Report finds NHS training ‘inconsistent’ as victims fall through the cracks

DOMESTIC abuse should be treated as a public health emergency, a leading charity has warned, after a new report exposed widespread failings by the NHS in identifying and supporting victims.

According to the latest Office for National Statistics figures, more than 12 million people in England and Wales—around one in four adults—have experienced domestic abuse. The charity Standing Together Against Domestic Abuse (Stada) says that, despite frequent contact with both victims and perpetrators, NHS staff are often ill-equipped to intervene.

Stada reviewed domestic homicide and suicide cases published during 2024 and found that in 9 out of 10 cases, the NHS had failed in its safeguarding duties. The most common failing was a lack of proper training for staff on recognising signs of abuse.

Although national guidance recommends mandatory training for frontline NHS staff, the report found that provision remains patchy and inconsistent across services. Failures to record risk properly, share information between agencies, and link victims with mental health or alcohol support services were also highlighted.

The warning comes as a separate study in The Lancet found that more than one in four women who died by suicide and were under secondary mental health care had previously suffered domestic abuse.

Cherryl Henry-Leach, chief executive of Stada, said: “Treating domestic abuse purely as a criminal justice issue costs lives. The NHS is uniquely placed to help, but it must be properly resourced and trained to do so.”

The report urges the government to fund standardised training and improve data sharing. Without urgent reforms, Stada warns that the government’s stated aim of halving violence against women and girls by 2034 will not be met.

Tim Woodhouse, a suicide prevention expert, said as many as 1,800 suicides a year may be linked to domestic abuse, calling it “a national scandal”.

Andrea Simon, from the End Violence Against Women Coalition, said healthcare workers are often the only professionals victims may encounter: “They must be trained to spot the signs and know what to do. Inaction can lead to serious harm or even death.”

Professor Kamila Hawthorne, chair of the Royal College of General Practitioners, added: “Given the trusted relationships GPs have with patients, it is deeply worrying that chances to help might be missed.”

In response, an NHS spokesperson said: “All NHS staff must complete safeguarding training which includes domestic abuse, and this training is currently being reviewed and updated.”

A UK Government spokesperson said a new strategy to prevent domestic abuse is due later this year. “We remain committed to protecting victims, holding perpetrators accountable, and ensuring healthcare professionals have the tools to support survivors,” they said.

Help is available for domestic abuse victims in Pembrokeshire

Support services offer confidential advice, refuge and counselling

Anyone experiencing domestic abuse in Pembrokeshire is urged to seek help. Support is available 24 hours a day, and no one should suffer in silence.

If you are in immediate danger, call 999.

There are several local and national organisations offering confidential support, practical advice and emergency accommodation:

Key Helplines

• Live Fear Free Helpline (24/7, confidential):
  📞 0808 80 10 800
  📱 Text: 07860 077333
  📧 Email: [email protected]
• Victim Support (for anyone affected by crime):
  📞 0808 16 89 111
• Refuge National Helpline (for women and children):
  📞 0808 2000 247

Local Services in Pembrokeshire

• Pembrokeshire Domestic Abuse Services (PDAS)
  Offers outreach, one-to-one support, refuge, counselling, and children’s programmes.
  📞 01554 752 422
• Calan DVS and Threshold DAS.
  Drop-in advice and specialist help for women, men and families.
  📍 8 High Street, Haverfordwest, SA61 2DA
  📞 01437 457450 / 01554 752422.
• Welsh Women’s Aid
  A national organisation working with local providers to ensure survivors get the help they need.
  Contact via the Live Fear Free Helpline above.

You are not alone.
Whether you need immediate safety, someone to talk to, or long-term support, these services are here to help. All calls are confidential and support is available for women, men and children.