Honouring the lived experience: Rape and Sexual Assault‎ Victims Taskforce option appraisal report

A report summarising the approach, methodology, findings and recommendations of the options appraisal exercise carried out in June 2018 as part of the Chief Medical Officer's Taskforce to Improve Services for Victims of Rape and Sexual Assault.

Appendix 4: Individual score sheet - service delivery options session

Each individual should make use of all the information available (presentations, benefits/risks group work), discuss the models in relation to the factors listed, consider to what extent each model supports these and score appropriately (0- 5).





Institute of Medicines Dimensions of quality

Descriptions provided by subject matter experts with regard to each quality dimension and its relevance to the future service delivery.

Service Delivery Options

Option 1

Option 2

Option 3

Option 4



Avoiding injuries to patients from healthcare that is intended to help them

A safe service for sexual assault and rape victims would therefore provide:

  • The right mix of workforce, medical and non-medical

  • A multi-disciplinary team approach to service delivery - right expertise and streaming, right person/first time

  • Clinical environment (age appropriate) and equipment that meets the needs of the person and national clinical quality indicators.

  • Appropriate clinical pathways for efficient uptake of services for safe and improved outcomes



Providing services based on scientific knowledge

An effective service for sexual assault and rape victims would therefore provide:

  • Sufficient staff working together in teams to ensure a responsive and flexible service

  • The range of staff with the right skills available to meet all expected clinical conditions

  • A 'fit for purpose' clinical environment to deliver evidence based care

  • Training opportunities are available for the multi-skilled workforce

  • Access to assessment/medication/ treatment (where indicated)

  • Structures and mechanisms in place to utilise and deploy staff and resources effectively.

  • Improved linkage with health, social work and justice teams.

  • Greater opportunities for joint working, peer support within the workplace

  • A sustainable and deliverable model


Patient Centeredness

Providing care that is responsive to individual personal preferences, needs and values and assuring that patient values guide all clinical decisions

A person-centred service for sexual assault and rape victims would therefore provide:

  • People are listened to and treated with respect and dignity with confidentiality where possible

  • People are treated in a centre of excellence (Hub) with the right staff, with expertise and supports

  • Local services remain available at each of the local hospitals 'spokes'

  • Support provided through availability of transport where clinical need is established

  • Care is delivered within the timeframe as per waiting times standards

  • Will improve the experience of people, families and service users

  • People are seen by the right person in the right place within the right timeframe



Avoiding waste, including waste of equipment, supplies, ideas, and energy

An efficient service for sexual assault and rape victims would therefore provide:

  • A service configured to meet evidence based demand

  • Better utilisation of local services where required. (increased access)

  • The available workforce has a range of knowledge and skills responsive to the needs of the client/service user groups

  • Informed deployment of the workforce and resources to allow faster access to assessment, care and treatment.

  • Efficient deployment of skills and knowledge 24/7

  • The service is well resourced, financially viable and deliverable



Providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location or socio-economic status

An equitable service for sexual assault and rape victims would therefore provide:

  • Equitable access to the centre of excellence for all who need to access the service

  • Access to a workforce who are suitably qualified, competent and trained to meet the support, care and treatment needs and can reduce any risk of harm and manage the care and treatment sensitively and effectively

  • Access to interpretation services where required to ensure meaningful communication with all service users



Reducing waits and sometimes harmful delays for both those who receive care and those who give care.

  • A timely service for sexual assault and rape victims would ensure:

  • Sufficient workforce available to ensure timely access to the right person first time.

  • Sufficient infrastructure in place to provide a comprehensive service

  • Pursue 'best in class' (benchmarked nationally) performance to deliver the highest quality of care and ensure ease of access to support.

Please tick one as appropriate

[ ] Service User (Survivors)
[ ] Service users Representatives
[ ] Member of the public
[ ] Police Scotland
[ ] NHS staff (clinician)
[ ] NHS Scotland (National Board)
[ ] Social Work staff
[ ] Local voluntary organisation/Charity
[ ] Scottish Government
[ ] National voluntary organisation/Charity
Other (Please specify).....................................................................................................................



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