Nottingham Insight

Domestic violence (2014)

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Topic title Domestic and Sexual Violence and Abuse (2014)
Topic owner DSV Strategy Group
Topic author(s) Dara Coppel/Liz Pierce and Jane Lewis
Topic quality reviewed February 2014
Topic endorsed by DSV Strategy Group
Current version February 2014
Replaces version 2011
Linked JSNA topics
Insight Document ID 66206

Executive summary


Domestic violence and abuse (DVA) is defined by the Home Office ( 2013) as

'Any incident or pattern of incidents of controlling, coercive or threatening behaviour, violence or abuse between those aged 16 or over who are or have been intimate partners or family members  regardless of gender or sexuality. This can encompass, but is not limited to, the following types of abuse: psychological, physical, sexual, financial and emotional.

This definition includes so called 'honour’ based violence, female genital mutilation (FGM) and forced marriage, and is clear that victims are not confined to one gender or ethnic group.’ (Home Office 2013)

Sexual violence (SV) is defined by the World Health Organisation ( 2010) as

‘Any sexual act, attempt to obtain a sexual act, unwanted sexual comments or advances, or acts to traffic or otherwise directed against a person’s sexuality using coercion, by any person regardless of their relationship to the victim, in any setting, including but not limited to home and work, This definition includes rape, defined as physically forced or otherwise coerced penetration of the vulva or anus, using a penis, other body parts or an object’.

Domestic and sexual violence and abuse are complex areas to tackle due to the hidden nature of offending and victimisation. Over a third (36%) of people report some experience of domestic violence and abuse, sexual victimisation or stalking in their lifetime and 89% of people who suffer 4 or more assaults in their lifetime are women (Walby and Allen 2004).

This needs assessment will use the term ‘Domestic and Sexual Violence and Abuse’ abbreviated to DSVA.

Gender-based violence and abuse both reflects and reinforces inequities between men and women and compromises the health, dignity, security and autonomy of its victims. It encompasses a wide range of human rights violations, including sexual abuse of children, rape, domestic abuse, sexual assault and harassment, trafficking of women and girls and several harmful traditional practices.  New forms of domestic abuse are emerging due to the new technology such as cyber stalking, using mobile phones, social networks, computers and geo-location tracking.


Key issues and gaps


The impact of domestic violence and abuse

  • Violence and abuse is experienced by many people at some point in their lives – at least 1 in 4 children and young people experience some form of abuse and 1 in 4 women experience domestic abuse at some time in their lives.
  • Reported levels of violence and abuse remain high in Nottingham.
  • Violence and abuse is estimated to cost the economy in England and Wales in 2008 £5.7 billion based on public services and loss of economic activity due to injury. It also estimated that the human and emotional costs of DV could be estimated at an additional £9.9 billion (Walby, 2009)
  • Violence and abuse have ongoing impacts and costs for health, education, criminal justice, social care, housing, civil law and the voluntary sector.
  • The lifelong impacts of violence and abuse on children can lead to multiple poor outcomes in educational and economic performance, increased anti-social behaviour and risk taking, the inability to bond during parenthood, and poorer health outcomes in the short and long term. (UNICEF 2006)
  • The task of addressing domestic and sexual violence has risen up the political agenda, both nationally and locally. Recognising the growing consequences of violence for health care services and its detrimental effect on scarce health care resources for Nottingham is vital.

The Public Health Outcomes Framework ( PHOF), 2013-2016, includes the following relevant indicators

• domestic abuse

• violent crime ( including sexual violence)

• statutory homelessness

• self-reported wellbeing

• mortality rate from preventable causes

Other relevant outcomes

• Low birth weight

• Child development

• Child poverty

• Pupil absence

• Hospital admissions for avoidable injuries for under 18s

• Self harm admissions

• Infant mortality

• Suicide rate

• Social connectedness

• Reoffending rates

• Completion of drug treatment

• Alcohol related admissions to hospital

Indicators from the NHS Outcomes Framework relevant to Domestic Violence and Abuse 2013-2016

• Potential Years of Life Lost from causes considered amenable to health care

• Reducing deaths in babies and young children

• Patient experience of NHS care ( including mental health A&E, primary care and maternity services)

• Recovery from injury

This needs analysis considers the health needs of victims/survivors and their children.

Domestic violence and abuse is also relevant to the following public health priorities and JSNA sections: sexual health, child health and wellbeing, maternal health, avoidable injury, mental health and wellbeing, prostitution, homelessness and substance misuse.


Recommendations for consideration for commissioners

An agreed domestic violence and abuse strategy and action plan across Nottingham

  • Identify recurrent funding for the specialist response to DSVA
  • Take a joint commissioning approach
  • Identify a DSVA Champion as part of the partnership
  • Strengthen the DSVA voluntary sector to respond to need and improve the response to DSVA by public services
  • Develop and publish a DSVA Charter outlining what response a citizen can expect from local services.
  • Build capacity in existing services to meet the gaps identified
  • Maintain a partnership approach to DSVA in Nottingham


Key contacts

Jane Lewis, , Domestic violence and sexual violence lead, Nottingham Crime and Drugs Partnership

Liz Pierce,  Public Health Manager, Nottingham City Council

Louise Noon, , Public Health Manager, Nottingham City Council

James Rhodes,, Policy, Performance and Insight Manager, Nottingham Crime and Drugs Partnership

Rasool Gore, Lead Commissioning Manager, Nottingham City Council

Deborah Hooton,   Head of Joint Commissioning for Children and Families, Nottingham City Clinical Commissioning Group

Ellen Martin,, Lead Commissioner, East Midlands Health and Justice Commissioning, NHS England

Anne Partington Acting Head of Safeguarding, Nottingham City Council

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