GPs can be the first to identify signs of domestic abuse and offer support, but we need enough time with our patients

Responding to Standing Together Against Domestic Abuse’s new report on the NHS’s response to domestic abuse, Professor Kamila Hawthorne, Chair of the Royal College of GPs, said:

“Millions of people, mostly women, face domestic abuse in some form every year, and as GPs we often see the devastating effects that has on our patients, that can sometimes last for many years even after the abuse has stopped . Given the trusted relationship GPs have with our patients, we can be the first to identify signs of abuse and offer support, so it is concerning to hear that opportunities to help victims might be being missed.

“GP consultations can be an opportunity for patients suffering domestic abuse to seek help, as they offer a space for safe and confidential conversations. To support GPs and their teams in identifying cases of abuse and neglect, and work with multiple agencies to respond appropriately to safeguarding concerns, the RCGP publishes safeguarding standards for general practice. Safeguarding training is also one of the mandatory requirements that GPs need to do regularly as part of their annual appraisals.

"It’s vital that GPs and our teams have enough time with our patients to have the conversations necessary to build a full picture of a person’s wellbeing and be able to signpost to relevant services where appropriate. At present, due to workload and workforce demands, the time we have with patients is often inadequate - especially if domestic abuse or health issues directly related to it are not the principle reason for the patient’s appointment - and need to see this change.

“Initiatives to expand the coverage of domestic abuse training across the NHS would, in principle, be welcome and valuable - as long as these are appropriately funded, take into consideration the existing training that GPs receive on safeguarding, and the workload pressures we face daily. 

“If someone is experiencing domestic abuse, in any form, or is aware of it happening to someone who cannot speak out themselves, we would urge them to seek help and support from whatever sources they find most comfortable. This could be confiding in a trusted relative, friend or healthcare professional - or using a service like The National Domestic Violence Helpline or Women’s Aid.”

Further information

RCGP press office: 0203 188 7659
press@rcgp.org.uk

Notes to editors

The Royal College of General Practitioners is a network of more than 54,000 family doctors working to improve care for patients. We work to encourage and maintain the highest standards of general medical practice and act as the voice of GPs on education, training, research and clinical standards.