Sheffield Domestic and Sexual Abuse Needs Assessment 2014: an Update to ‘A Supporting Document for Domestic Abuse Commissioning in Sheffield 2013’
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Sheffield Domestic and Sexual Abuse Needs Assessment 2014: An update to ‘A Supporting Document for Domestic Abuse Commissioning in Sheffield 2013’ Sheffield Domestic Abuse Co-ordination Team James Newcomb, Information & Performance Analyst, Sheffield DACT Version 1.4 Revision History Version Author Purpose / reason Date 1.0 L. Potter Initial document April 2014 1.1 J. Newcomb First draft August 2014 – January 2015 1.2 J. Newcomb Amendments following review by the Domestic February 2015 Abuse Strategy Manager 1.3 J. Newcomb Amendments following provider and March 2015 commissioning consultation 1.4 J. Newcomb Final draft to the Strategic Board March 2015 This document was signed off by the Domestic Abuse Strategic Board on 12th March 2015 James Newcomb, Information & Performance Analyst, Sheffield DACT Version 1.4 1 Contents Introduction ................................................................................................................................................................ 3 Headline Data and Information and Identified Needs and Gaps in 2014 .................................................................. 7 Update to the Gaps Identified in 2013 ..................................................................................................................... 16 Chapter 1 Update to National Data on Domestic Abuse ...................................................................................... 24 Chapter 2 Demographic Information & the Estimated Prevalence of Domestic and Sexual Abuse in Sheffield . 27 Chapter 3 Identification of Domestic and Sexual Abuse and the Domestic Abuse Referral Pathway ................. 37 Chapter 4 Domestic Abuse Commissioning in Sheffield ...................................................................................... 40 Chapter 5 Sexual Violence / Abuse Commissioning in Sheffield ......................................................................... 46 Chapter 6 Multi-Agency Risk Assessment Conference (MARAC) ....................................................................... 52 Chapter 7 Vulnerabilities ....................................................................................................................................... 56 Chapter 8 Children and Young People ................................................................................................................. 69 Chapter 9 Police Data - Domestic Abuse Incidents.............................................................................................. 77 Chapter 10 Perpetrators ......................................................................................................................................... 85 Chapter 11 Domestic Homicide Reviews (DHR) .................................................................................................... 90 Chapter 12 Recommendations ............................................................................................................................... 97 Appendix A ............................................................................................................................................................... 98 Appendix B ............................................................................................................................................................. 100 James Newcomb, Information & Performance Analyst, Sheffield DACT Version 1.4 2 Introduction Background and Purpose This is the first update to the ‘Supporting document’ for Domestic Abuse Commissioning in Sheffield, which was published in September 2013. The National Institute for Health and Care Excellence (NICE) guidance 'Domestic violence and abuse: how health services, social care and the organisations they work with can respond effectively'1 (PH50) provides guidance on what the needs assessment should include. Recommendation One is that ‘Strategic partnerships should assess the need for domestic violence and abuse services…Consult with women, men and young people who have experienced domestic violence and abuse as part of this assessment. Commissioners of domestic violence and abuse services and related services should be aware of the importance of consulting communities that are rarely heard on this matter’. Applying the NICE recommendation and the application of an update to the Supporting document, this needs assessment will: 1 Ascertain the prevalence of domestic abuse and the need for support in Sheffield 2 Provide an update to the gaps identified in the ‘supporting document’ and current position 3 Provide an update to the data presented in the ‘supporting document’ 4 Interlink with the new Domestic and Sexual Abuse Strategy2 and provide updates on new projects and initiatives 5 Provide information regarding existing and newly identified gaps to service provision, data, the pathway and process. Purpose The purpose of this document is to bring together the most recent available national data, research and findings to create a picture of the potential impact of domestic and sexual abuse / violence. The best available local data has been applied to this research to show the pressures faced by domestic abuse services in Sheffield. The findings of the needs assessment should be used over the coming year to help influence commissioning decisions made and areas of priority. As the NICE guidance advises the overarching purpose of this needs assessment is for ‘Local commissioners to…use the results of the needs assessment (alongside a mapping exercise) to 1 NICE (February 2014) 'Domestic violence and abuse: how health services, social care and the organisations they work with can respond effectively' http://guidance.nice.org.uk/PHG/44. 2 http://sheffielddact.org.uk/domestic-abuse/resources/local-strategies/ James Newcomb, Information & Performance Analyst, Sheffield DACT Version 1.4 3 inform commissioning, developing referral pathways that aim to meet the health and social care needs of all those affected by domestic violence and abuse.’ In scope The report focuses on individuals who are victims of domestic abuse as per the latest Government definition, April 2013 (see page 5), young people and children who are living with victims, perpetrators of domestic abuse and victims of sexual abuse. Current Position The following strategic changes have happened since September 2013:- National NICE guidance on domestic abuse was published in February 2014 http://guidance.nice.org.uk/PHG/44. Local The following local changes have happened since September 2013:- Domestic and Sexual Abuse Strategy for Sheffield has been completed and is active. The Multi-Agency Risk Assessment Conference (MARAC) review has been completed. Since October 2013, the Domestic Abuse Co-ordination Team (DACT) has been the commissioner of contracts for an Independent Domestic Violence Advocates (IDVA) Service for high risk clients, for medium and standard clients (helpline and outreach) and workforce development. Since April 2014, the Housing Independence Service (HIS) has commissioned a one provider model for Sheffield refuges. HIS also commissions the sole domestic abuse floating support service. Strategic Links A list of legislation, national and local strategies that are intrinsically linked to the needs assessment can be found in Appendix A. The list represents the current documents at the time of writing and will continue to be linked to any future updates. James Newcomb, Information & Performance Analyst, Sheffield DACT Version 1.4 4 Legal Definitions Domestic Abuse: The new definition of domestic abuse used by the government is: any incident or pattern of incidents of controlling, coercive, 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. The abuse can encompass, but is not limited to: psychological physical sexual financial emotional Controlling behaviour is: a range of acts designed to make a person subordinate and/or dependent by isolating them from sources of support, exploiting their resources and capacities for personal gain, depriving them of the means needed for independence, resistance and escape and regulating their everyday behaviour. Coercive behaviour is: an act or a pattern of acts of assault, threats, humiliation and intimidation or other abuse that is used to harm, punish, or frighten their victim. At the end of 2014 the Home Secretary announced that a new offence of domestic abuse will be included as an amendment to the Serious Crime Bill. The amendment will explicitly criminalise patterns of coercive and controlling behaviour where they are perpetrated against an intimate partner or family member.3 Forced Marriage: A forced marriage is where one or both people do not (or in cases of people with learning disabilities, cannot) consent to the marriage and pressure or abuse is used. It is an appalling and indefensible practice and is recognised in the UK as a form of violence against women and men, domestic/child abuse and a serious abuse of human rights. The pressure put on people to marry against their will can be physical (including threats, actual physical violence and sexual violence) or emotional and psychological (for example, when someone is made to feel like they’re bringing shame on their family). Financial abuse (taking your wages or not giving you any money) can also be a factor.4 3 Strengthening the Law on Domestic Abuse Consultation – Summary of Responses, December 2014. 4 https://www.gov.uk/forced-marriage