Sexual Violence SIG
Sexual Violence SIG
COVID-19: Important Information
Immediate safety planning for survivors of domestic abuse: During self isolation and extended lockdowns, specialist services are already identifying significantly increased risks for survivors of Domestic Abuse, particularly when they live with the perpetrator.
This advice has been put together to assist supporting staff and patient survivors in their immediate safety planning. It also advises staff on key considerations when conducting remote enquiry over the telephone, which will become more common with social distancing - DOWNLOAD HERE
To access all other BASHH COVID-19 resources please visit the COVID-19 page: https://bashh.org/covid-19
SV Committee Members 2021
Chair
Deborah Wardle
Consultant in Genitourinary Medicine
Lead Clinical for Archway, Sexual Assault and Referral Centre
NHS Greater Glasgow and Clyde
deborah.wardle@ggc.scot.nhs.uk
Secretary & Nurse Representative
Lisa Walton
Specialist Nurse
Derbyshire Community Healthcare Services Integrated Sexual Health
FFLM Representative
Michelle Carroll
Senior Forensic Physician
St Mary’s SARC & Clinical Lead SAFE Place Merseyside
Other SV SIG Members
Amy Bennett
Consultant in Genitourinary Medicine and HIV
Central North West London NHS Trust
Daniela Brawley
Consultant in Sexual Health and HIV
Aberdeen Health Village, NHS Grampian
Rachel Caswell
Consultant in Sexual Health and HIV
University Hospitals Birmingham
Charlotte Cohen
Consultant GU/HIV
Chelsea & Westminster Hospital NHS Foundation Trust
Katherine Coyne
Consultant in Sexual Health and HIV
Homerton University Hospital
Fionnuala Finnerty
HIV and Sexual Health SpR,
University Hospitals Sussex NHS Trust
Ali Mears
Consultant in Genitourinary Medicine and HIV
St Marys Hospital, Imperial College Healthcare NHS Trust
Consultant in Genitourinary Medicine and HIV
University Hospitals Birmingham NHS Foundation Trust
Speciality Dr in GU/HIV
St. Mary's Hospital Imperial College Healthcare NHS Trust, London
Responding to Domestic Abuse in Sexual Health Settings - February 2016
Patients experiencing domestic abuse (DA) commonly present in sexual health services and NICE* recommends routine enquiry (i.e. asking all patients about the experience of DA, regardless of any visible signs of abuse) to identify DA within these services.
Alternative approaches include case-based enquiry (i.e. asking all patients with risk indicators e.g. un-explained injuries, depression) or targeted enquiry (i.e. asking specific patient cohorts e.g. under 18s, commercial sex workers).
Whatever identification approach is used, it is crucial that enquiry and management of a disclosure is carried out safely. This necessitates departmental guidelines, a DA proforma, management flow chart with clear referral pathways to relevant services and role-appropriate initial DA training for staff with training updates and ongoing support and supervision.
The BASHH Sexual Violence group has produced ‘Responding to Domestic Abuse in Sexual Health Settings’ to support sexual health services who want to introduce DA enquiry.
*Domestic violence and abuse: multi-agency working. National Institute for Health and Care Excellence (NICE) 2014
Completed Projects
- Responding to Domestic Abuse in Sexual Health Settings February 2016
- National survey of GUM/HIV provision of services for complainants of sexual violence
- National Survey of GUM/HIV specialist trainees' experience and training needs in managing patients who have experienced sexual violence
- Sexual Violence Training Day, BASHH Sexual Violence Group, Royal Society of Medicine, London. June 2013
- Hot Topics in Safeguarding Adults and Children in Sexual Health & HIV, BASHH ASIG and Sexual Violence Group Training Day, Royal Society of Medicine, London. September 2014
Current Projects
- BASHH guidelines: Sexual Assault Guidelines (updating)
Future projects
- Development of generic patient information leaflets that can be locally adapted for use in GUM/HIV clinics nationally
Guidelines, National Organisations and Service Providers
- BASHH Guidelines: Management of Adult and Adolescent complainants of Sexual Assault. The Management of Adult and Adolescent Complainants of Sexual Assault 1
- The Havens www.thehavens.co.uk
- St Mary's centre, Manchester www.stmaryscentre.org
- Faculty of Forensic and Legal Medicine www.fflm.ac.uk
- The Royal College of Paediatrics and Child Health and Faculty of Forensic and Legal Medicine Guidelines on Paediatric Forensic Examinations in Relation to Possible Child Sexual Abuse - Click Here
Related organisations/useful resources
-
Training for healthcare staff around Domestic Abuse
For services wishing to introduce training in their clinics, we would recommend discussion with either of these national services who have supported BASHH in the development of our routine DA enquiry toolkit.
Both services would also be able to link you in to your local specialist providers and would also be able to discuss training packages they offer.
-Standing Together Against Domestic Violence (Standing Together Against Domestic Violence is a UK charity bringing communities together to end domestic abuse) Contact training coordinator by emailing training@standingtogether.org.uk
-Victim Support (Victim Support (VS) is the independent charity for people affected by crime and traumatic events in England and Wales) Contact by emailing: l&s.general@victimsupport.org.uk or find out your nearest victim area team on https://www.victimsupport.org.uk/help-and-support/get-help/support-near-you
- Overview of trafficking in the UK and routes into services. Tamara Barnett - Healthcare and Human Trafficking
- Know Where to Go - A directory of services in London for women who have experienced violence. http://www.eaves4women.co.uk/Documents/Directories/KnowWhereToGo.pdf
- Greater London Authority - London.gov.uk.
Violence against women section: Know where to go https://www.london.gov.uk/what-we-do/mayors-office-policing-and-crime-mopac/governance-and-decision-making/mopac-decisions-0/safer-london-housing-and-violence-against-women-and-girls - Award winning Haven campaign 'Where is your line?' http://www.youtube.com/user/TheHavensCentres
- Eaves is a London-based charity that provides high quality housing and support to vulnerable women http://www.eaves4women.co.uk/
- Male Sexual abuse organisation www.survivors.org.uk
- Domestic Abuse Directory http://www.womensaid.org.uk/
- SEARCH FOR YOUR LOCAL SARC: http://www.nhs.uk/ServiceDirectories/Pages/ServiceSearchAdditional.aspx?ServiceType=RapeAndSexualAssaultSupport
- March 2012: The Home Office has launched a campaign to increase awareness of teenage rape for girls and boys.
https://www.gov.uk/government/collections/this-is-abuse-campaign - The Paddington Havens have produced a new legal booklet for young people "Your rights, your body, your life - Sexual violence and the law: a young person's guide" which is now up on their website http://www.thehavens.co.uk/help/young_people.php
You can order copies by emailing Haven@Imperial.nhs.uk - NEW REPORT: ‘A Cry for Health’: Why we must invest in DA services in hospitals
Safelives have undertaken a research project in 6 Acute Trusts to explore the impact of co-locating IDVAs in hospitals. The report found that co having IDVAs in hospital settings can significantly improve health and wellbeing outcomes for victims of domestic abuse.
The report makes for an extremely interesting read and highlights key findings about hospital IDVAs such as that they:- Are more likely to engage survivors still in relationships
- Reach more vulnerable survivors who engage with fewer other services
- Support survivors at earlier points in the abuse
- Reduce future health costs
FGM Resources and e-learning modules
The REPLACE Approach is a new way to tackle FGM in the EU and replaces the dominant methods used to end FGM in the EU which focus on raising awareness of the health and human rights issues associated with the practice and then expecting individuals to change their behaviour concerning FGM - Click Here for further information
FGM Mandatory Reporting - Department of Health support pack for health professionals available on BASHH website - Click Here
http://www.fgmelearning.co.uk/ - Home Office learning module and assessment
http://www.unicef.org/media/files/FGCM_Lo_res.pdf - Unicef document on Female Genital Mutilation/Cutting:
A statistical overview and exploration of the dynamics of change
http://www.nhs.uk/NHSEngland/AboutNHSservices/sexual-health-services/Documents/List%20of%20FGM%20Clinics%20Mar%2014%20FINAL.pdf - A list of FGM clinics
http://www.nhs.uk/NHSEngland/AboutNHSservices/sexual-health-services/Pages/fgm-health-services-for-women.aspx - NHS choices
https://www.gov.uk/government/publications/female-genital-mutilation-resource-pack/female-genital-mutilation-resource-pack - Gov.UK a Home Office resource pack on FGM
http://www.nhs.uk/NHSEngland/AboutNHSservices/sexual-health-services/Pages/fgm-resources.aspx
http://www.isb.nhs.uk/documents/isb-1610/amd-01-2014/1610012014spec.pdf
Courses, Conferences and Further Qualifications
- Public Policy Exchange - www.publicpolicyexchange.co.uk
- Scottish Womens Aid - https://womensaid.scot/
- Respect - http://respect.uk.net
- The Havens Courses - https://www.thehavens.org.uk/for-healthcare-professionals/courses/
- St Mary's Manchester forensic courses and annual conference - www.stmaryscentre.org/professional-area/st-marys-training-and-events/
- Information for nurses re training in forensic nursing: please see UKAFN (UK Association of Forensic Nurses) website - https://ukafn.org/
- Faculty of Forensic Medicine update training days - http://fflm.ac.uk/events/