DASVA recognises that effective domestic abuse intervention requires multi-agency working, as no single service can address the complex and overlapping needs of victims and vulnerable children. Robust safeguarding relies on agencies sharing information, coordinating responses and working collaboratively. The patient was assessed as a high-risk victim of domestic abuse and honour-based violence and her case was subsequently referred to and discussed at MARAC.

During the Multi-Agency Risk Assessment Conference, the Chair noted: “Good support and oversight in place at this time.”

This is a huge success, resulting in multiple safeguarding referrals for children affected by domestic abuse, including Early Help and Children’s Services referrals.

“A major part of the role is training and learning for key individuals within the Trust who may be more likely to have to support these individuals” – DASVA

The DASVA role successfully trained the following key individuals within the hospital:

• 26 Safeguarding Champions received enhanced training in sexual violence, trauma-informed responses, sexual safety, bystander intervention, and Type 4 Female Genital Mutilation.
• 39 Domestic Abuse Champions received annual training, ensuring wards and departments are equipped to provide advice and support.
• Bespoke training was also delivered to, Line Managers, HR teams, and POAC Healthcare Assistants

These sessions were organised and facilitated by the DASVA with the help of external experts, strengthening staff confidence and practice.

Awareness campaigns have been prioritised, resulting in direct disclosures from patients and visitors. This includes awareness days around sexual abuse and the 16 days of action against violence against women and girls. These feature staff briefings, roadshows, and more.

Looking Ahead

Feedback from patients, staff, and external professionals has been overwhelmingly positive. As 2026 begins, the DASVA continues to receive heartfelt thank-you messages from those supported a powerful testament to the role’s impact.

“We thank the Royal Orthopaedic Hospital Charity for making this work possible. Continued investment will ensure this vital role remains embedded within ROH, enabling sustained safeguarding, early risk identification, and improved outcomes for our most vulnerable patients” – The Royal Orthopaedic Hospital Safeguarding Team.

“We’re proud and privileged to support the Trust in such vital work. Funding the DASVA role means creating a safer, more compassionate environment for those who need it most.” – Ruth Hughes Fundraising Manager, ROC.

Your support makes a real difference. By donating to ROC, you can help fund vital roles just like this one – providing life-changing support to patients, staff, and families when they need it most.