Sarah Olney

It is a pleasure to serve under your chairmanship, Sir John. I congratulate the hon. Member for Stroud (Dr Opher) on securing this important debate. He is a real champion for the NHS, and it is a benefit to all of us that he brings his former experience as a GP to bear in this debate. The NHS has more contact with people experiencing domestic abuse than any other service and, therefore, it is vitally important that staff feel adequately equipped to comfort and reassure victims who take that brave step of reaching out for support, often for the first time. In turn, it is essential that victims can feel confident that when they confide in the NHS, the staff that they speak to have the knowledge to properly support them. While NHS staff do receive the statutory general safeguarding training, it can be easy, as the hon. Member for Stroud has detailed, to miss the signs of abuse and the cries for help, especially when staff are tired from working extensive and difficult hours. As a country, we have so much to thank our NHS for—whether it be for the sacrifices that staff made during the pandemic, or for working additional hours to take care of our loved ones—so my speech is intended to ensure that staff have the tools they need at their disposal to help the most vulnerable, rather than critique their best intentions. Victims are often hesitant to ask for support; they feel trapped by their abuser and fear the repercussions. The extent to which domestic abuse and sexual assault is known to the authorities is somewhat unknown. It is estimated that only 16% of people report their experiences to the police. One reason is mistrust of the authorities, which emphasises the importance of ensuring that those who treat victims’ injuries are prepared to provide them with the help and support they need. Of the 16% of people who do report an assault, only 2.6% of alleged offenders are charged or receive a summons. Even in cases where the offence takes place in public, the percentage of reported sexual assault offences that receive a charge is disproportionately low; fewer than 5% of reports on public transport resulted in a charge in 2025. While death is tragically the end result of too many domestic abuse cases, there will have been a point in almost every single case where a step could have been taken to better support the victim. A report commissioned by Standing Together Against Domestic Abuse underscored that fact; of the 47 reviews of deaths related to domestic abuse published in 2024, 89% contained reports of an instance in which our health service had the opportunity to step in and do more to help. While domestic abuse training is mandatory in the social care system, the same training is not always made available to other NHS frontline services. That is clearly something that could be rectified, so I will be interested to hear what the Minister has to say about how the Government might ensure that domestic abuse training is stepped up. Will they release the funds to ensure that every NHS frontline member of staff has access to mandatory domestic abuse training?