Skip to main content
  1. Right Decisions
  2. Maternity & Gynaecology Guidelines
  3. Gynaecology
  4. Back
  5. Gynaecology guidelines
  6. Sexual Assault Guideline (705)
Announcements and latest updates

Welcome to the Right Decision Service (RDS) newsletter for August 2024.

  1. Contingency planning for RDS outages

Following the recent RDS outages, Tactuum and the RDS team have been reviewing the learning from these incidents. We are committed to doing all we can to ensure a positive outcome by strengthening the RDS to make it fully robust and clinically resilient for the future.

We would like to invite you to a webinar on 26th September 3-4 pm on national and local contingency planning for future RDS outages.  Tactuum and the RDS team will speak about our business continuity plans and the national contingency arrangements we are putting in place. This will also be a space to share local contingency plans, ideas and existing good practice. We would also like to gather your views on who we should send communications to in the event of future outages.

I have sent a meeting request for this date to all editors – please accept or decline to indicate attendance, and please forward on to relevant contacts. You can also contact Olivia.graham@nhs.scot directly to register your interest in participating.

 

2.National  IV fluid prescribing  calculator

This UK CA marked calculator is now live at https://righdecisions.scot.nhs.uk/ivfluids  . It has been developed by a multiprofessional steering group of leads in IV fluids management, as part of the wider Modernising Patient Pathways Programme within the Centre for Sustainable Delivery.  It aims to address a known cause of clinical error in hospital settings, and we hope it will be especially useful to the new junior doctors who started in August.

Please do spread the word about this new calculator and get in touch with any questions.

 

  1. New toolkits

The following toolkits are now live;

  1. Updated guidance on current and future Medical Device Regulations

We have updated and simplified this guidance within our standard operating procedures. We have clarified the guidance on how to determine whether an RDS tool is a medical device, and have provided an interactive powerpoint slideset to steer you through the process.

 

  1. Guide to six stages of RDS toolkit development

We have developed a guide to support editors and toolkit leads through the process of scoping, designing, delivering, quality assuring and implementing a new RDS toolkit.  We hope this will help in project planning and in building shared understanding of responsibilities throughout the full development process.  The guide emphasises that the project does not end with launch of the new toolkit. Implementation, communication and evaluation are ongoing activities throughout the lifetime of the toolkit.

 

  1. Training sessions for new editors (also serve as refresher sessions for existing editors) will take place on the following dates:
  • Thursday 5 September 1-2 pm
  • Wednesday 24 September 4-5 pm
  • Friday 27 September 12-1 pm

To book a place, please contact Olivia.graham@nhs.scot, providing your name, organisation, job role, and level of experience with RDS editing (none, a little, moderate, extensive.)

7 Evaluation projects

Dr Stephen Biggart from NHS Lothian has kindly shared with us the results of a recent survey of use of the Edinburgh Royal Infirmary of Edinburgh Anaesthesia toolkit. This shows that the majority of consultants are using it weekly or monthly, mainly to access clinical protocols, with a secondary purpose being education and training purposes. They tend to find information by navigating by specialty rather than keyword searching, and had some useful recommendations for future development, such as access to quick reference guidance.

We’d really appreciate you sharing any other local evaluations of RDS in this way – it all helps to build the evidence base for impact.

If you have any questions about the content of this newsletter, please contact his.decisionsupport@nhs.scot  If you would prefer not to receive future newsletters, please email Olivia.graham@nhs.scot and ask to be removed from the circulation list.

 

With kind regards

 

Right Decision Service team

Healthcare Improvement Scotland

Sexual Assault Guideline (705)

Please report any inaccuracies or issues with this guideline using our online form

The purpose of this guideline is to provide information regarding the initial assessment, immediate medical care and follow up of patients who are referred to or admitted under gynaecology who disclose a history of recent sexual assault. It outlines the referral process to Archway (sexual assault referral centre) for forensic examination with or without the involvement of the Police. 

For patients presenting beyond forensic timescales (usually >7 days) or who opt not to accept referral to Archway this guideline outlines the immediate medical care and follow up they should be offered. 

For patients disclosing historical rape/sexual assault a list of agencies available to offer support are listed at the end of the guideline (Appendix 1). This can be printed off and given to patients.  

Resources

Use the button below to access this item.

Access this resource

Editorial Information

Last reviewed: 01/11/2019

Next review date: 30/11/2024

Author(s): Claire Higgins.

Approved By: Gynaecology Clinical Governance Group

Document Id: 705

References
  1. Long, L, Butler, B. Sexual assault. The Obstetrician & Gynaecologist 2018; 20: 87– 93. https://doi.org/10.1111/tog.12474
  2. World Health Organization. Violence against women – Intimate partner and sexual violence against women. Fact sheet. 2017 [http://www.who.int/mediacentre/factsheets/fs239/en/].
  3. Ministry of Justice, Home Office, Office for National Statistics. An Overview of Sexual Offending in England and Wales. Statistics Bulletin. 2013 [https://www.gov.uk/government/statistics/anoverview-of-sexual-offending-in-england-and-wales].
  4. Essentials in sexual offences examination and clinical management (adults & adolescents) - Best Practice for Scotland Manual
  5. Holmes MM, Resnick HS, Kilpatrick DG, Best CL. Rape-related pregnancy: estimates and descriptive characteristics from a national sample of women. Am J Obstet Gynecol 1996; 175: 320-324
  6. Sexual Assault. BASSH Guideline (2012) https://www.bashhguidelines.org/media/1079/4450.pdf
  7. FRSH CEU Clinical Guidance: Emergency Contraception (2017) https://www.fsrh.org/standardsand-guidance/current-clinical-guidance/emergency-contraception/
  8. UK Guideline for the use of HIV post-exposure prophylaxis following sexual exposure. BASSH Guideline (2015). https://www.bashhguidelines.org/media/1027/pepse-2015.pdf
  9. Campbell, L, Keegan, A, Cybulska, B, Forster, G. Prevalence of mental health problems and deliberate self‐harm in complainants of sexual violence. J Forensic Leg Med 2007; 14: 75– 8.
  10. Kilpatrick, DG, Saunders, BE, Veronen, LJ, Best, CL, Von, LJ. Criminal victimisation: lifetime prevalence, reporting to the police and psychological impact. Crime and Delinquency 1987; 33: 479– 89.