Applied Health Sciences, University of Birmingham, Birmingham, UK
Manchester Metropolitan University, Manchester, UK.
BMJ Open. 2024 Sep 13;14(9):e087810. doi: 10.1136/bmjopen-2024-087810.
In England, voluntary sector specialist (VSS) services are central to supporting victim-survivors of sexual violence (SV). However, empirical evidence is lacking about the scope, range and effectiveness of VSS provision for SV in England.
To undertake national surveys to map SV VSS service provision and describe arrangements for funding and commissioning.
Cross-sectional surveys.
VSS services for SV and commissioners from multiple organisations across England (January-June 2021).
Senior staff working in VSS services and commissioners from multiple organisations were surveyed electronically. Surveys explored SV service commissioning, funding and delivery, partnerships between organisations, perceived unmet need for services, and views about facilitators and challenges. Data were analysed descriptively to characterise VSS service provision for SV and commissioning across England.
54 responses were received from VSS providers and 34 from commissioners. Data demonstrated a complex and evolving funding and commissioning landscape in which providers typically secured funding from multiple sources, impacting consistency and scope of service provision. It was common for multiple organisations to co-commission services, demonstrating trends towards larger contracts that may disadvantage smaller specialist providers. Numerous examples of partnership working between organisations were identified, although developing partnerships was noted as challenging, particularly between VSS organisations. There was clear evidence of unmet need for services, with some groups of victim-survivors such as those from black and minority ethnic groups, often underserved by specialist services. However, there was also evidence of innovative service development and commissioning approaches to meet the needs of victim-survivors who face challenges accessing services.
This study provides novel insights into SV service provision and commissioning in England, including unmet needs among victim-survivors.
在英国，志愿部门专家（VSS）服务是支持性暴力（SV）受害者幸存者的核心。然而，缺乏关于英格兰 SV 中 VSS 服务的范围、种类和有效性的实证证据。
进行全国调查，以绘制 SV VSS 服务提供情况，并描述资金和委托安排。
横断面调查。
英格兰多个组织的 SV VSS 服务和委托方（2021 年 1 月至 6 月）。
对 VSS 服务机构的高级工作人员和来自英格兰多个组织的委托方进行电子调查。调查探讨了 SV 服务委托、资金和服务提供、组织之间的伙伴关系、服务需求未得到满足的情况、以及对促进因素和挑战的看法。数据进行描述性分析，以描述英格兰 SV 服务提供和委托情况。
从 VSS 供应商收到了 54 份答复，从委托方收到了 34 份答复。数据显示了一个复杂和不断发展的资金和委托环境，其中供应商通常从多个来源获得资金，这影响了服务提供的一致性和范围。多个组织共同委托服务是常见的，这表明了更大合同的趋势，这可能对较小的专业供应商不利。虽然在组织之间建立伙伴关系具有挑战性，特别是在 VSS 组织之间，但确定了许多组织之间合作的例子。服务需求未得到满足的情况明显存在，一些受害者幸存者群体，如少数族裔群体，往往得不到专业服务的充分服务。然而，也有证据表明正在创新服务开发和委托方法，以满足面临服务获取挑战的受害者幸存者的需求。
本研究提供了关于英格兰 SV 服务提供和委托的新见解，包括受害者幸存者的未满足需求。
