Carmarthenshire review

To proactively support an increase in compliance with Ask and Act training in Primary Care who have not implemented IRIS by identifying enablers and barriers to improvement

Routine enquiry to be expanded to all Minor Injuries and Accident Emergency Departments in Hywel Dda University Health Board

Implementation of a compliance audit process for Ask and Act / Routine Enquiry

Monitor compliance with Ask and Act training with evidence of measures made to address areas of poor compliance reported via operational delivery groups

Evaluate the pilot of IRIS and HARK and consider ow this may be embedded across all clusters in Hywel Dda University Health Board

To consider the links between menopause and domestic abuse within the development of the Health Board’s Menopause Pathway

Develop a 7 minute briefing on the links between Menopause and Domestic Abuse and distribute with the Guidance document56 via the Health Board’s Safeguarding Intranet, Primary Care Network and relevant forums

Share guidance and briefing with NHS Wales Safeguarding Team for circulation to all Safeguarding leads in Wales

Ensure that a service/services that can provide a bespoke, tailored service to respond to the needs of older people who are experiencing domestic abuse are commissioned across the region

Ensure that a bespoke training programme relating to older people and domestic abuse is available to practitioners as part of the Regional Safeguarding Board’s workforce development programme

Develop a regional substance use, domestic abuse and mental health pathway for individuals who present with multiple needs

Improve the consistency of GPs and wider agencies identification and referrals for specialist substance use services

Improve the knowledge and confidence of practitioners working in Tier 1 services to have conversations with individuals about their substance use and options for support and interventions

Extend the Violence against Women, Domestic Abuse and Sexual Violence National Training Framework to non-relevant authorities

IRIS to be mandated across all GP practices in Wales and resourced by Welsh Government in line with its commitments to early intervention and prevention in the National Violence against Women Domestic Abuse and Sexual Violence Strategy

Scope responses of Health Boards and NHS Trusts to Domestic Abuse, particularly the implementation and compliance with Ask and Act

Promote and include links to Ask and Act training on its learning platform57

Develop and promote resources that support GP learning in respect of links between domestic abuse, mental health and substance use

Include direction in the revised DHR guidance in respect of the sharing of information relating to individuals in cases where there has been no conviction or consent provided

Review terminology of ‘Domestic Homicide Review’ to reflect the range of deaths that fall within the criteria for a review

Implement a clear communication strategy for new DHR Guidance to ensure awareness and understanding of changes and expectations