Themes | Equality, Diversity & Access | The Accountability Index

VAWG services for diverse needs

Specialist services for Violence Against Women and Girls (VAWG) inadequately equipped to support all survivors, particularly those with diverse needs.

1,206 items 15 sources 1 inquiry
Source spread

Where this theme appears

This theme appears across 15 independent accountability sources, so the source mix matters as much as the headline total.

1 inquiry rec 8 PFD reports 101 committee recs 10 HMICFRS recs 7 IOPC recs 1 NAO rec 3 IMB recs 2 IMB reports 7 detention investigation recs 905 DHR recs 3 LGO/SPSO decisions 18 CJINI reports

Browse by source

Source-grouped records are useful for tracing where a concern came from. Large sections show the 50 strongest matches for that source; counts still show the full theme total.

15 sources
Inquiry recommendations(1)
Prevention of Future Deaths reports(8)
James Stokoe
16 Jan 2014 · Sunderland
Concerns: A lack of formal consultation with carers or partners of mental health service users limits comprehensive risk assessment, especially for domestic abuse involving the elderly. Concerns were also raised about ensuring locally learned lessons are shared nationally.
Overdue
Anne-Marie Katherine Ellement
04 Mar 2014 · Wiltshire & Swindon
Concerns: The armed forces' code of practice for victims of crime does not specifically address victims of alleged serious sexual assault by another soldier. Additionally, staff implementing measures following a Suicide Vulnerability Risk Assessment received insufficient training and lacked regular follow-up training.
Overdue
Jade Rayner
30 Apr 2021 · Greater Manchester South
Concerns: Concerns included Greater Manchester Police not recording or investigating a sexual offence allegation, which affected victim support. There was also an absence of a clear multi-agency strategy for complex cases and insufficient alcohol misuse support for trauma-driven needs.
Response (Greater Manchester Health and Social Care Partnership): • Two multi-agency task and finish groups would be set up to review Section 42 and Multi Agency Adults at Risk System (MAARS)/TAA processes. • Learning from the case would … (AI summary)
Response (Greater Manchester Police): • A central Crime Recording and Resolution Unit has been introduced to ensure crimes are recorded for relevant incidents. • The management of district vulnerability e-mail accounts has been reviewed, … (AI summary)
Responded
Emma Day
03 Aug 2021 · London Inner South
Concerns: The coroner identified gaps in inter-agency information sharing and recording of protective orders by various services. Additional concerns included deficiencies in the Child Maintenance Service's handling of domestic violence reports, particularly limited staff training and a restrictive policy for escalating reported threats.
Response (Metropolitan Police Service): • The Metropolitan Police Service (MPS) issued communication to MASH sergeants on 26th August 2021, instructing them to record non-molestation order details on MERLIN before sharing with Local Authorities. • … (AI summary)
Overdue
Jessica Laverack
27 Jun 2022 · East Riding and Hull
Concerns: The coroner raises concerns about insufficient recognition of the link between domestic abuse and suicide in policies, and inadequate systems to identify and care for vulnerable individuals not meeting high-risk criteria. There are also gaps in inter-agency information sharing and coordination for complex cases.
Response (Ministry of Justice): • The Ministry of Justice confirmed its contributions to Multi-Agency Risk Assessment Conferences (MARACs) when working with perpetrators or victims. • The Ministry of Justice stated it had recently improved … (AI summary)
Response (Home Office): • The Home Office stated it would carefully consider the report to identify issues already addressed and those requiring further action. • The Home Office committed to providing a full … (AI summary)
Response (Home Office): • The government published the Domestic Abuse Act 2021 Statutory Guidance and the cross-Government Tackling Domestic Abuse Plan. • The Home Office committed to updating police guidance on suicide to … (AI summary)
Response (Department of Health and Social Care): • The Department stated it is working with the Home Office on the Tackling Domestic Abuse Plan and expects the national suicide prevention strategy to include measures to tackle domestic … (AI summary)
Responded
Raneem Oudeh and Khaola Saleem
03 Nov 2022 · Birmingham and Solihull
Concerns: The coroner noted severe understaffing in the domestic abuse team within the Public Protection Unit, which resulted in cases not being investigated and left victims of domestic violence at serious risk.
Response (West Midlands Police): • The Public Protection Department was restructured in 2019, and staffing for domestic abuse investigation increased by 43% across the West Midlands since August 2018. • A Review and Allocation … (AI summary)
Response (West Midlands Police): • The Public Protection Department was restructured in 2019, establishing Adult Investigation Teams and Adult Complex Investigation Teams. • Staffing for domestic abuse investigation increased by 43% across the West … (AI summary)
Response (Home Office): • The Home Office stated it was on track to deliver its commitment of recruiting an additional 20,000 police officers by March 2023, with 15,343 recruited by September 2022. • … (AI summary)
Response (College of Policing): • The College of Policing developed and implemented 'DA Matters', a training package on coercive control, which has been delivered to 30 forces. • The College of Policing developed and … (AI summary)
Response (West Midlands Police): • The Review and Allocation team was established to manage a significant proportion of domestic abuse crime, reducing the workload for Domestic Abuse Team supervisors. • Complex cases, such as … (AI summary)
Response (West Midlands Police and Crime Commissioner): • The Police and Crime Commissioner (PCC) has increased the number of Domestic Abuse and Sexual Violence Advocates from 31 to 82. • The PCC's Police and Crime Plan commits … (AI summary)
Responded
Sylvia Crowther
28 Feb 2024 · Bedfordshire and Luton
Concerns: Important steps in the husband's arrest and conditional pre-charge bail were not followed, including the failure to seek the alleged victim's views on bail conditions. Earlier police discussion might have identified the deceased's dependence and the need for alternative support.
Response (Bedfordshire Police): • Reflective feedback was provided to the individual officer and the wider Emerald Team regarding the requirement for victim consultation on bail. • The force has an embedded process to … (AI summary)
Responded
Lee-Ann Ince
20 Jun 2024 · Manchester South
Concerns: Agencies had a limited understanding of how coercive and controlling behaviours impact mental health, did not effectively listen to children's concerns, and failed to recognise the victim's additional vulnerability due to physical health and dependency on the perpetrator.
Response (Greater Manchester Integrated Care): • Partners in Trafford agreed to file a joint response to the Regulation 28 report. • A working group was convened, including colleagues from Health, Adult Social Care, Children’s Services, … (AI summary)
Response (Greater Manchester Integrated Care): • The organisation stated it would develop and commission specialist training for practitioners to enhance understanding of coercive control dynamics, with training to commence in September 2024. • It committed … (AI summary)
Responded
Select committee recommendations(101)— showing 50 strongest matches
#187 —
Justice and Home Affairs Committee
Recommendation: They also argued for more funding for women’s services. Niki Scordi argued that women’s services have been “underfunded up and down the country for over a decade”. 358 She welcomed the fact that women’s services are now commissioned in a …
Response attribution not verified
#15 —
Justice and Home Affairs Committee
Recommendation: Women entering the Criminal Justice System in England and Wales are often the victims of abuse and discrimination, or suffering from trauma, addiction, and mental health issues. Many of them have caring responsibilities. These issues, acknowledged by the Government in …
Response attribution not verified
#47 —
Justice Committee
Recommendation: The government’s forthcoming family justice strategy should include specific measures to improve access to legally aided advice and representation for survivors of domestic abuse, including fee uplifts and simplified evidence requirements. (Recommendation, Paragraph 135)
Response status not verified
#46 —
Justice Committee
Recommendation: Access to family legal aid is essential to the government’s ambition to halve violence against women and girls. Current eligibility rules, provider shortages and uneconomic remuneration mean that survivors of domestic abuse are often unable to secure representation when they …
Response status not verified
#23 —
Human Rights (Joint Committee)
Recommendation: We look forward to the results of the evaluation of two culturally appropriate advocacy pilot schemes, which the Government should expand if the results are positive. (Recommendation, Paragraph 126) Other issues
Response attribution not verified
#14 —
Human Rights (Joint Committee)
Recommendation: We recommend that the content of this guidance be reviewed regularly, with input from victims, to ensure it is genuinely effective and helpful for victims and that it remains responsive to evolving TNR tactics. The Government should ensure that this …
Response attribution not verified
#22 —
Public Accounts Committee
Recommendation: We also received written evidence from the Prison Reform Trust, which told us that women continue to serve their sentences largely in prisons designed for men and in locations far from home.48 We were therefore concerned that there were no …
Response attribution not verified
#21 —
Public Accounts Committee
Recommendation: In its written evidence, De Montfort University told us that ‘softer’ services such as contact with family, education, work based training, peer support and therapy were of huge importance in the rehabilitation of prisoners. It also told us that therapeutic …
Response attribution not verified
#44 — Ensure women's health hubs meet specific demographic needs, accounting for religious and cultural considerations.
Women and Equalities Committee
Recommendation: Integrated care boards must ensure that their hubs meet the specific demographic needs of their populations, particularly accounting for religious and cultural considerations.
Response attribution not verified
#31 — Incorporate support for women and children conceived through rape into the Women's Health Strategy.
Women and Equalities Committee
Recommendation: The Government’s plans for the Women’s Health Strategy for England should include support and guidance for women who have conceived as a result of rape, and for children born as a result of rape. This should include tailored information on …
Response attribution not verified
#11 — Specialist VAWG services inadequately equipped to support all survivors with diverse needs.
Public Accounts Committee
Recommendation: Women’s Aid also raised concerns over how well–equipped services were to provide the necessary support to all survivors, stating that there are only two refuges nationally that are wheelchair accessible.24 Written evidence submitted by Commonweal Housing highlighted that mothers with …
Response attribution not verified
#10 — VAWG charities face overwhelming, complex demands, exceeding capacity due to external factors.
Public Accounts Committee
Recommendation: Women’s Aid told the Committee that the demands being faced by charities are increasing both in volume and complexity.20 For example, demand for specialist mental health support for survivors has increased following the COVID–19 pandemic, with over 45% of people …
Response attribution not verified
#23 — Publish new hate crime action plan focused on tackling intersectional abuse of Muslim women.
Women and Equalities Committee
Recommendation: The Government should publish a new hate crime action plan with a dedicated focus on tackling the intersectional abuse of Muslim women. This plan should include mechanisms on how to increase reporting and guidance on how public services should respond …
Response attribution not verified
#1 — Muslim women experience increasing, gendered, and intersectional abuse and discrimination in the UK.
Women and Equalities Committee
Recommendation: Muslims in the UK face increasing levels of online, verbal, and physical abuse and discrimination. Muslim women are disproportionately likely to face such abuse and experience it in ways that are specifically gendered and often linked to their race and/or …
Response attribution not verified
#11 — Set ambitious, long-term proposals for reforming the policing system and addressing crime.
Home Affairs Committee
Recommendation: Given the importance of the Government’s ambitions on crime and policing, including halving knife crime and halving Violence Against Women and Girls, and the significant challenges facing the policing system, we encourage the Government to be ambitious in setting out …
Response attribution not verified
#6 — Conduct local VAWG funding mapping and publish cross-government mapping with annual updates
Home Affairs Committee
Recommendation: We recommend that local authorities, police and crime commissioners and mayors conduct mapping exercises to identify where they allocate funding to tackle VAWG. We recommend that the Government publish alongside the VAWG strategy its cross-government mapping of where funding to …
Response attribution not verified
#5 — Mandate annual mapping and update of central and local VAWG funding
Home Affairs Committee
Recommendation: Mapping of where central and local government are spending money to tackle VAWG should lead to reduced duplication of services as well as fewer gaps in the services funded. Each local authority should annually map, and update, their funding provision …
Response attribution not verified
#170 —
Justice and Home Affairs Committee
Recommendation: Niki Scordi told us that the commissioning process in 2021 was a considerable improvement on the previous process five years earlier. She talked about “massive improvements”, and specifically welcomed the commissioning of “a holistic service” for women, allowing organisations like …
Response attribution not verified
#17 —
Justice and Home Affairs Committee
Recommendation: The Government should provide additional funding for the various rehabilitative services provided by women’s centres and explore options for wraparound support to be made available to all people who would benefit from it, giving them the best opportunity to stop …
Response attribution not verified
#16 —
Justice and Home Affairs Committee
Recommendation: We note that the Ministry of Justice shares these concerns and has commissioned some specialised women’s services. This model, in which offenders receive tailored, wraparound rehabilitative support from a single provider in a single location, is proving effective—it is dignified, …
Response attribution not verified
#20 —
Justice Committee
Recommendation: In furtherance of its strategy to combat violence against women and girls, the government should ensure that a party is not left unrepresented in family proceedings involving domestic abuse, solely because they are in low-paid work rather than in receipt …
Response status not verified
#18 —
Women and Equalities Committee
Recommendation: Government strategies to end rough sleeping must take into account that women are more likely to manage their homelessness by making themselves less visible. Using this as a coping strategy can expose them to further risks. More hidden forms of …
Response status not verified
#12 —
Human Rights (Joint Committee)
Recommendation: We recommend that the Government develop and implement a proactive outreach strategy aimed at individuals and communities likely to be at high risk of TNR. This strategy should be developed within 12 months and include clear timelines for how engagement …
Response attribution not verified
#1 —
Human Rights (Joint Committee)
Recommendation: We welcome the Government’s decision to describe TNR in broad terms. This approach provides an important opportunity to ensure that all victims of TNR are recognised regardless of ethnicity, nationality or background. (Conclusion, Paragraph 19)
Response attribution not verified
#16 — Financial uncertainty significantly harms smaller 'by-and-for' VAWG services crucial for diverse survivor needs.
Public Accounts Committee
Recommendation: This financial uncertainty can have particularly devastating consequences on smaller, specialist organisations, including those run ‘by–and–for’ the people that they serve. Standing Together Against Domestic Abuse told us that funding ‘by–and–for’ services not only ensures adequate support for all survivors, …
Response attribution not verified
#2 — Improve government departments' understanding of domestic abuse survivors' experiences and local service demands.
Public Accounts Committee
Recommendation: Government departments do not have a realistic understanding of the experiences of survivors seeking support, nor the demands faced by local services on the ground. Government departments appear to have a starkly different understanding of the support provided to survivors …
Response attribution not verified
#48 — Policing must demonstrate cultural change through excellent service for VAWG victims.
Home Affairs Committee
Recommendation: Policing needs to show rather than tell women and girls that cultural change has taken place. It can start by providing a consistently excellent service to victims and survivors of VAWG. The availability of officers with the right skills and …
Response attribution not verified
#57 —
Human Rights (Joint Committee)
Recommendation: We recommend that the Government works with the IAS Commissioner and takes the necessary steps - including financial - to facilitate the creation of a Survivor Advisory Council. (Recommendation, Paragraph 280) 83
Response attribution not verified
#56 —
Human Rights (Joint Committee)
Recommendation: We support the creation of a Survivor Advisory Council. Such a body could empower survivors of forced labour to contribute to meaningful legislative change and policy reform. (Conclusion, Paragraph 279)
Response attribution not verified
#14 — Require all universities to implement compulsory bystander intervention programmes for first-year students.
Women and Equalities Committee
Recommendation: The Office for Students’ condition of registration should require all universities to put in place compulsory evidence-based bystander intervention programmes for all first-year students. The Office for Students should strengthen its statement of expectations to ensure that universities provide that …
Response attribution not verified
#24 — Continue advancing 'Leave No One Behind' and raise marginalised groups' SRHR rights diplomatically.
International Development Committee
Recommendation: Over recent years, there has been an alarming rollback on the rights of women and girls globally, of which SRHR are integral, and further criminalisation of LGBT+ people. The merger of the Foreign and Commonwealth Office with the Department for …
Response attribution not verified
#23 — Ensure SRHR services in humanitarian contexts reach marginalised groups through FCDO knowledge-sharing.
International Development Committee
Recommendation: The FCDO has made positive progress in tackling sexual and reproductive health in humanitarian contexts, such as by adopting the Minimum Initial Services Package. The FCDO should ensure that SRHR services in these contexts reach the most marginalised groups and …
Response attribution not verified
#4 — Set out approval process for NI EVAWG strategy during Executive suspension
Northern Ireland Affairs Committee
Recommendation: We are concerned to hear about the gatekeeping of funding and other activity by paramilitary groups which has increasingly excluded women and the community and voluntary sector since the signing of the Belfast/Good Friday Agreement. This has implications for the …
Response attribution not verified
#21 — Limited consideration of women in drug strategy overlooks specific barriers to treatment access.
Public Accounts Committee
Recommendation: We were concerned that the government’s drug strategy made little reference to women.70 Written evidence submitted by the Office of the West Midlands Police and Crime Commissioner underlined the limited consideration of women and girls in the strategy, and the …
Response attribution not verified
#36 — Collect data on non-disclosure agreement use by regulated firms in misconduct cases.
Treasury Committee
Recommendation: In the meantime, we recommend that the FCA collect data on the use of NDAs by regulated firms in cases of non-financial misconduct. This will provide a more detailed, quantitative picture of the extent of their use in financial services …
Response attribution not verified
#35 — Introduce legislation to ban the use of non-disclosure agreements in harassment cases.
Treasury Committee
Recommendation: We are pleased that the Government is looking at ways to prevent this abusive use of NDAs, and we recommend the introduction of legislation to ban the use of NDAs in harassment cases.
Response attribution not verified
#34 — Widespread misuse of non-disclosure agreements silences harassment victims and protects perpetrators.
Treasury Committee
Recommendation: The widespread misuse of non-disclosure agreements (NDAs) in sexual harassment cases is shocking. NDAs have the effect of silencing the victim of harassment when they are forced out of an organisation, while protecting the perpetrator and leaving them free to …
Response attribution not verified
#33 — Launch an awareness campaign to publicise FCA whistleblowing line and clarify its use.
Treasury Committee
Recommendation: We recommend that the FCA launches an awareness campaign to publicise the availability of its whistleblowing line and clarify the circumstances in which it can be used, including that nothing in a non-disclosure agreement can prevent an individual from reporting …
Response attribution not verified
#32 — Limited awareness of FCA whistleblowing line hinders effective reporting of harassment.
Treasury Committee
Recommendation: There is limited awareness of the FCA’s whistleblowing line or how it works, and we believe there is scope to enhance its effectiveness and reduce the ‘fear factor’ victims of harassment face when reporting abuse.
Response attribution not verified
#31 — Regulators' powers constrained in tackling non-financial misconduct
Treasury Committee
Recommendation: There is an important role for regulators to play in ensuring that firms tackle sexual harassment. We welcome the proposals by the Financial Conduct Authority and by the Prudential Regulation Authority to strengthen their regimes for tackling non-financial misconduct, including …
Response attribution not verified
#30 — Clarify enforcement collaboration between EHRC and FCA on Worker Protection Act
Treasury Committee
Recommendation: Given the potential overlap between the aims of the Worker Protection Act, which will be enforced by the Equality and Human Rights Commission (EHRC), and the proposals by the Financial Conduct Authority (FCA) on handling sexual misconduct in financial services, …
Response attribution not verified
#29 — Worker Protection Act imposes new duty on firms to prevent sexual harassment
Treasury Committee
Recommendation: The new Worker Protection Act imposes a new duty on firms to prevent sexual harassment. We hope that this legislation has the desired impact of incentivising firms to take greater action to prevent harassment in the workplace, and we will …
Response attribution not verified
#28 — Strengthen whistleblowing legislation to protect and support sexual harassment whistleblowers
Treasury Committee
Recommendation: We have heard that whistleblowing processes within financial services firms are often ineffective at tackling bad behaviour or protecting those who report harassment. The Government is undertaking a review of whistleblowing laws, and we strongly recommend that the Government seeks …
Response attribution not verified
#27 — Encourage men to act as allies and challenge sexual harassment in firms
Treasury Committee
Recommendation: It is vital that sexual harassment is viewed as a problem for everyone to solve, including men. Firms should do all they can to develop a culture in which men are encouraged and incentivised to act as allies and role …
Response attribution not verified
#26 — Tackle abusive 'microaggressions' against women using unconscious bias and bystander training
Treasury Committee
Recommendation: It is also important that firms tackle the ‘softer end’ of abusive behaviour and ‘microaggressions’ against women in order to create an inclusive culture in which even low-level bullying or harassment is seen as unacceptable. Firms should consider what steps …
Response attribution not verified
#25 — Adopt zero-tolerance to sexual harassment, ensuring thorough investigations and appropriate consequences
Treasury Committee
Recommendation: Firms need to adopt a zero-tolerance approach towards sexual harassment and abuse and take concrete action to embed this approach within their organisations. Impunity for perpetrators, who are often well known in their organisations for serial offending, must end. As …
Response attribution not verified
#24 — Prevalence of sexual harassment in financial services is unacceptable
Treasury Committee
Recommendation: We have been appalled by testimonies we have received about the prevalence of sexual harassment in the financial services industry, including from some of the brave women who told us about their experiences at our own private roundtable event. Although …
Response attribution not verified
#6 — Ongoing NHS website improvements for women's reproductive health information are welcomed
Women and Equalities Committee
Recommendation: We welcome the ongoing improvements to the NHS website to include information about a wider range of women’s reproductive health conditions, information to specific communities and signposts to support and the ambition to include that information in alternative formats.
Response attribution not verified
#3 — Amend Criminal Injuries Compensation Scheme eligibility to include online sexual offence claims
Women and Equalities Committee
Recommendation: The Ministry of Justice must amend the eligibility criteria of the Criminal Injuries Compensation Scheme to bring claims from victims of sexual offences perpetrated online, specifically non-consensual intimate image abuse, within its scope. (Recommendation, Paragraph 26)
Response attribution not verified
#14 — Reconsider cuts to women and girls-specific programming and consider ringfencing funding.
International Development Committee
Recommendation: In the light of these impact assessments, the Government must reconsider the cuts to women and girls-specific programming announced by the Minister and should consider ringfencing funding for this programming. (Recommendation, Paragraph 80)
Response attribution not verified
HMICFRS recommendations(10)
Police response to violence against women and girls: Final inspection report
Immediate review of use of outcomes 15 and 16 in violence against women and girls offences.
Recommendation
The hidden victims: Report on Hestia's super-complaint on the police response to …
Ensure support mechanisms consistently provide high-quality provision for victims of modern slavery
Recommendation
Safe to share? Liberty and Southall Black Sisters' super-complaint on policing and …
Immediately stop sharing information on domestic abuse victims with Immigration Enforcement as interim measure
Recommendation
A duty to protect: Police use of protective measures in cases involving …
Review mechanism for informing police of NMOs and propose remedies for improvement
Recommendation
A duty to protect: Police use of protective measures in cases involving …
Accelerate consideration of creating bespoke offence of breaching pre-charge bail
Recommendation
A duty to protect: Police use of protective measures in cases involving …
Commission research on whether bail reduces re-offending and protects victims
Recommendation
Police perpetrated domestic abuse: Report on the Centre for Women's Justice super-complaint
The Ministry of Justice should ensure that its guidance for independent domestic violence advisors includes guidance on the specific vulnerabilities of PPDA victims.
Recommendation
Police perpetrated domestic abuse: Report on the Centre for Women's Justice super-complaint
Police and Crime Commissioners should consider whether specific risks and barriers experienced by PPDA victims are being taken into account when commissioning victims' support services.
Recommendation
Police response to violence against women and girls: Final inspection report
Structures and funding should be put in place to make sure victims receive tailored and consistent support.
Recommendation
Evidence led domestic abuse prosecutions: A joint inspection
At outset of case, consider how to prosecute if victim were to withdraw support, leading to more detailed evidence gathering
Recommendation
IOPC learning recommendations(7)
Recommendation - Devon and Cornwall Police, March 2023
The IOPC recommends that the NHS England review the resourcing of Sexual Assault Referral Centres (SARCs) within the Devon and Cornwall area. This follows an IOPC review of a Death or Serious Injury case in relation to the death of …
Recommendation - Avon and Somerset Police, March 2025
The IOPC recommends that Avon and Somerset Police implement a dynamic triaging process for Domestic Violence Disclosure Scheme (DVDS) applications. This will establish the level of risk for the applicant throughout the process and prioritise those with a higher level …
Recommendation - Home Office, September 2024
The IOPC recommends that the Home Office amends its Domestic Violence Disclosure Scheme (DVDS) statutory guidance to advise police forces to triage DVDS applications in a risk-based approach. It is suggested the guidance can be amended to instruct police forces …
Recommendations - Sussex Police, September 2024
The IOPC recommends that Sussex Police should amend their policies, training and practices around policing and safeguarding victims of domestic abuse to reflect the escalating risk if there are multiple domestic abuse incidents in a short period. Should officers attend …
Recommendations - Sussex Police, September 2024
The IOPC recommends that Sussex Police should amend training, guidance and practices around policing and safeguarding victims of domestic abuse to reflect the risk to a domestic abuse victim will likely be increased if the victim has any additional vulnerabilities …
Recommendations - Sussex Police, September 2024
The IOPC recommends that Sussex Police should amend their training, guidance and practices around policing and safeguarding victims of domestic abuse to reflect the increased risk to those experiencing domestic abuse when a suspect is known to be a serial …
Recommendation - Devon and Cornwall Police, March 2023
The IOPC recommends that Devon and Cornwall Police conduct a review of the training provided to ‘first response officers’ when dealing with victims of serious sexual offences. This follows an IOPC review of a Death or Serious Injury case in …
NAO audit recommendations(1)
IMB annual reports(2)
IMB individual recommendations(3)
Health investigations(25)
Independent investigation: Anita Bawtree, Southampton (2011) — Rec 8
Increase GP and practice staff awareness and identification of domestic violence, the potential effects on relationships / families and the service provision available for support and intervention. Develop close working relationships with domestic violence services (e.g. IDVA – Independent Domestic Violence Advisors) and health services.
south_east
Independent investigation: Anita Bawtree, Southampton (2011) — Rec 3
NHS Southampton should ensure that the IRIS (Identification and Referral to Improve Safety) project is implemented and sustained in the City to work closely with GP practices to improve identification and referral of domestic abuse cases. The project should involve both Practice 1 and 2 as involved in this case …
south_east
Independent investigation: Anita Bawtree, Southampton (2011) — Rec 2
Southampton Safe City Partnership should ensure that the Pippa (Prevention, Intervention and Public Protection Alliance) project is implemented. This will provide a clear point of contact for workers seeking advice and information about domestic abuse cases and will provide a place to make referrals of domestic abuse cases that require …
south_east
Independent investigation: Anita Bawtree, Southampton (2011) — Rec 18
Facilitate access to specialist services for victims of domestic abuse when they attended the acute hospital site.
south_east
Investigation into matters relating to Jimmy Savile at Leeds General … — Rec 13
The Trust should establish a confidential helpline and referral service for victims of Savile, including those who have not yet come forward (source: chapter seven).
Leeds Teaching Hospitals NHS Trust north_east_yorkshire
Independent investigation into the care and treatment provided to Ms … — Rec Recommendation 7
Thames Valley Police have a team of officers trained in Honour Based Abuse. The Trust and Clinical Commissioning Groups will work with the Police to utilise this resource and obtain key local contacts for advice and signposting purposes. The Clinical Commissioning Group should act as the lead body.
Ms X and her son who died in September 2014. Ms X had received care from Berkshire Healthcare NHS Foundation Trust south_east
Independent investigation into the care and treatment provided to Ms … — Rec Recommendation 13
Current advocacy services should be reviewed and steps taken to ensure that each service can provide specialists in Forced Marriage and Honour-Based Abuse. Steps should also be taken to ensure that these advocates are not drawn from local communities in order to maintain confidentiality and privacy. The Local Authority to …
Ms X and her son who died in September 2014. Ms X had received care from Berkshire Healthcare NHS Foundation Trust south_east
A Learning Lessons Bulletin on the care and treatment of … — Rec 4
Trusts should enhance their engagement with BAME communities, older people and their support groups, to improve awareness of domestic abuse and how to access specialist support services.
london
Independent investigation: Rae Torbet(Ms E), Hastings, Sussex (2003) — Rec 9.2.1
that the mental health services should develop protocols with wider Domestic Violence services to assist in supporting and protecting ex partners.
south_east
Independent investigation: Ms B, Cheltenham (2008) — Rec 3
The Trust should ensure that staff are aware of the appropriate referral pathways to utilize for service users who are experiencing, or are the perpetrators of, domestic violence.
south_west
Independent investigation: Brian Marsh, Swindon (2007) — Rec 19
That the Trust consider the need to develop Trust procedural guidance on the following (if this has not been done since the completion of this report): Suicide and serious self-harm Clinical risk management and the CMHT’s responsibilities with regards to actual or suspected domestic violence Medication non-compliance
south_west
Independent investigation: Brian Marsh, Swindon (2007) — Rec 16
That the Trust reviews the training needs of Mental Health Teams with regard to awareness of and responsibilities as health professionals when domestic violence is alleged, suspected or observed.
south_west
Independent investigation: Bernadette FoxSarah Fox, Bootle (2015) — Rec 1
The Sefton Safer Communities Partnership should ensure that all agencies within the partnership have a clear and consistent understanding of the definition of domestic abuse and the range of behaviours it encompasses, including coercive control and financial abuse. This understanding should be embedded in training, policies, and procedures across all …
north_west
Independent investigation: Anita Bawtree, Southampton (2011) — Rec 9
Increase awareness of GP role and responsibility in Safeguarding Adults with the development and implementation of individual practice Safeguarding Adult Policy. This policy should include recognising and managing Domestic Violence.
south_east
Independent investigation: Anita Bawtree, Southampton (2011) — Rec 5
The Vulnerable Victims group should consider how agencies can respond more effectively to the cumulative impact of standard and medium risk cases for adults with compounding issues such as mental health and substance misuse as well as domestic abuse. To include consideration of developing a triage system similar to Multi …
south_east
Independent report into the care of patient T: December 2015 — Rec 5
The Trust should develop a strategy to ensure the safeguarding policy incorporates domestic abuse, and that staff fully understand and implement the policy .
Hertfordshire Partnership NHS Foundation Trust east_of_england
Independent investigation into the care and treatment provided to Ms … — Rec Recommendation 9
Legal clarification should be sought by the Trust (in conjunction with its multiagency partners) regarding patient rights in relation to confidentiality and reporting on to other statutory agencies. This guidance is of particular relevance to those women who fall ‘sub’ current MARAC, Vulnerable Adult and Safeguarding processes.
Ms X and her son who died in September 2014. Ms X had received care from Berkshire Healthcare NHS Foundation Trust south_east
Independent investigation into the care and treatment provided to Ms … — Rec Recommendation 8
Additional work will be conducted with the NHS Trust, Clinical Commissioning Groups and local safeguarding Boards to ensure a streamlined process is developed in relation to NHS patients with particular attention to those women who fall ‘sub’ current MARAC, Vulnerable Adult and Safeguarding processes.
Ms X and her son who died in September 2014. Ms X had received care from Berkshire Healthcare NHS Foundation Trust south_east
Independent investigation into the care and treatment provided to Ms … — Rec Recommendation 6
A multiagency risk assessment protocol should be developed to guide all local services when working with women like Ms X. This should be based on national best practice guidance.3 This guidance should provide a seamless process and guide services though complex situations when neither MARAC nor safeguarding frameworks can legally …
Ms X and her son who died in September 2014. Ms X had received care from Berkshire Healthcare NHS Foundation Trust south_east
Independent investigation into the care and treatment provided to Ms … — Rec Recommendation 14
The Trust must establish (with support from the Clinical Commissioning Groups) a revised interpreter service in order to ensure that no person subject to Forced Marriage or Honour-Based Abuse issues has to use a family member, a member of their local community, or anyone who could be seen to potentially …
Ms X and her son who died in September 2014. Ms X had received care from Berkshire Healthcare NHS Foundation Trust south_east
Independent investigation into the care and treatment provided to Ms … — Rec Recommendation 10
The Trust will provide additional training for its staff to specifically address Forced Marriage and Honour-Based Abuse. The Trust will build up an internal resource of trained advisors to support professionals in the field and service users.
Ms X and her son who died in September 2014. Ms X had received care from Berkshire Healthcare NHS Foundation Trust south_east
Independent investigation: Sarah Smart, Oxford (2005) — Rec 15.3
CMHT and CRHT clinicians must ensure they enquire about the potential for domestic violence when carrying out an assessment.
south_east
Independent investigation: Anita Bawtree, Southampton (2011) — Rec 12
Validate the 2011 update of management of domestic abuse guidelines.
south_east
Independent investigation into the care and treatment of Mr B — Rec 11
The Trust must provide a separate handbook on the process for responding to clients or carers affected by domestic violence, to give greater detail to staff outside of the Trust policy.
Mr B who committed a homicide in 2012. Mr B was in receipt of services from South London and Maudsley NHS Foundation Trust london Accepted
Independent investigation into the care and treatment of Mr B — Rec 10
The Trust must make the following amendments to the domestic violence policy so that it is in line with best practice: • clarify the Trust responsibility and commitment in providing the working environment and comprehensive training required in order that practitioners are able to meet their obligations safely and effectively; …
Mr B who committed a homicide in 2012. Mr B was in receipt of services from South London and Maudsley NHS Foundation Trust london Accepted
Detention investigations(7)
Review into the Welfare in Detention of Vulnerable Persons — Rec 14
I recommend that transsexual people should be presumed unsuitable for detention.
Immigration Detention
Assessment of government progress in implementing the report on the … — Rec 10
While the recent decrease in the overall number of women in detention is welcome, the Home Offce should at the earliest opportunity take further steps to identify women who claim asylum in detention and whose case would be better processed in the community.
Immigration Detention
Review into the Welfare in Detention of Vulnerable Persons — Rec 45
I recommend that the Home Office seek the views of the Ministry of Justice and the Department of Health on extending section 75 of the Sexual Offences Act 2003 to IRCs, prisons and mental hospitals.
Immigration Detention
Review into the Welfare in Detention of Vulnerable Persons — Rec 35
I recommend that the service provider at Yarl’s Wood should only conduct searches of women and of women’s rooms in the presence of men in the most extreme and pressing circumstances, and that there should be monitoring and reporting of these cases.
Immigration Detention
Review into the Welfare in Detention of Vulnerable Persons — Rec 19
The Home Office should consider the need for a separate DSO on LGBI detainees. Anti-‐bullying policies should include explicit reference to LGBTI detainees.
Immigration Detention
Review into the Welfare in Detention of Vulnerable Persons — Rec 10
I recommend that the Home Office amend its guidance so that the presumptive exclusion from detention for pregnant women is replaced with an absolute exclusion.
Immigration Detention
Assessment of government progress in implementing the report on the … — Rec 19
The Home Offce and Ministry of Justice should conduct a review of the quality of interpreter services in IRCs.
Immigration Detention
Independent reviews(3)
LGO / SPSO decisions(3)
Domestic Homicide Reviews(905)— showing 50 strongest matches
Doncaster — recommendation 7
That Safer Stronger Doncaster Partnership ensures that there are services and referral pathways in place for perpetrators of domestic abuse, in particular, for those perpetrators who are not being managed within the criminal justice system.
Safer Stronger Doncaster Partnership
West Lancashire — recommendation 12
WLCSP to seek assurance from all partner agencies that have formed part of this Panel, that front line staff in all agencies are trained to recognise the indicators of domestic abuse and to ask relevant questions that enable people to feel safe to disclose their past or current experiences of …
Lancashire Constabulary | West Lancashire Community … Lancashire Constabulary
West Lancashire — recommendation 9
WLCSP to encourage all agencies that have formed part of this Panel to consider the evaluation of the Wrightington, Wigan and Leigh NHS Trust IDVA service and to encourage the relevant partners, to build a case for replicating this good practice and expanding and/or enhancing the provision of specialist hospital …
NHS Lancashire and South Cumbria Integrated … NHS Lancashire and South …
Manchester — recommendation 9
The Manchester Community Safety Partnership: Shares the learning from this DHR with the Greater Manchester Male Victims Working Group and invites the Group to discuss the findings from this DHR and works with the CSP to identify appropriate pathways into support and advice for male victims of domestic abuse and …
Manchester Community Safety Partnership | Greater … Greater Manchester Police
Manchester — recommendation 4
The Manchester CSP, supported by the LGBT+ Foundation and the Northern Centre for Sexual Health, should: Develop a programme to determine the most effective way to promote the service and raise awareness of the pathways to access the service; Encourage partners on the CSP to reflect in their safeguarding updates …
Manchester Community Safety Partnership | LGBT+ …
Gloucester — recommendation 16
DASV Commissioning Partnership and GDASS to review the IDVA provision and explore specialist IDVAs for repeat victims of domestic abuse and those with complex needs.
DASV Commissioning Partnership | Gloucestershire Domestic …
Gloucester — recommendation 6
Gloucestershire’s Joint Commissioning Partnership consider the evaluation of the commissioned pilot for supporting vulnerable women and use that to inform specific support for women who have had multiple children taken into care.
Gloucestershire’s Joint Commissioning Partnership
Doncaster — recommendation 11
That the Safer Stronger Doncaster Partnership ensures that agencies referral pathway for victims of sexual abuse is accessible for all victims.
Safer Stronger Doncaster Partnership
Pembrokeshire — recommendation 26
Organisations falling outside the remit of the National Training Framework should be encouraged by Welsh Government to include bespoke, evidence-based training on the experiences and needs of older people experiencing VAWDASV within their workforce development plans.
Welsh Government | Organisations outside National … Welsh Government
Pembrokeshire — recommendation 25
Bespoke, evidence-based training modules relating to older people’s experiences of VAWDASV should be included in the VAWDASV National Training Framework to improve identification and practitioner/service responses across all relevant authorities and specialist VAWDASV providers.
Welsh Government | Relevant Authorities | … Welsh Government
Pembrokeshire — recommendation 18
Pilot and evaluate a Health Based IDVA approach within Hywel Dda University Health Board
Regional VAWDASV Board
Pembrokeshire — recommendation 16
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
Regional VAWDASV Board
Pembrokeshire — recommendation 15
Co-design an information campaign with older people that is aimed at increasing older people and the general publics’ awareness and recognition of abuse and where/how to access information and support locally. This information should be made available in community settings accessed by older people e.g. GP surgeries, pharmacies, libraries, community …
Regional VAWDASV Board
Pembrokeshire — recommendation 14
Ensure that the needs of older people experiencing domestic abuse, in particular those living in rural areas are fully taken into account in the review of the regional Violence against Women, Domestic Abuse and Sexual Violence strategy
Regional VAWDASV Board
Pembrokeshire — recommendation 13
Commission a service/services that can provide a bespoke, tailored service to respond to the needs of older people who are experiencing domestic abuse
Pembrokeshire County Council Pembrokeshire County Council
Pembrokeshire — recommendation 8
Primary Care to ensure that GPs, Dental Practices and other primary care providers have access to Live Fear Free Helpline resources to display in settings
Hywel Dda University Health Board Hywel Dda University Health …
Pembrokeshire — recommendation 1
Lead VAWDASV and Safeguarding Practitioner to work with primary care to strengthen links with local specialist domestic abuse services
Hywel Dda University Health Board Hywel Dda University Health …
Swindon — recommendation 12
Publicise within the GP Practice information regarding the support that Swindon Women’s Aid can provide confidentially to victims of domestic Abuse. i.e. a leaflet showing that : Swindon Women's Aid is a domestic abuse service for residents living in the Swindon area. The service operates 24 hours a day and …
Swindon GP Practices | Swindon ICB NHS Bath and North …
Swindon — recommendation 10
In consultations where details of sexual relations are being discussed, Clinicians should consider including a question such as "and are you comfortable with that?" which would give the patient the opportunity to disclose any concerns they might have about their relationship(s) without causing offence in cases where there were none.
Swindon GP Practices | Swindon ICB NHS Bath and North …
Swindon — recommendation 2
It is recommended that specialist support Services including Victim support should provide help to innocent families of perpetrators. Currently Police FLOs, AAFDA and VS only provide support to the families of victims. This blanket policy misses the facts 1) that perpetrators can also be victims. 2) Their families have committed …
Swindon CSP
Hillingdon — recommendation 4.5.4
SHP to undertake a needs assessment and review of existing domestic abuse specialist support services (including the management of IDVA), and develop a comprehensive commissioning strategy that meets the needs of both victims and perpetrators and includes a focus on prevention and early intervention.
Safer Hillingdon Partnership (SHP)
Hackney — recommendation 5
Research should be commissioned by the College of Policing in consultation with specialists such as Violence Against Women and Girls (VAWG) organisations to identify a model for safe exit planning. Specialist advice would also be sought from the MPS Hostage and Crisis Unit, which have expertise in ‘deadline’ management. Such …
College of Policing College of Policing
Haringey — recommendation 4
That LCRC explore the option of female-only projects as a way to create opportunities for victims of domestic abuse to discuss and address domestic abuse.
London Community Rehabilitation Company
Haringey — recommendation 2
As part of oversight of the local VAWG services, monitor Hertfordshire Constabulary’s referrals to local support services, in particular the new IDVA service for high-risk victims.
Hertfordshire County Council Hertfordshire County Council
Haringey — recommendation 6
Drawing on this report and the experience of Review Panel members, create a strategy and guidance for addressing the situation of domestic abuse victims that find it difficult to engage with services. Consider high-risk victims, victims of serial violent offenders and victims with complex needs.
Haringey Council Haringey Council
Newcastle upon Tyne — recommendation 4
Increased support for existing charities and organisations which work with victims of domestic violence from BME communities
Home Office Home Office
Newcastle upon Tyne — recommendation 1
CSP members to amend their websites to enable non English-speaking residents to search for and access information re domestic abuse services in their own language.
Community Safety Partnership Partner agencies
Sefton — recommendation 2
SSCP work with partner agencies, and request them to review their own services in respect of domestic abuse and ensure they meet the needs of persons with similar issues to the victim. In particular as a child who had himself survived abuse and as someone who suffered with drugs, alcohol …
Sefton Safer Communities Partnership
Haringey — recommendation 4
That the Haringey Violence Against Women and Girls Strategic Group seeks to enhance its broader response to the issue of domestic abuse and wider VAWG issues – leading to a Violence Against Women and Girls Strategy and partnership VAWG policies.
Haringey Violence Against Women and Girls …
Basildon — recommendation 3
Basildon Community Safety Partnership to develop a project to work with local employers to improve awareness and responses to domestic abuse, including through workplace policies and training.
Basildon Community Safety Partnership
Herefordshire — recommendation PC1
Map of Medicine needs to include the car pathway for domestic abuse
Herefordshire Clinical Commissioning Group
Chiltern — recommendation Panel Recommendation
Review Chaperoning Policy to ensure that all domestic abuse victims, regardless of gender, have an opportunity to have a private consultation.
Buckinghamshire Healthcare Trust | Frimley Health … Buckinghamshire Healthcare NHS Trust
Chiltern — recommendation WWA Recommendation 4
Wycombe Women’s Aid Leadership Team to consider further ways of engaging with clients who are hard to reach.
Manager Wycombe Women’s Aid
Chiltern — recommendation TVP Recommendation 1
Neighbourhood Policing Teams to record any actions (multiagency or otherwise) taken as part of safety planning for a Domestic Abuse victim in the victim’s Risk Management Occurrence on NICHE.
D/Supt– C&PVPSU
Chiltern — recommendation TVP Recommendation 6
Thames Valley Police MARAC co-ordinators to provide a list of allocated actions following MARACs within three working days.
D/Supt – Crime & PVPSU
Chiltern — recommendation TVP Recommendation 4
Thames Valley Police to develop a system through NICHE/MINERVA (record management system) to alert the DAIU Detective Inspectors when a high risk domestic abuse victim’s review is required.
Performance Management Lead | D/Supt – …
Chiltern — recommendation STARS Recommendation
Team leaders attending MARAC to record the MARAC discussions in the client record on ILLY and feedback information from keyworkers.
South Staffordshire and Shropshire Healthcare Trust …
Chiltern — recommendation WWA Recommendation 3
The IDVA Manager to regularly audit random case files to establish consistency and conformity of the service provided by the IDVA team.
Manager Wycombe Women’s Aid
Chiltern — recommendation FH NHS Recommendatio
To include men as victims of domestic abuse in the content of the organisation’s domestic abuse training.
Frimley Health NHS Foundation Trust | … Frimley Health NHS Foundation …
Chiltern — recommendation Panel Recommendation
To undertake a review of information and advice available to men about Domestic Abuse locally and nationally.
Chair of the D&CV Strategy Group
Chiltern — recommendation TVP Recommendation 1
Thames Valley Police to review its capacity to manage high risk domestic abuse victims. This should look at the recent increase in victims being assessed as high risk and the reasons behind this.
D/Supt – Crime and PVPSU (TVP) …
Elmbridge — recommendation 2
Develop and trial individual and community interventions using the concept of co-production, to enhance the borough’s response to victims of domestic abuse.
Elmbridge Community Safety Partnership
Barnet — recommendation 18
Where a MARAC case includes consideration of specific cultural, ethnicity or religious interests, the MARAC coordinator should ensure that the relevant MARAC member organisation is invited for that case discussion either in person or through secure telephone conference facilities. The MARAC should keep under review the agency membership to ensure …
Hestia | Barnet MARAC
South Gloucestershire — recommendation 24
Amend initial assessment forms to assess equality and diversity needs at the start of the assessment process when a client first enters the service. As required using guidance from the Diversity Trust.
St. Mungo's Broadway
South Gloucestershire — recommendation 22
Safeguarding training to be reviewed to include reinforcement that DA can and does occur in same sex partnerships
North Bristol NHS Trust North Bristol NHS Trust
South Gloucestershire — recommendation 21
Ensure team and the service are culturally competent.
Developing Health and Independence
South Gloucestershire — recommendation 9
Avon and Somerset Constabulary should seek new partnerships with charities working with men, including men and sex working men who are at risk of exploitation/abuse from their partners, including risk of DA.
Avon and Somerset Constabulary Avon and Somerset Police
South Gloucestershire — recommendation 7
The method of making contact with a vulnerable victim should be considered extremely carefully, particularly if it is known that the perpetrator controls access to/use of a mobile telephone.
Avon and Somerset Constabulary Avon and Somerset Police
South Gloucestershire — recommendation 6
Commissioners to require agencies successful in tendering for contracts to have effective policies around domestic abuse that recognise issues relating to LGBT community
South Gloucestershire Council | Bristol City … South Gloucestershire Council
South Gloucestershire — recommendation 3
All agencies taking part in this Review and organisations which are members of the South Gloucestershire and Bristol Community Safety Partnerships have role commensurate Equalities training including competencies in working with Lesbian, Gay, Bisexual and Trans communities.
South Gloucestershire Council South Gloucestershire Council
CJINI inspection reports(18)
Improving the Provision of Care for Victims and Witnesses within the Criminal Justice System in Northern Ireland
Victims and Witnesses Jul 2005
Sexual Violence and Abuse: The handling of sexual violence and abuse by the criminal justice system in Northern Ireland
Domestic and Sexual Abuse, Crime Jul 2010
Domestic Violence and Abuse
Domestic and Sexual Abuse, Crime Dec 2010
The care and treatment of victims and witnesses in the criminal justice system in Northern Ireland
Victims and Witnesses Dec 2011
Without Witness: A Thematic Inspection of the Handling of Sexual Violence and Abuse Cases by the Criminal Justice System in Northern Ireland
Domestic and Sexual Abuse, Crime Nov 2018
No Excuse: A thematic inspection of the handling of domestic violence and abuse cases by the Criminal Justice System in Northern Ireland
Domestic and Sexual Abuse, Crime Jun 2019
A Follow-Up Review of the Without Witness Sexual Violence and Abuse inspection
Domestic and Sexual Abuse, Crime Mar 2021
A Follow-Up Review of the No Excuse Domestic Violence and Abuse inspection
Domestic and Sexual Abuse, Crime Apr 2021
Review of the effectiveness of the Domestic Abuse and Civil Proceedings Act (Northern Ireland) 2021
Domestic and Sexual Abuse, Crime Apr 2024
Annual Review of the Effectiveness of Part 1 of the Domestic Abuse and Civil Proceedings Act (Northern Ireland) 2021- Year Two Progress Review
Domestic and Sexual Abuse, Crime Apr 2025
Annual Review of the Effectiveness of Part 1 of the Domestic Abuse and Civil Proceedings Act (Northern Ireland) 2021- Year Three Review
Abuse and Exploitation, Domestic and Sexual Abuse, Crime Apr 2026
An inspection of the handling of sexual offence cases by the justice system in Northern Ireland: Donagh sexual abuse cases inspection
Risk Management and public protection arrangements, Domesti… Nov 2010
The use of special measures by the criminal justice system in Northern Ireland
Prosecution and the Courts, Court Operations, Victims and W… Apr 2012
Sexual Violence and Abuse – A follow-up review of inspection recommendations
Domestic and Sexual Abuse, Crime Oct 2013
Domestic Violence and Abuse – A follow up review
Domestic and Sexual Abuse, Crime Oct 2013
The care and treatment of victims and witnesses by the Criminal Justice System in Northern Ireland
Victims and Witnesses Jul 2020
Report on an Unannounced Inspection Ash House Women’s Prison Hydebank Wood (23-24 October and 4-7 November 2019)
Hydebank Wood Women’s Prison, Prisons Jun 2020
How the criminal justice system in Northern Ireland treats Females in Conflict with the Law
Equality, The Criminal Justice System Nov 2021
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