Important Note: This survey has been designed to be completed by a lead domestic abuse service commissioner, or a representative within their organisation, who can respond on their behalf.

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* 1. From the list below, from which organisation are you replying?

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* 2. What is the name of the organisation that you work for? 
For example, Herts County Council, Mansfield District Council, Humberside PCC, Somerset CCG

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* 3. Who has overall responsibility for commissioning Domestic Abuse (DA) Services within your organisation? N.B. The survey should be completed from the perspective of this lead

The definition of domestic abuse service for the purpose of this survey is: specialist services for the provision of support to victims and survivors of domestic abuse, as well as specialist community services that provide behaviour change programmes for perpetrators. (e.g. IDVA Service, Refuge provision, Specialist counselling or support groups, Specialist BME/disability or LGBT services. It would not include generic mental health provision, local authority housing, generic victim support services)

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* 5. Are you aware of anybody else in your organisation who has responsibility for the commissioning of DA services, which do not fall under your remit?  If no, please move onto question 6.  If yes, please give details below? 
For example, within housing, social care or a safeguarding team

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* 6. As lead commissioner, what activities do you carry out?.  That is, those which fall in-house for you/your team.
Please tick all that apply.

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* 7. Does your commissioning role focus on Domestic Abuse specifically, or cover a wider Violence Against Women and Girls (VAWG) agenda?

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* 8. Which DA/VAWG Service(s) does your team commission (either solely or through a joint commissioning agreement).  
Please tick all that apply. 

  Sole Commission Joint Commission Does this includes a women only service? (please tick)
Independent Domestic Violence Advocacy (IDVA) Service
Specialist IDVA Post
MARAC
Rape Crisis Centre / Service
Refuge Provision
Specialist BAME Services
Specialist Counselling/Support Groups
DHRs
Specialist LGBT Services
Specialist Disability Services
Sanctuary Scheme
IRIS
Perpetrator Programme
DA Project (e.g. women's night safety charter)
DA Helpline
DA Coordinator
Criminal Justice Support
DA Support Workers
DA Training
General DA Service (e.g.one stop shop)
DA Workplace Policy
DA Champions
FGM
Forced Marriage
So called Honour Based Violence
Stalking
Modern Slavery
Harmful Practices
Sexual Assault Referral Centre (SARC)
Sexual Exploitation
CSE
Women's Centre
Specialist Posts Other (state below)

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* 9. Do you have a DA/VAWG Services joint commissioning group

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* 10. Do you have a DA/VAWG lead within your organisation?  Does this sit within your role, or within your department or fall under another team? Please provide details below.

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* 12. For our cross-referencing purposes.  Where known, please provide the contact name of the lead DA commissioner of your PCC / Local Authority / CCG (that is, whichever two you don't fall within)

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* 13. Any further comments?

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* 14. It's useful for us to know who has competed this survey.  If you have completed on behalf of the lead commissioner, whose details were provided in Q3, please provide your name, job title and email in the box below, if you are happy to do so

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* 15. DATA Collection Notice
Data collected from this survey will be held by Standing Together against Domestic Violence and the Domestic Abuse Commissioner’s Office.  See our privacy policy here

Information gathered will be used for the purpose of improving service provision for victims/survivors, and their children, suffering from Domestic Abuse and/or other VAWG related issues.  For further details please contact commissioner@domesticabusecommissioner.independent.gov.uk 

To develop our work within domestic abuse, we may share some of your information with partner agencies where necessary/relevant and proportionate to do so.  Please complete the statement below.

I am willing for data collected to be shared, on occasion if relevant, with those listed below (please tick):

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