Domestic Violence and Abuse

Domestic violence and abuse (DVA) is a violation of human rights, a major public health issue and a clinical problem that is increasingly recognised as a health care issue. It has been estimated that its cost to the UK is at least £5.7 billion a year. This article aims to cover the knowledge that GPs require about DVA, as described in the Royal College of General Practitioners curriculum. It is focused on women's health and also considers the care of children and young people, and sexual health. We shall define DVA and consider its causes, prevalence and health impact. The ideal primary health care response to DVA is described, alongside practical information about how GPs should respond to early presentation of sexual assault, including rape.