Manchester review

GP practice, with the support of NHS Manchester, to identify a Safeguarding Lead and for the Lead to complete duties according to the Safeguarding Children Toolkit.

Introduce steps in procedure to review perpetrator management

That MSCB and MSAB develop a Domestic Abuse Protocol to promote the referral pathway for victims of domestic abuse, including sexual violence and recommendations on best practice for those who work with perpetrators of domestic abuse including sexual violence. All agencies likely to identify victims and perpetrators of domestic violence, including GP practices and housing associations, should be included.

Ensure all staff are aware who the Safeguarding Lead is and of their own role in respect to Safeguarding Children, Adults including Domestic Violence.

Introduce steps in procedure to evaluate risk to victim

That all agencies should promote the take up of domestic abuse training for their front line staff to ensure that they recognise risk, [including the significance of bite marks as a possible indicator of sexual abuse] assess risk and respond appropriately to disclosures of domestic abuse. Training should also be offered in how best to work with perpetrators of domestic abuse.

Improve record keeping in the practice. Guidelines to be produced to include when to record and when more detail is essential.

Introduce steps in procedure to make victim aware of crisis points

That the Manchester Domestic Abuse Forum should consider a publicity campaign to target family and friends of victims of domestic abuse to direct them to support services and enable them to know how to support those who confide in them.

GP Practice to undertake a Significant Event Analysis (SEA) to enhance learning.

That MSAB and MSCB consider whether all employers should have domestic abuse policies.

Safeguarding Lead to ensure the practice is fully compliant with children and adult including domestic violence safeguarding training.

Share findings of the Serious Case Review report with: NHS Manchester/ Clinical Commissioning Group (CCGs), Mental Health commissioning colleagues Child and Adult Safeguarding colleagues

Generic competencies in GP Training that relate to risk assessment and management are applied in safeguarding situations and demonstrated to their supervisors