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One out of Four


The Royal College of Midwives (RCM) award-winning project, One out of Four, was developed by the maternal and child health team in NMAHP. A small project in terms of finance but large in terms of scope and impact.

Funded in two parts, with initial internal funding of £10,000 from NES and then a further £10,000 from the CNOPP - the multi-agency project team created a range of learning resources to support health professionals provide high quality person-centred care to women survivors of sexual violence.

Emerging from a need identified within the service, for healthcare professionals to be more aware of the issues when caring for survivors of sexual violence. This is an issue of great concern to all health professionals - but particularly to those involved in intimate examinations - e.g. midwifery, practice nursing, GP, sexual health and obstetric and gynaecology teams.

A range of resources were developed through a partnership between health professionals and the voluntary sector - including the health professionals listed above, Health Scotland, Rape Crisis, Shakti women's aid and SAMH (Scottish Association for Mental Health).

The focus of the resource is on helping health professionals provide the best possible care for those women. Not focusing on disclosure, but on person-centred, high quality care. This is being achieved through a universal precautions approach - treating all women as if they could potentially be a survivor of sexual violence.

Mary Ross-Davie commenting on the award success said:

"I am particularly delighted to win the Partnership award as it recognises the very positive work we have done with this, and other projects, working in partnership with service users, the voluntary sector and other healthcare disciplines beyond maternity care. Team working like this is essential to improving the service we provide to women and families."

I feel sure that the One out of Four project has increased service providers awareness about how best to provide high quality care to women survivors of sexual violence."

The project would not have been possible without the bravery of women survivors sharing their stories with us."

There is a short e-learning on the Knowledge Network and we provided training to 85 workshop providers across Scotland to deliver training for staff using new films created as basis for discussions around how the service can be further improved taking account of these issues.

Author: Mary Ross-Davie, Project Manager, NMAHP, NES.

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Mary Ross-Davie, RCM President Professor Lesley Page and Geraldine Butcher, Consultant midwife in Ayrshire & Arran. Photo courtesy of RCM.