Ceredigion review

That the VAWDASV specific working group that is being established in Ceredigion during the Autumn of 2021 investigate the opportunities for resourcing an older people’s specific domestic abuse service or resourcing one through Dewis Choice/WWDAS

That the Regional VAWDASV Commissioning Sub-Group, within development of the Regional VAWDASV Service Specification, maximises opportunities presented by ongoing initiatives that are aimed at closing the gap in support provision for older people in the region, for example, the Older People’s Commissioner for Wales action group of organisations and the HOPE Project

That the Regional VAWDASV Communication and Engagement Subgroup and VAWDASV’s survivor Engagement and communication framework, considers the merits of establishing a focus group of older person service users to examine issues around domestic abuse awareness raising and access to services.

That Dyfed Powys Police engage in training around specific older victims of VAWDASV and that they share and encourage all officers to access the online DHR learning materials available, including older victims and rurality sessions.

Hywel Dda University Health Board should share and promote the Regional thematic training materials in response to domestic homicides, including that on rurality

That the Carmarthenshire IRIS I pilot is fully evaluated with a view to scaling it up for use in Ceredigion

GP practices should be provided with resources (including the VAWDASV Regional Pathway to Support Document for GPs) to signpost victims and perpetrators of domestic abuse

A single point of access in Primary Care should be identified to co-ordinate the distribution and implementation of resources

The value of IRIS training needs to be re-emphasised and the proposals to implement pilots of IRIS in GP clusters should be renewed together with a review of ways of addressing any funding gaps. Should funding remain a barrier, the Welsh Government and the Home Office should be notified accordingly

GPs and the Practice Nurse at Betty and John’s GP Practice should attend Level 2 adult safeguarding training and all its practitioners should complete ‘Ask and Act’ training. Compliance should be monitored within Primary Care and reported to the UHB Strategic Safeguarding Working Group

The GP Practice safeguarding policy should be updated to describe presentations that should be considered as possible indicators of domestic abuse and which therefore present opportunities for the GP to make triggered enquiries

Processes should be put in place at the GP Practice to ensure that any messages received about domestic abuse are immediately notified to the doctor on call and that the information is recorded on patients’ records

Similar messaging should take place across all GP practices in the county for consistency

The UHB should highlight the fact that the safeguarding matrices in the All-Wales Clinical Governance Self-Assessment Tool (CGPSAT) are outdated and require review.