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IRIS Service

The IRIS service provides:

Training and support

The practice team receives in-house training and ongoing support. Clinician training focuses on identification of DVA through clinical enquiry and appropriate response, referral and recording. This includes assessing immediate risk and safety planning. Training for reception and administration teams focuses on understanding DVA, data handling, confidentiality and safety.

Electronic prompt

This appears in the patient medical record in the form of a pop-up template called HARKS. HARKS is a mnemonic for Humiliate, Afraid, Rape, Kick and Safety and is triggered by Read-coded symptoms and conditions associated with DVA. HARKS is a reminder to ask about DVA and is a safe way to record data about DVA.

Clinical Lead

A local clinician is identified to be the IRIS champion. They are responsible for co-delivering training and act as peer support for clinical colleagues in each practice.

Health education resources

Posters about DVA are put up in practices and cards are provided for patients. Practices receive referral forms and care pathways for female survivors, male survivors and perpetrators.

Advocacy for patients

An advocate educator based in a specialist DVA/Violence Against Women and Girls (VAWG) organisation provides patients with emotional and practical support and carries out risk assessments and safety plans. The advocate educator can also act as a triage and brokering service, signposting patients into other services as necessary.

Named contact for patient referrals

Practice staff can refer directly by phone, fax or email to the advocate educator.