training provider to develop a new training package (including Coercive Control) and asked for the circumstances of Angela’s death to be included as a case study.”

Source location

Response from Thames Valley Police
Page 2 · response
Published 13 August 2024

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Review and refresh the specialist domestic abuse officer training programme with coercive-control content throughout.

Verbatim wording from the response

“The training course designed for specialist domestic abuse officers has also recently been reviewed and refreshed. Inputs on coercive and controlling behaviour run throughout the programme.”

Source location

Response from Thames Valley Police
Page 2 · response
Published 13 August 2024

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Review and improve frontline training inputs on domestic abuse and coercive and controlling behaviour.

Verbatim wording from the response

“We are always seeking to improve our training. Changes to training practice and content can be brought about in a number of ways. The training of new recruits is mandated through the College of Policing and delivered through a number of courses, collectively known as Foundation Training. All our training inputs have been reviewed and in some cases improved by an independent domestic abuse training consultancy. I am satisfied”

Source location

Response from Thames Valley Police
Page 1 · response
Published 13 August 2024

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Add the College of Policing serious-harm definition to the current domestic abuse risk assessment form.

Verbatim wording from the response

“You are right to point out that the current TVP Domestic Abuse risk assessment form (Dom5) does not define the term ‘serious harm’. The College of Policing defines the risk of serious harm as follows - ‘A risk which is life threatening and/or traumatic, and from which recovery, whether physical or psychological, can be expected to be difficult or impossible.’ This definition is included in the risk assessment model known as the DARA. I have asked Detective Superintendent ████████ to include this definition on our current risk assessment form.”

Source location

Response from Thames Valley Police
Page 3 · response
Published 13 August 2024

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Establish and license the DA Matters training course for first responders and domestic-abuse champions, with specialist-provider delivery and trainer development.

Verbatim wording from the response

“responding to coercive and controlling behaviour, the impact of such behaviours on victims, including the clear links to victim suicide and the heightened risk posed by suspects who use coercion and control in their abuse of victims. This consists of a one-day course for responders and a two-day course for ‘champions,’ those with a more involved, mentoring role. DA Matters was developed with the support of ‘Safelives,’ (a national service for victims of DA), and other key stakeholders including Women’s Aid, Suzy Lamplugh Trust, and other specialist support services. The course was piloted and evaluated in 2016 and a model of delivery, (which included co-delivery with a DA specialist) is promoted through the licensing of the product (essentially outlining the conditions by which forces must use the training course).”

Source location

Response from NPCC
Page 2 · response
Published 13 August 2024

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Develop, pilot and evaluate the DARA risk-assessment tool and aligned training for identifying coercive-control patterns.

Verbatim wording from the response

“Simultaneous to the learning products, the College carried out a review of the implementation of domestic abuse, stalking and honour based crime (DASH) risk assessment ‘tool’ introduced into policing in 2009. Working alongside Cardiff University the review findings and report prompted the development of a new tool for use by initial responders, more focused on patterns of behaviour with a focus on coercion and control rather than incidences of specific behaviours. The Domestic Abuse Risk Assessment (DARA) and aligned training was piloted and evaluated in three forces, with subsequent testing in further forces to ensure effectiveness The evaluation found that the DARA uncovered more cases of coercive and controlling behaviour (CCB), and gave officers more accurate information to use professional judgement to assess and respond to risk.”

Source location

Response from NPCC
Page 2 · response
Published 13 August 2024

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Work with police forces and relevant IT providers to drive implementation of the nationally launched DARA risk-assessment process.

Verbatim wording from the response

“The DARA was launched nationally in November 2022. Unfortunately, implementation has not been as smooth as anticipated due to competing demands for amending the various IT systems used for recording the risk assessment process, however, the NPCC and the College have been working closely with forces and relevant IT providers to drive implementation.”

Source location

Response from NPCC
Page 3 · response
Published 13 August 2024

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Review the policing implementation of the DASH risk-assessment tool.

Verbatim wording from the response

“Simultaneous to the learning products, the College carried out a review of the implementation of domestic abuse, stalking and honour based crime (DASH) risk assessment ‘tool’ introduced into policing in 2009. Working alongside Cardiff University the review findings and report prompted the development of a new tool for use by initial responders, more focused on patterns of behaviour with a focus on coercion and control rather than incidences of specific behaviours. The Domestic Abuse Risk Assessment (DARA) and aligned training was piloted and evaluated in three forces, with subsequent testing in further forces to ensure effectiveness The evaluation found that the DARA uncovered more cases of coercive and controlling behaviour (CCB), and gave officers more accurate information to use professional judgement to assess and respond to risk.”

Source location

Response from NPCC
Page 2 · response
Published 13 August 2024

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Provide learning materials and classroom training content on coercive and controlling behaviour and its legislation.

Verbatim wording from the response

“A programme of work was developed to improve the policing response to DA, including a project to examine existing risk assessment processes for victims of DA, a review of the existing training curriculum and the development of APP for this area of work. In 2015 with the inception of new legislation for the offence of coercive and controlling behaviour, several products were made available on the College learning network (College Learn) aimed at embedding knowledge of the legislation. Using a video briefing, two victims provide an insight of their lived experience of controlling and coercive behaviour, while advice and guidance is also given on the legislation. In addition, forces were provided with a new training guide and content for a half-day classroom session so that there was an option for face-to-face inputs.”

Source location

Response from NPCC
Page 1 · response
Published 13 August 2024

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Embed domestic-abuse learning, including risk assessment and protective-order responses, within all entry routes into policing.

Verbatim wording from the response

“More broadly DA is embedded in the curriculum for all entry routes into policing with various supporting products available to deliver against the curriculum (for example, areas such as Domestic Violence Disclosure Scheme (DVDS), Domestic Violence Protection Orders (DVPOs), response to DA /Stalking (Abusive Relationship digital learning, Domestic Abuse Risk Assessment (DARA/DASH) are catered for).”

Source location

Response from NPCC
Page 2 · response
Published 13 August 2024

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

DARA cannot currently be implemented because of NICHE compatibility, contractor, training and partner-agency integration challenges.

Verbatim wording from the response

“It is important to note that competing financial priorities are not the issue here. The principal challenges are compatibility with our NICHE crime recording system and the delivery of training to front line police and staff. Thames Valley Police require a contractor to initiate the changes on the NICHE system. The development of Electronic Case Files was prioritised over the implementation of DARA and that project has overrun. Any solution to this must also be compatible with other processes such as our ability to refer the information captured in our domestic abuse risk assessments in a timely fashion to other agencies with responsibilities for the protection of victims/survivors and their children, such as Children’s Social Care and colleagues in the health service. A change from DASH to DARA is a significant departure from the current process which has been in place for many years.”

Source location

Response from Thames Valley Police
Page 3 · response
Published 13 August 2024

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Existing training and guidance sufficiently equip frontline staff to understand domestic abuse and coercive and controlling behaviour.

Verbatim wording from the response

“I am satisfied frontline staff are equipped with sufficient training to understand domestic abuse and coercive and controlling behaviour. Thames Valley Police is committed to providing ongoing and updated training in these important areas.”

Source location

Response from Thames Valley Police
Page 2 · response
Published 13 August 2024

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Competing financial priorities are not the reason DARA has not been adopted; compatibility and training challenges are the principal barriers.

Verbatim wording from the response

“I heard evidence about a new tool for risk assessing domestic abuse, created by the College of Policing. Both the senior Thames Valley Police officer and the College of Policing witness gave evidence that this system is likely to result in better risk assessment for domestic abuse. As I understand it, this new tool has not been adopted by Thames Valley Police at this time, because of competing financial priorities, and an issue with compatibility with the Niche system.”

Source location

Response from Thames Valley Police
Page 3 · response
Published 13 August 2024

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Delivery of the national domestic-abuse training curriculum was not centrally undertaken; individual police forces were responsible for delivering it.

Verbatim wording from the response

“Although this was not centrally delivered forces were encouraged to deliver against the national curriculum using the specific products available.”

Source location

Response from NPCC
Page 1 · response
Published 13 August 2024

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

DARA implementation was delayed by competing demands to amend police IT systems, limiting the speed of national implementation.

Verbatim wording from the response

“The DARA was launched nationally in November 2022. Unfortunately, implementation has not been as smooth as anticipated due to competing demands for amending the various IT systems used for recording the risk assessment process, however, the NPCC and the College have been working closely with forces and relevant IT providers to drive implementation.”

Source location

Response from NPCC
Page 3 · response
Published 13 August 2024

Open published response

Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.3

  1. 1

    Maintain regular frontline training on victim communication, domestic abuse risk assessment, DVPNs and DVDS.

    Stated by Thames Valley PoliceStated completedThe respondent said that this action was complete when they made their response on 13 August 2024.
  2. 2

    Add a coercive-control indicator question to the call-handlers’ question set for domestic abuse calls.

    Stated by Thames Valley PoliceStated completedThe respondent said that this action was complete when they made their response on 13 August 2024.
  3. 3

    Develop and nationally roll out immersive Hydra learning for investigators handling coercive-control, stalking and harassment offences.

    Stated by National Police Chiefs’ CouncilStated completedThe respondent said that this action was complete when they made their response on 13 August 2024.

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Maintain regular frontline training on victim communication, domestic abuse risk assessment, DVPNs and DVDS.

Verbatim wording from the response

“Front line staff are also expected to attend 2-3 ‘Teams In Action’ training days per annum. The current training underway on these days includes communication with victims, domestic abuse risk assessments, Domestic Violence Protection Notices (DVPN) and Domestic Violence Disclosure Schemes (DVDS).”

Source location

Response from Thames Valley Police
Page 2 · response
Published 13 August 2024

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Add a coercive-control indicator question to the call-handlers’ question set for domestic abuse calls.

Verbatim wording from the response

“It is of note that in 2019 Contact Management added the following question to the Call Handlers’ question set (the list of questions asked for every domestic abuse call) to identify Coercive and Controlling Behaviour, recognising that a victim/survivor may not use that particular term but may describe behaviour amounting to Coercive and Controlling Behaviour.”

Source location

Response from Thames Valley Police
Page 2 · response
Published 13 August 2024

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Develop and nationally roll out immersive Hydra learning for investigators handling coercive-control, stalking and harassment offences.

Verbatim wording from the response

“In 2022 further funding from the Home Office to build on the DA Matters first responder course to deliver learning for investigators of ‘course of conduct’ offences including coercive and controlling behaviour, stalking and harassment. This learning will be delivered through Hydra, an immersive learning platform which takes officers through cases in a simulated environment. Train the trainer events were tested and delivered and concluded in April 2024 before the course was rolled out nationally.”

Source location

Response from NPCC
Page 2 · response
Published 13 August 2024

Open published response
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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Official responses located
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Data last updated 7 September 2026