Seize the Moment to End Domestic Abuse - July 2020 - Rt Hon Theresa May MP, Elizabeth Filkin CBE, Employers ...

 
CONTINUE READING
Seize the Moment to End Domestic Abuse - July 2020 - Rt Hon Theresa May MP, Elizabeth Filkin CBE, Employers ...
Seize the Moment to End
       Domestic Abuse

                 July 2020

Rt Hon Theresa May MP, Elizabeth Filkin CBE,
Rt Hon Lord Wilson of Culworth, Dr Peter Aitken
Seize the Moment to End Domestic Abuse - July 2020 - Rt Hon Theresa May MP, Elizabeth Filkin CBE, Employers ...
Seize the Moment to End Domestic Abuse

Foreword

This short paper suggests the case for a continuing government-funded campaign to publicise the
implications of the forthcoming Domestic Abuse Bill, made urgent by the adverse impact of the
COVID-19 outbreak on behaviour and outlines a range of actions that could be taken by government
departments today to improve domestic abuse interventions.

                                                                                                  1
Seize the Moment to End Domestic Abuse - July 2020 - Rt Hon Theresa May MP, Elizabeth Filkin CBE, Employers ...
Seize the Moment to End Domestic Abuse

Authors

Rt Hon Theresa May MP

                   Theresa May has served as the Member of Parliament for Maidenhead since 1997
                   and has held several positions within Parliament and Government. In 2010 she
                   was appointed Home Secretary, a position which she held for 6 years before
                   becoming Prime Minister. As Prime Minister, Theresa introduced the Domestic
                   Abuse Bill to Parliament, which builds on measures she introduced as Home
                   Secretary including creating a new offence for controlling and coercive behaviour.

Elizabeth Filkin CBE

                   Former Parliamentary Standards Commissioner, Elizabeth has carried major
                   roles in both the private and public sectors. She currently combines chairing the
                   Employers’ Initiative on Domestic Abuse, TecSOS, The Independent Advisory
                   Board, Marston Holdings with a non-executive directorship at Driver Group plc.
                   She also serves on the Vodafone Trust.

Rt Hon Lord Wilson of Culworth

                   Nicholas Wilson was a barrister for 25 years and practised exclusively in the field
                   of family law. He was then a High Court judge of the Family Division for 12 years
                   and ultimately a judge of the UK Supreme Court for nine years until his retirement
                   in May 2020.

Dr Peter Aitken MRCGP FRCPsych DCH DRCOG FHEA

                   Peter Aitken is Director of Research & Development at Devon Partnership NHS
                   Trust and Hon Associate Professor, University of Exeter Medical School. He is
                   mental health advisor to the National Association of Primary Care, Chair of the
                   Royal National Lifeboat Institute Medical Committee, Trustee at Anthony Nolan
                   and The Lions Barber Collective and a member of the steering group of the Zero
                   Suicide Alliance. He represents the Royal College of Psychiatrists on the Joint
                   Royal Colleges Ambulance Liaison Committee.

                                                                                                      2
Seize the Moment to End Domestic Abuse - July 2020 - Rt Hon Theresa May MP, Elizabeth Filkin CBE, Employers ...
Seize the Moment to End Domestic Abuse

Contents

Costs of domestic abuse................................................................................................................... 4

Impact of lockdown on domestic abuse ............................................................................................ 4

Interventions ..................................................................................................................................... 5

Impact of COVID-19 on family justice ............................................................................................... 7

The Domestic Abuse Bill ................................................................................................................... 8

Domestic abuse post COVID-19 ....................................................................................................... 8

Recommendations for the Department for Health and Social Care ................................................... 9

Recommendations for the Home Office .......................................................................................... 10

Recommendations for the Ministry of Justice .................................................................................. 10

Recommendations for the Department for Business, Energy and Industrial Strategy ...................... 10

Recommendations for the Department for Education ...................................................................... 11

Summary ....................................................................................................................................... 11

                                                                                                                                                   3
Seize the Moment to End Domestic Abuse

1.     Costs of domestic abuse
1.1. Domestic abuse in its various forms kills people and damages lives for generations. Many of its
     antecedents are well known and well characterised.
1.2.   Figures from the Crime Survey of England and Wales show that in the year ending March 2019,
       2.4 million people had suffered some form of domestic violence of which 1.6 million were
       women.1 In 2015 SafeLives reported a figure of 130,000 children living in a home with high risk
       domestic abuse that is with a significant risk of harm or death.2
1.3. In the ten years prior to the COVID crisis the number of domestic homicides had fallen from 163
     in 2008/09 to 129 in 2018/19. The lowest figure during this period was 111 in 2017/18.3
1.4. Domestic abuse also has an economic impact. In 2016/17, in England and Wales, £1.3 billion
     was spent on dealing with domestic abuse according to Home Office research.4 This represents
     10.2% of the policing budget.5 The same research showed that lost output and reduced
     productivity resulting from domestic abuse cost the country £14 billion. This is in addition to the
     nearly £50 billion the Home Office estimated was the cost of physical and emotional harm. As
     a comparison, in 2014 researchers from Lancaster University published ‘Estimating the Costs
     of Gender Based Violence in the EU’ which used the UK as a case study and estimated costs
     in 2012 for the UK as being €32.6 billion of which €15.4 billion related to intimate partner
     violence.6

2.     Impact of lockdown on domestic abuse
2.1. There is a complex set of interactions between poor social health, health and mental health all
     being adversely impacted by the virus directly, the effect of lockdown, compounded by
     maladaptive coping behaviour in domestic settings with a cumulative risk for escalating
     domestic abuse.
2.2. In ‘lockdown’ people are not out at work, children are at home, dwellings are overcrowded,
     aggravating factors increased, coping alternatives restricted and access to reliable help
     reduced. For many domestic abuse victims, work is their safe place and if required to work from
     home, they no longer have one. Equally, for the children, school is their safe place and if unable
     to attend school, they no longer have one and are at greater risk of witnessing abuse or even
     of being direct victims of it.
2.3. One documented aggravating factor in many domestic abuse cases is alcohol. Finlay and
     Gilmore explore this and the increase in alcohol consumption during lockdown in a paper
     published in May 2020. They summarise:
       “Alcohol is strongly associated with domestic violence, and an early feature in lockdown was a
       rise in calls to domestic violence charities. It is difficult to gather causal data on alcohol and
       domestic abuse, and the relationship between alcohol and domestic violence is complex.
       However, research finds that 25-50% of perpetrators of domestic abuse have been drinking at
       the time of the assault, and in some studies, this is as high as 73%. Strathclyde Police data
1
  Office for National Statistics (2019) ‘Domestic Abuse in England and Wales Overview’. Available from:
https://www.ons.gov.uk/peoplepopulationandcommunity/crimeandjustice/bulletins/domesticabuseinenglandandwalesoverview/november2
019 [accessed 18/06/2020]
2
  SafeLives (2015) ‘Getting it right first time: policy report’ Bristol: SafeLives.
3
  Office for National Statistics (2020) ‘Appendix tables: homicide in England and Wales’. Available from:
www.ons.gov.uk/peoplepopulationandcommunity/crimeandjustice/datasets/appendixtableshomicideinenglandandwales [accessed
05/06/2020]
4
  Oliver, R., Alexander, B., Roe, S. & Wlasny, M. (2019) ‘The Economic and Social Costs of Domestic Abuse’ Home Office, research
report 107, p.42
5
  Home Office (2019) ‘Police Funding for England and Wales 2015-2020’ Available from:
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/815102/police-funding-england-and-
wales-2015-to-2020-hosb1019.pdf [accessed 09/06/2020] p.7
6
  Walby, S. & Olive, P. (2014) ‘Estimating the costs of gender-based violence in the European Union’, European Institute for Gender
Equality, Luxembourg.

                                                                                                                                 4
Seize the Moment to End Domestic Abuse

       from 2004-12 found that the accused party was under the influence of alcohol in about 60% of
       police callouts for domestic incidents. The Home Office review in 2016 showed that alcohol was
       involved in almost half of domestic homicides.”7
2.4. A rapid review of the psychological impact of quarantine measures, published in March,
     reported ‘negative psychological effects including post-traumatic stress symptoms, confusion,
     and anger.’ The article stated that stressors include ‘longer quarantine duration, infection fears,
     frustration, boredom, inadequate supplies, inadequate information, financial loss, and stigma.’
     Overall the review suggested the psychological impact of quarantine can be long-lasting.8
2.5. There is a multitude of indications that the COVID situation has exacerbated domestic abuse.
     Calls to the National Domestic Abuse Helpline, run by Refuge, and visits to its website have
     risen exponentially during the crisis. Sandra Horley, Refuge’s Chief Executive, said that calls
     had increased by 66% and visits to the website by a phenomenal 957% in the two weeks prior
     to 27 May.9 Meanwhile, a helpline for perpetrators of domestic abuse seeking help to change
     behaviour has also received 25% more calls since lockdown began.10
2.6. The project ‘Counting Dead Women’ has been tracking violence against women during the
     lockdown period and noted that deaths from domestic abuse between 23 March and 12 April
     2020 had more than doubled (to 16 deaths) compared with the average rate in the same period
     over the previous 10 years (5 deaths).11
2.7. An increase has also been noted in recent police statistics. The Metropolitan Police made an
     average of nearly 100 arrests each day for domestic abuse between 8 March and 19 April. The
     number of charges and cautions is 24% higher than in 2019.12 It is also reported that in London
     alone there were 4000 domestic abuse related arrests between 29 March and 10 May.13

3.     Interventions
3.1. For a variety of well understood reasons the subject of domestic abuse remains one that is
     shrouded in shame, secrecy and subjugation meaning that it can be difficult to offer
     interventions.
3.2. A series of testimonies published by SafeLives reveal the experience of victims who found it
     difficult to speak up about the abuse they were suffering. These lay bare the shame, secrecy
     and subjugation connected with abuse:
       “I had a safe, loving family but I still never really told them how bad it was for me – and it was
       very bad. At times my life was at risk.”
       “When I was with my abuser, the abuse was a kind of a hidden secret. I kept up work and had
       the kids immaculate, always on time for nursery – to an outsider looking in it looked like I had
       the perfect life.”
       “During the period of time I was experiencing domestic abuse at home, I was working as a police
       officer. I recall a time when a colleague took me to one side and said 'we are all worried about

7
  Finlay, I. & Gilmore, I. (2020) ‘Covid-19 and alcohol—a dangerous cocktail.’ BMJ vol 369, issue 8247
8
  Brooks, S., Webster, R., Smith, L., et al. (2020) ‘The psychological impact of quarantine and how to reduce it: rapid review of the
evidence’ The Lancet, Vol. 395, p.912-920
9
  Slack, T. & Newbery, A. (2020) ‘Coronavirus: Domestic abuse website visits up 10-fold, charity says.’ Available from:
https://www.bbc.co.uk/news/uk-england-52755109 [accessed 08/06/2020]
10
   Townsend, M. (2020) ‘Revealed: surge in domestic violence during Covid-19 crisis.’ Available from:
https://www.theguardian.com/society/2020/apr/12/domestic-violence-surges-seven-hundred-per-cent-uk-coronavirus [accessed
08/06/2020]
11
   Grierson J. (2020) ‘Domestic abuse killings ‘more than double’ amid covid-19 lockdown.’ Available from:
www.theguardian.com/society/2020/apr/15/domestic-abuse-killings-more-than-double-amid-covid-19-lockdown [accessed: 05/06/2020]
12
   BBC (2020) ‘Coronavirus: Met Police making 100 domestic violence arrests a day’ Available from: www.bbc.co.uk/news/uk-england-
london-52418650 [accessed on 05/06/2020]
13
   O’Hagan, E. (2020) ‘The shocking rise in domestic violence sweeping UK as families isolate during the coronavirus pandemic.’
Available from: www.thesun.co.uk/fabulous/11567119/rise-domestic-violence-coronavirus/ [accessed 05/06/2020]

                                                                                                                                        5
Seize the Moment to End Domestic Abuse

       you, and want you to know if you need help we will help you.' I remember being horrified that
       my colleagues had been talking about me in this way. You see for me work was where I had a
       sense of worth, something that I was good at, that he couldn’t spoil. I recall immediately saying
       I was ok and that they needn’t worry. Up until then I thought I was doing a great job covering up
       injuries and making excuses for them. It was such a shock that other people knew.”
       “…there’s no way I would have even framed what I was going through as abuse – it had become
       my ‘normal’ so gradually. The chances of me reaching out for help or support would be zero
       unless things escalated to physical abuse, and maybe not even then. I wouldn’t have talked to
       my parents about it as I wouldn’t want to worry them.”14
3.3. There are known interventions effective in primary prevention, stopping it happening; secondary
     prevention, minimising the risk from it; and tertiary prevention, victim support and dealing with
     the perpetrator.
3.4. During the COVID-19 crisis the Government has recognised the need to provide extra support
     for the victims of domestic abuse through funding and advertising campaigns with initiatives like
     “You’re not alone”. The Metropolitan Police and the NSPCC have understood the risks posed
     by the lockdown and provided targeted campaigns, including in supermarkets, to provide victims
     with information about how to report abuse and gain access to safe spaces.
3.5. On 21 May 2020 the Prime Minister hosted a summit entitled Hidden Harms. It is now the subject
     of a policy paper dated 26 June in which, in striking terms, the government declared that the
     protection of all those at risk of abuse was its “absolute priority” and in which individual
     departments proceeded to make a variety of commitments in that regard.15 We look forward to
     seeing early and continuing action on this.
3.6. Many employers have been innovative in offering support to employees facing domestic abuse
     during the lockdown. For example, Lloyds Banking Group has informed staff that if they need
     to leave home, it will arrange hotel accommodation and help them move. Lloyds is also
     partnering with Surviving Economic Abuse in supporting employees.16 Chelsea Football Club
     are supporting Refuge. Boots, Morrisons and pharmacies are providing safe spaces in their
     shops for customers facing domestic abuse to gain access to domestic abuse services. The
     Government is also looking at the role of employers and on 9th June announced a review of the
     support which employers provide to victims of domestic abuse within their workforce and
     whether it can be strengthened.17
3.7. Some police forces have actively taken steps to provide extra support to the victims of domestic
     abuse during the COVID crisis. Thames Valley Police created a Vulnerability Task Force during
     lockdown which focussed on historic victims of domestic abuse who may have been unable to
     report due to COVID-19 restrictions. From the beginning of lockdown to 5 June they had over
     1500 contacts with victims, many in person, reassuring themselves that the victims were safe
     and free from abuse. The feedback from these contacts has been extremely positive.
3.8. Domestic Abuse charities have also adapted their priorities and messaging during the COVID-
     19 outbreak. One welcome example of this is the Reach In campaign by SafeLives which
     acknowledges the role of individual citizens and encourages relatives and friends to offer
     support and understanding to those who may be suffering from abuse.

14
   SafeLives (2020) ‘Policy Blog’ Available from: https://safelives.org.uk/policyblog [accessed 18/06/2020]
15
   UK Government (2020) ‘Prime Minister’s Virtual Summit on Hidden Harms’. Available from:
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/895996/CO_HH_Summit_Report_2606
20.pdf [accessed 29/06/2020]
16
   Lloyds Banking Group (2020) ‘Supporting victims of domestic and financial abuse.’ Available from: www.lloydsbankinggroup.com/our-
purpose/helping-people/supporting-victims-of-domestic-and-financial-abuse [accessed 08/06/2020]
17
   UK Government (2020) ‘Government to review support in the workplace for survivors of domestic abuse.’ Available from:
https://www.gov.uk/government/news/government-to-review-support-in-the-workplace-for-survivors-of-domestic-abuse [accessed
10/06/2020]

                                                                                                                                  6
Seize the Moment to End Domestic Abuse

3.9. Although these are welcome interventions which have arisen from the COVID outbreak,
     interventions are not reaching every community across the UK. For example, a joint statement,
     signed by leading figures from a range of faith-based domestic abuse charities, said women in
     faith and black and minority ethnic (BME) communities stay with abusive partners for longer
     than women in the wider population and are less likely to access support.18 This is compounded
     when perpetrators can threaten their partner over their immigration status. Specialist services
     which are more sensitive to these situations need to be supported and developed.
3.10. Early intervention is key and it is therefore welcome that the Department for Education is
      introducing compulsory Relationships Education for primary pupils and Relationships and Sex
      Education (RSE) for secondary pupils from September 2020.19 These lessons will include
      teaching on what healthy and unhealthy relationships look like.20 A report on the effectiveness
      of Personal, Social, Health and Economic education (PSHE) in 2017 showed that when taught
      well, PSHE “helps keep children and young people safe, mentally and physically healthy and
      prepared for life”.21
3.11. Another instrument for reaching victims is through the health service. A resource by the
      Department for Health in 2017 stated that “health practitioners are in a key position to identify
      domestic abuse and to initiate support and safety for victims. A study of 2,500 women accessing
      domestic abuse services showed that prior to receiving specialist help, just under half had
      attended a GP an average of 5.3 times and one in five had attended A&E as a result of the
      abuse.”22 Multiple health visits before a victim is identified and accesses support highlight the
      failure of health services to recognise the signs of domestic abuse. In March 2020, Queen Mary
      University with Bristol Medical School published a study in the BMC Medicine Journal on the
      impact of GP training in identifying domestic abuse cases. It found that GP practices are much
      more likely to spot signs of domestic abuse and refer patients after receiving in-depth training.
      The study observed 144 London GP practices with IRIS (Identification and Referral to Improve
      Safety) training over four years and found that domestic violence and abuse referrals increased
      as much as 30-fold.23 Expanding training across the UK would help reach more victims earlier.

4.     Impact of COVID-19 on family justice
4.1. The measures necessary to combat COVID-19 have not only caused an increase in domestic
     abuse but a rapid change to the family court system; affecting its ability both to protect the victim
     and to deal with the perpetrator.
4.2. The restrictions imposed by Government have caused a new but untested reliance on
     technology in the family justice system. These changes have impacted a victim’s access to
     justice and raise many questions, for example, can a victim find a solicitor online, can their
     solicitor secure legal aid quickly enough, can the victim present their injuries to a doctor to obtain
     evidence and who will look after any children during a video hearing.
4.3. These technological concerns also extend into the court system with issues including, how is a
     perpetrator to be served with application, do all involved have access to the necessary

18
   Oppenheim, M. (2020) ‘Women suffering ‘domestic and spiritual abuse’ in lockdown, religious leaders warn.’ Available from:
www.independent.co.uk/news/uk/home-news/coronavirus-domestic-abuse-religious-leaders-spiritual-faith-bme-a9533016.html [accessed
08/06/2020]
19
   UK Government (2019) ‘Relationships education, relationships and sex education (RSE) and health education: FAQs.’ Available from:
www.gov.uk/government/news/relationships-education-relationships-and-sex-education-rse-and-health-education-faqs [accessed
09/06/2020]
20
   UK Government (2019) ‘Relationships, sex and health education: guides for parents.’ Available from:
www.gov.uk/government/publications/relationships-sex-and-health-education-guides-for-schools [accessed 09/06/2020]
21
   PSHE Association (2017) ‘PHSE: A Curriculum for Life’. Available from: www.pshe-association.org.uk/curriculum-and-
resources/resources/curriculum-life-case-statutory-pshe-education [accessed 05/06/2020]
22
   Department of Health (2017) ‘Responding to domestic abuse: A resource for health professionals’ Available from:
www.assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/597435/DometicAbuseGuidance.pdf
[accessed 08/06/2020] p.30
23
   Sohal, A., Feder, G., Boomla, K., et al. (2020) ‘Improving the healthcare response to domestic violence and abuse in UK primary care:
interrupted time series evaluation of a system-level training and support programme.’ BMC Medicine vol.18 article 48

                                                                                                                                       7
Seize the Moment to End Domestic Abuse

       technology for the hearing, will judges be provided with both the necessary screens, can the
       advocate take instructions during the hearing and give necessary advice and support, can the
       judge confidently determine truth between conflicting accounts given online or by telephone,
       how is the perpetrator to be served with the order and how is service of it to be proved.
4.4. A rapid consultation run by Nuffield Family Justice Observatory noted concerns on how
     domestic abuse cases are being dealt with including the lack of specific protocols and the
     management of remote hearings.24

5.     The Domestic Abuse Bill
5.1. The passage of the Domestic Abuse Bill presents an opportunity for policymakers and
     lawmakers to work across government to produce publicity for the Bill and its benefits such that
     the public understand its importance and its consequence for them.
5.2. For the first time the Bill sets out a cross-government definition of domestic abuse which makes
     clear that abuse can be of various types, not just physical violence. It also covers economic
     abuse, controlling or coercive behaviour, and psychological, emotional or other abuse.25 It is
     important to highlight for those who may be victims the wide definition of domestic abuse, so
     that they can recognise that what they are suffering is domestic abuse, which is a crime and for
     which they have civil remedies. It is also important that public authorities, in particular the police,
     should become accustomed to the wider concept and act accordingly.26
5.3. The Bill also contains several new measures for dealing with perpetrators and protecting
     victims, for example, the Domestic Abuse Protection Order (DAPO). This order is particularly
     significant as it can be obtained by third parties not just by the victim. It is important that this is
     highlighted so that perpetrators are aware that the power to stop their activity does not just lie
     in the hands of their victim. Such a measure can also give confidence to victims to report
     domestic abuse if they feel that a third party can take an action on their behalf.
5.4. Other key features of the Bill include the introduction of a Domestic Abuse Commissioner to
     monitor the response to abuse by public authorities, stronger police protection notices, court
     powers to appoint an advocate to cross-examine on behalf of the alleged perpetrator and an
     obligation on local authorities to co-ordinate local victim support.
5.5. There will be issues arising from the Bill which need further consideration. For example, it is
     likely to be preferable, particularly if children are present, that the perpetrator should leave the
     home pursuant to a DAPO rather than that the children and the victim should leave the home
     even temporarily. It will also be vital for the Commissioner to be able to monitor the ability of
     victims to present applications to courts swiftly, in particular to obtain legal aid in order to do so,
     and to enforce orders effectively; and for the government swiftly to remedy any deficits in this
     regard.

6.     Domestic abuse post COVID-19
6.1. Domestic abuse has risen during lockdown but it did not originate in lockdown and the actions
     taken during this period will need to continue beyond lockdown. Support for victims is needed
     all year round, year in and year out.
6.2. The malign effects of the virus on the level of domestic abuse and on the ability to be rescued
     from it have had one constructive consequence: they have raised the public awareness of the

24
   Ryan, M., Harker, L. & Rothera, S. (2020) ‘Remote hearings in the family justice system: a rapid consultation.’ Available from:
https://www.nuffieldfjo.org.uk/resource/remote-hearings-rapid-consultation [accessed 08/06/2020]
25
   Parliament (2020) ‘Domestic Abuse Bill’ Available from: https://services.parliament.uk/bills/2019-21/domesticabuse.html [accessed
05/06/2020]
26
   Challen, D. (2020) ‘A chance to halt coercive control.’ Available from: https://www.theguardian.com/society/2020/jun/07/coercive-
control-sally-challen-domestic-abuse-bill [accessed10/06/2020]

                                                                                                                                       8
Seize the Moment to End Domestic Abuse

       plight of those currently suffering abuse. For example, the documentary on Channel 5 aired on
       13 May “How to leave an abusive partner safely in lockdown”.
6.3. It is vital for government to capitalise on the stronger profile of the evil of domestic abuse in the
     context of COVID-19 and not to allow it to fade when the effect of the virus on everyday lives
     lessens.
6.4. The enactment of the Bill will be an ideal vehicle for sustaining the narrative that abuse should
     not be tolerated and that mechanisms are at last in place which, if accessed, will rescue victims
     from it.
6.5. The key messages now should be: “you are not alone”, “this is not your fault” and “with help,
     you really can escape it.” Once the Act is in place the messages should be expanded to show
     how the new Act will support victims, how the new Act will affect perpetrators and how the new
     Act will support action on domestic abuse.
6.6. Rescuing such victims at an early stage is, even when regarded only through the prism of the
     economic interests of the state, much more beneficial than when it has to address the
     consequences of longer-term abuse.
6.7. Whilst the Home Office and Ministry of Justice have had a long term involvement in domestic
     abuse policy, there is an opportunity to involve the Department of Health and Social Care more
     fully, to make sure that all health and social care agencies and their agents can be aware of the
     issue, their responsibilities and what they can do.
6.8. Our key recommendation therefore is that there should be a continuing government
     publicity campaign to make the public aware of the aims of the Domestic Abuse Bill and
     make its consequences clear to current or potential perpetrators and victims.
6.9. The following sections set out other recommended actions for Government Departments. Taken
     as a whole, they would represent a significant cross-government commitment to dealing with
     domestic abuse.

7.     Recommendations for the Department of Health and Social Care (DHSC)
7.1. NHS England has committed to producing a 4-year plan.27 DHSC should consider specifically
     including Domestic Abuse in the NHS Mandate and require contributory action to prevent the
     emotional trauma on generations to come manifest in the form of depression, anxiety,
     addictions, complex post-traumatic stress disorder, personality disorder or suicide and address
     the role of alcohol in domestic violence.
7.2. The NHS in England should contribute to the Department of Business, Energy and Industrial
     Strategy open consultation on support in the workplace for victims of domestic abuse. All NHS
     organisations should be required to join the Employers Initiative on Domestic Abuse.
7.3. Health Education England should be commissioned to develop specific competencies
     recognising Domestic Abuse and knowing what to do for all health professionals, building on
     the success of general training in Safeguarding.
7.4. DHSC might review that whilst the move to the digital environment is broadening access to
     health and mental health interventions for the general population, concerns about ‘track and
     trace’ and information security, specifically in regard to identity and place, may be a barrier to
     victims of domestic abuse seeking help.

 NHS England (n.d.) ‘Workstreams: Domestic abuse and violence bill.’ Available from:
27

www.england.nhs.uk/safeguarding/workstreams/domestic-abuse-and-violence-bill/ [accessed 11/06/2020]

                                                                                                                        9
Seize the Moment to End Domestic Abuse

8.     Recommendations for the Home Office
8.1. The Home Office should lead a cross-government campaign on the Domestic Abuse Bill.
8.2. The Home Office should repeat previous campaigns to show young people what a good
     relationship is and make clear when a relationship is abusive.
8.3. The Home Office should ensure that the College of Policing is providing state of the art training
     to police officers on dealing with domestic abuse, including the implications of the Domestic
     Abuse Bill; and that each police force as an employer is aware of their duty of care to officers
     in the force who may be victims of domestic abuse, or perpetrators. All Police Forces should be
     required to join the Employers Initiative on Domestic Abuse (EIDA). The rigour and transparency
     with which a force addresses perpetrators and supports victims in its own ranks can colour how
     they handle members of the public.
8.4. Work which began during lockdown with supermarkets, chemists and police stations should
     continue post lockdown.
8.5. A new codeword scheme proposed for use in shops announced on 21st May and the code
     number for use on the telephone should continue to be publicised post lockdown.

9.     Recommendations for the Ministry of Justice
9.1. The Ministry should work with the Home Office to consider how best to communicate the
     implications contained in the Bill for the victims and perpetrators of domestic abuse.
9.2. The Ministry should work with the judiciary and front-line court staff to ensure full training is
     available on the implications of the Bill.
9.3. The Ministry should regularly review the operation of domestic abuse cases in court to ensure
     they are being handled appropriately so as in particular to recognise the problems faced by
     victims in giving evidence while ensuring justice for all parties. In particular, we welcome the
     Ministry’s recently declared determination to explore whether, when a court rules on an
     application for an order for contact with a child, it gives appropriate weight to evidence of
     domestic abuse inflicted by the applicant upon the respondent and how such proceedings might
     be conducted less adversarially.28
9.4. The Ministry should, with the help of the judiciary and perhaps also of the association of family
     lawyers known as Resolution, look at the capacity to identify false claims in domestic abuse
     cases made by victims and perpetrators as false claims by either party can be part of the cycle
     of abuse. This has implications for access to legal aid. At present legal aid is available in
     principle for those who allege it but not for those who deny it and who therefore lack the benefit
     of representation or even of legal advice.

10.    Recommendations for the Department for Business, Energy & Industrial Strategy (BEIS)
10.1. We applaud the Minister’s announcement on 9 June that, in conjunction with the Home Office,
      BEIS will conduct a review of the support which employers provide to victims of domestic abuse
      within their workforce and whether it can be strengthened. We urge the Government promptly
      to implement the recommendations in the review which we hope will include encouragement to
      all employers to join EIDA.29

28
   Ministry of Justice (2020) ‘Assessing Risk of Harm to Children and Parents in Private Law Children Cases.’ Available from:
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/895173/assessing-risk-harm-children-
parents-pl-childrens-cases-report_.pdf [accessed on 29/06/2020]
29
   UK Government (2020) ‘Government to review support in the workplace for survivors of domestic abuse.’ Available from:
https://www.gov.uk/government/news/government-to-review-support-in-the-workplace-for-survivors-of-domestic-abuse [accessed
10/06/2020]

                                                                                                                                  10
Seize the Moment to End Domestic Abuse

11.   Recommendations for the Department for Education
11.1. The Department should ensure the successful implementation of compulsory Relationships
      Education for primary pupils and Relationships and Sex Education (RSE) for secondary pupils
      from September 2020. This teaching will prepare pupils to recognise unhealthy relationships
      and make clear that support is available for victims.
11.2. The Department should ensure there are staff competencies in all educational settings to
      identify where those attending may be living in a household where there is domestic abuse.

12.   Summary
12.1. In the context of the passage of the Domestic Abuse Bill we are making cross government
      recommendations for the Department of Health and Social Care, the Home Office, the Ministry
      of Justice, the Department for Business, Energy and Industrial Strategy and the Department of
      Education on actions they might take to build on the success of their work to date.
12.2. We believe there should be cross party and cross government support for a well-constructed
      and funded publicity campaign to bring the Domestic Abuse Bill and its consequences into the
      public mind and strengthen the position of public health, mental health services and the wider
      health service in its detection and management.
12.3. Government should not lose the impressive momentum it has generated from action taken
      during the COVID-19 pandemic.

                                                                                                    11
© 2020 Rt Hon Theresa May MP, Elizabeth Filkin CBE, Rt Hon Lord Wilson of Culworth
and Dr Peter Aitken
Published by The Office of Theresa May Ltd. Please direct any enquiries regarding this paper
to info@theresamayoffice.com.
You can also read