Information for Professionals A Guide to Services at the Saturn centre SARC- sussex

Self referral: 24/7 risk assessed service (generally booked 0800-2000) Accessing the SARC Police referrals & Self referrals are accepted The client has the choice to enter our service through their preferred route. 24 hour helpline: 0800 033 7797 Police referral: 24/7 0330 223 0058 Access to the SARC to be arranged through our call centre (before attending the SARC) Self referral: 24/7 risk assessed service (generally booked 0800-2000) 01293 600 469/ 0330 223 0058 Non police involvement, can switch to police referral at any point, samples are stored at the SARC for 2 years.

Forensic Nurse Examiner – FNE Crisis/Support worker Who Works in the SARC? Forensic Nurse Examiner – FNE Gathers medical evidence to assist in the prosecution. Responsible for writing statements on request and presenting evidence in court. To provide a therapeutic role and organise medical care to ensure safety and well being of individual. Crisis/Support worker Assists the FNE in their examinations and acts as an advocate for the client. SARC Manager Involved in all management aspects of the SARC & is forensically trained.

Police Referrals Police will ring the Call Centre to organise an appointment time The FNE will give advice to the Police if needed A strategy discussion will be organised for all under 16’s and vulnerable adults prior to attendance FNE and Support Worker will be contact to attend the SARC FNE and Support Worker arrive at the Saturn Centre to open up and put the kettle on! Support Worker will meet and greet the Client and accompanying Police The first account is relayed to the FNE and Support worker by Police A forensic strategy will be agreed

Self Referrals Anyone can contact us in the office for advice and to speak to an FNE Mon- Fri 9/5 There is a 24 hour help line for advice Our website www.Saturncentre.org has a contact page to email us for advice We have facebook and Twitter Accounts for information about the service We will try and arrange a convenient appointment time for clients, normally between 08:00 – 20:00 Our Call Centre will ensure that there are no Police cases referred to the SARC during the time of a self referral appointment

What Happens in an Examination? We will assess the capacity, mental health incl. need for an Appropriate Adult and intoxication levels of the client Our consent form will be explained and we will obtain consent from the client to proceed An appropriate medical history will be taken including details of the clients health since the assault Pregnancy testing Top to toe examination for injuries (abrasions, lacerations, bruises) Photograph and document injuries on body maps Still images / videos of injuries taken with the colposcope Non-intimate / intimate samples are taken At all times during the examination the dignity and comfort of our clients is paramount

Forensic Sampling- The longevity of sperm Site, longevity & Swab sites Other items to potentially seize Mouth - 2 days (Peri-oral & mouth swabs) Skin- 2 days (Prolonged skin contact / drainage) Anus- 3 days (7 days perianal- vaginal intercourse) Vagina- 7 days Cervix- 7 days 48 hours post digital assault (vaginal/anal) Toothbrush Tampons Sanitary Pads Condoms Underwear Toilet Paper Couch Cover from examination Clients Gown

Toxicology Blood Urine Amphetamine 12 hours 1-2 days Cannabis Depends on pattern of use Cocaine 18 hours 2-3 days Ecstasy GHB 6 hours Morphine Hair Samples are taken > 28 days

Aftercare A wash bag filled with toiletries Towels Gowns Clothing Aftercare offered to our clients: Every client is offered a shower post examination, we have available: HIV Risk assessments- HIV PEP offered (Post Exposure Prophylaxis) <72 hours post exposure. Clients receive a 5 day TTO pack and are referred to Sexual Health by the SARC for an urgent appointment Post Coital Contraception (Levonelle / Ella One) STI discussions/ precautions Referrals to appropriate services incl. Sexual Health, ISVA etc. A wash bag filled with toiletries Towels Gowns Clothing Shoes

Referrals that may be made: GUM (Sexual health clinic local to the client) Social services (All <18, vulnerable, at risk) GP / School nurse/ health visitor Mental health team/worker ISVA (Independent sexual violence advisor) IDVA (Independent domestic violence advisor) Other charities/organisations that might be relevant Counselling services

Clients seen at the Saturn Centre We see all genders and all ages. (14-100) A FNE (nurse) will see cases aged 14 years and over both sexually active and non sexually active. In August 2016 we saw 32 cases: 29 female, 3 male, and 3 were self-referral. In September 2016 we saw 47 cases: 44 female, 3 male, 8 were self -referrals. In October 2016 we saw 23 cases: 22 female, 1 male, 2 were self-referrals The majority of cases we see in the SARC, however we do occasionally do examinations at other sites if the clients needs require us to do so. We have seen clients in nursing homes, private home, secure units, prisons and hospitals.

Domestic Abuse & Sexual Assault According to the Office for National Statistics (2015) 19% of women suffer sexual assault who have reported domestic abuse while 3.8% of men have experienced it. This is a percentage of the estimated 4.5 million female victims and 2.2 million male victims age 16-59 There were 88,106 police recorded sexual offences in the year ending March 2015, an increase of 37% compared with the previous year Within the overall increase, the number of offences of rape increased by 41% to 29,234, and the number of other sexual offences increased by 35% to 58,872 This increase is thought to be linked to a number of high profile reports and inquiries which have raised public awareness and resulted in police forces reviewing and improving their recording practices (Office of national statistic 2015.)

Any Questions? If you feel that your service would benefit from a presentation from our Team at the Saturn Centre, or you would like further information about our service please call our office to discuss: Mon- Fri: 9/5 on 01293 600 469 Or by email- sc-tr.Saturncentre@nhs.net All images are credited to flaticon authors