Lack of vulnerability assessment for domestic violence recipients
Home Office received 2 coroners' reports about this hazard between 30 May 2024 and 4 May 2026.
They came from 2 different coroners in 2 coroner areas. A similar concern was raised again 1 time after the first warning.
A published response was found for 1 of the 1 earlier reports, stating 3 specific actions.
The story, report by report
Spacing grows with the time between reports.
“No evidence was seen that recipients of a 'Claires Law' Domestic Violence Disclosure are treated as being of greater vulnerability”
Original on judiciary.uk ↗ Home Office responded, stating 3 specific actions.Response (PDF) ↗Response (PDF) ↗Response (PDF) ↗Response (PDF) ↗
“NSFT has asked all clinicians that receive referrals into services to identify those where treatments have been recommended by non-NSFT clinicians in order to offer an assessment prior to signposting elsewhere on the basis that: - there may be an alternative treatment available within NSFT services that is appropriate and could be offered, based on NSFT clinical assessment; and/or - if NSFT clinicians agree that a treatment not available within standard services is required and individual”
“The SARP would like to explore the opportunities for a joined-up review process as part of this ongoing piece of work. An update regarding the proposal for a domestic homicide review is expected in September.”
Stated timescale: September
1 more stated action in the Promises tab.
- 1 year 11 months laterClosely relatedConfidence 0.80 · moderatea different coroner
“In seeking some reassurance as to her safety, the Deceased had made a Clare's Law application under the Domestic Violence Disclosure Scheme (DVDS) prior to her death; however, this was had not been progressed by Police.”
Original on judiciary.uk ↗ Repeated from the earlier report:DomesticViolenceDisclosure
Home Office responded.Response (PDF) ↗Response (PDF) ↗
- All reports to Home Office
Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals.
2024 → 2026Suseel Rana1 year 11 months after Katie Madden · different coronerClosely relatedConfidence 0.80 · moderate
Closely relatedConfidence 0.80 · moderateBoth reports highlight failures in the handling of Clare's Law (Domestic Violence Disclosure Scheme) applications, indicating that recipients are not receiving appropriate risk assessment or support.
Katie Madden · 30 May 2024
“No evidence was seen that recipients of a 'Claires Law' Domestic Violence Disclosure are treated as being of greater vulnerability”
Original on judiciary.uk ↗ Suseel Rana · 4 May 2026
“In seeking some reassurance as to her safety, the Deceased had made a Clare's Law application under the Domestic Violence Disclosure Scheme (DVDS) prior to her death; however, this was had not been progressed by Police.”
Original on judiciary.uk ↗
Stated action
“NSFT has asked all clinicians that receive referrals into services to identify those where treatments have been recommended by non-NSFT clinicians in order to offer an assessment prior to signposting elsewhere on the basis that: - there may be an alternative treatment available within NSFT services that is appropriate and could be offered, based on NSFT clinical assessment; and/or - if NSFT clinicians agree that a treatment not available within standard services is required and individual”
Stated action · timescale: September
“The SARP would like to explore the opportunities for a joined-up review process as part of this ongoing piece of work. An update regarding the proposal for a domestic homicide review is expected in September.”
Stated action
“Norfolk and Suffolk NHS Foundation Trust has said in its response to you that it has asked all its clinicians that receive referrals into mental health services to identify those where treatments have been recommended by clinicians from outside the Trust in order to offer an assessment prior to any decision being made on the most appropriate way forward”
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to Home Office at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2024 → 2026 | 0.66 | 0.19 | Closely related · 0.80 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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- Limited access to police national database by front line officers2 reports · 2021–2025
- Insufficient police resources to respond to critical calls2 reports · 2019–2025
This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.