Domestic abuse (DA) is a severe human rights violation and public health issue, affecting the health and wellbeing of survivors, perpetrators, and witnesses.1–3 This pervasive issue spans all demographics and often remains hidden for years, complicating its detection and resolution.2

Primary care teams play a key role in identifying and supporting survivors of DA. They are often the first or only point of contact, providing a lifeline to safety. Building trusting relationships over time increases the likelihood of patients disclosing abuse and seeking help. Once DA is identified, timely referral to social care and DA support services is essential. The commitment and vigilance of primary care teams are vital, potentially saving lives and fostering recovery.

Here, I demonstrate how we help practices in Ealing become ‘DA aware’ and promote safe, sustainable health care. We celebrate the success stories that have emerged from our dedicated efforts to combat DA, highlighting the transformative impact of comprehensive support and intervention.

The Ealing Borough primary care team has implemented measures to address DA, aiming to raise awareness and dismantle stigma among staff and patients. Launched in April 2023 and integrated into the ‘Local Primary Care Specifications’, …