Nottinghamshire Insight

Joint strategic needs assessment

Domestic violence and abuse (2014)

This is an online synopsis of the topic which shows the executive summary and key contacts sections. To view the full document, please download it.

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Topic title Domestic violence and abuse (2014)
Topic owner Domestic and Sexual Abuse Executive
Topic author(s) Nick Romilly
Topic quality reviewed 25th February 2014
Topic endorsed by Domestic and Sexual Abuse Executive March 2014
Topic approved by HWIG 26th March 2014
Current version Final 24th April 2014
Replaces version Final draft 18th March 2014

Executive summary

Introduction

  • Over 27,000 people experience domestic abuse in the previous 12months and more than 156,000 people do so across their lifetime (16-59 years)
  • There have been 11 domestic homicides in Nottinghamshire between 2011 and 2013
  • Approximately 75% of children living in households where domestic abuse occurs are exposed to actual incidents[i].  These children have an increased risk of developing acute and long term physical and emotional health problems[ii]
  • Reporting of domestic abuse incidents to Nottinghamshire Police has increased from approximately 6,000 in 2009 to 10,000 in 2013
  • Recording of domestic abuse crimes by Nottinghamshire Police has increased gradually from 2009 to 2013

Figure 1 Info-graphic showing estimated numbers of people experiencing domestic abuse in Nottinghamshire

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[i]Royal College of Psychiatrists (2004) Domestic Violence: its effects on children, Factsheet for parents and teachers [online]. Available from www.rcpsych.ac.uk/mentalhealthinfo/mentalhealthandgrowingup/domesticviolence.aspx

[ii] Felitti VJ, Andrea RF, Nordenberg et al Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) study. American Journal of Preventative Medicine 1998;14 in Arias et al (2002) Violence against Women: the State of Batter Prevention Programs. The Journal of Law, Medicine and Ethics Vol 30:3

Unmet needs and gaps

A number of areas remain of concern and further investigation of local data and emerging evidence will be required to inform future decision making. The following is in no particular order and is not conclusive:

  • Extent and impact of domestic abuse on older people
  • Extent and impact of domestic abuse on lesbian, gay, bi-sexual and transgender (LGBT) people
  • Support requirements of diverse groups such as older people, disabled people and LGBT people
  • Teenage abuse both within teenage relationships and teenagers perpetrating abuse on family members
  • Cost and effectiveness of perpetrator programmes
  • Support for male victims
  • Honour based violence
  • Outcomes in relation to domestic abuse and difference in outcomes between groups of people
  • Preventative approaches to domestic abuse

Recommendations for consideration by commissioners

  1. Commission sufficient numbers of Independent Domestic Violence Advocates (IDVAs) to at minimum meet the Co-ordinated Action Against Domestic Abuse (CAADA) recommended coverage of 4 IDVAs per 100,000 adult female population 
  2. Enhance the Multi Agency Risk Assessment Conference (MARAC) process through improved engagement and information sharing between MARAC and GP practices
  3. Clinical Commissioning Groups (CCGs) to commission Identification and Referral to Improve Safety (IRIS) in accordance with recommendation 16 in NICE Public Health Guidance (PH50 published February 2014)
  4. Investigate the possible reasons why there is a lower rate of recording of domestic abuse (6.4 per 1000 population) by Nottinghamshire Police  than other local authority areas and the regional(16.4 per 1000) and national (18.2 per 1000) average.
  5. Workforce to implement training in line with NICE PH50 guidance level 1-4
  6. Improve data collection and reporting of outcomes in relation to domestic abuse and abuse across Specialist Domestic Violence and Abuse Services
  7. Extend midwifery reporting of domestic abuse to all three Acute Hospital Trusts
  8. Implement the recommendations outlined in the Domestic Violence and Abuse review (2014) and NICE PH50 guidance

Key contacts

None provided.

This is an online synopsis of the topic which shows the executive summary and key contacts sections. To view the full document, please download it.

Full report »