Feedback on MARACs and GPs

I got some really interesting ideas following my last post through from Sheila Brookes, Domestic Abuse Strategy Team Leader for Cheshire West and Chester which I have reproduced below.  Do note the consultation from the Institute of Health Equity on the role of the NHS Workforce in addressing the social determinants of health.  I would just add that we do not really expect to see many referrals from GPs to MARACs – our aspiration at this stage is rather to ensure that proportionate information is shared in both directions so that all have the clearest picture of risk and can respond safely and appropriately.  I am still very glad to hear from anyone else with good practice examples that we can put into the discussion, ahead of publishing our toolkit which will have a few options in it.

We have  a slot on an annual  Child Health Promotion Course through the Safeguarding Consultant and Safeguarding GP Lead on the LSCB which enables newly qualified doctors on rotation as GPs & hospital  staff to hear about what issues patients might present in relation to domestic abuse, what they can do, what the MARAC process is, what further training is available locally through our core DA training courses (including practice using the CAADA DASH RIC,  learning about agency roles in MARAC  and where they can refer onto). We have also run  workshops for the local Clinical Commissioners Group at  GP/Practice Nurse Half Day Rolling Programme  Education events (elective workshop). A local Safeguarding Nurse  (MARAC rep) completed the MARAC Champion training and cascades to health visitors  staff and offers advice to GPs


Our core training programme has been used as an example of good practice by the Institute of Health Equity (IHE) in their recent paper which is out for consultation (


However locally responses from GPs are still dependent on individual responses – currently their information is presented through the Lead Safeguarding Nurse but they make very few direct referrals


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