GPs need better training to help children affected by domestic violence

Although doctors and nurses are becoming more aware of patients experiencing domestic violence, the needs of children are often ignored, according to new research published today that reveals a lack of training about how to identify and support children exposed to domestic violence. Experts from the universities of Bristol and Central Lancashire say better training, coupled with improved information-sharing between agencies, could greatly improve outcomes for these children. About one in five children in the UK are exposed to domestic violence, according to the NSPCC. Although there is considerable research-based evidence associating domestic violence with poor physical health, mental health, behavioural and educational outcomes for exposed children, GPs and nurses are not confident about how to respond to the needs of these children, the authors say. Writing in the journal Health and Social Care in the Community today, they highlight a lack of cohesion and coordination in the approach to domestic violence and child safeguarding. Their study draws attention to general practice clinicians' insufficient understanding of multi-agency work, a limited competence in gauging thresholds for child protection referral to children's services and little understanding of outcomes for children. While prioritising children's safety, GP clinicians are more inclined to engage directly with abusive parents than with affected children.