{"id":17840,"date":"2024-01-09T09:57:04","date_gmt":"2024-01-09T09:57:04","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=17840"},"modified":"2024-09-03T12:58:53","modified_gmt":"2024-09-03T11:58:53","slug":"sexual-assault-response-coordination-service","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/sexualreprohealth\/sexual-assault-services\/sexual-assault-response-coordination-service\/","title":{"rendered":"Sexual Assault Response Coordination Service"},"content":{"rendered":"\n<p>A Sexual Assault Response Coordination Service (<strong>SARCS<\/strong>) is available in every health board. It is there to help people aged 16 or over disclosing rape or sexual assault. \u00a0If an assault has occurred in the previous 7 days, a forensic medical examination may be appropriate to collect evidence that could help police investigations.\u00a0 Forensic samples are taken by a trained Sexual Offence Examiner.<\/p>\n\n\n\n<p>Please see the <a href=\"https:\/\/vimeo.com\/953205043\">SARCS RefBite<\/a>\u00a05-minute film for a full description of the service \u2013 and how to support our patients, and consider the impact on ourselves as clinicians, too. \u00a0<\/p>\n\n\n\n<p>People can access SARCS testing and support without police involvement too \u2013 see &#8216;how to refer&#8217; below for further detail. Where the person does not wish police involvement, SARCS will collect certain forensic evidence and keep it for 26 months, in the case of police involvement at a later date. If the police are not contacted, the evidence will be destroyed after 26 months.<\/p>\n\n\n\n<p>The service offers immediate healthcare needs, including STI, BBV and pregnancy testing, emergency contraception, HIV prophylaxis (PEPSE), Hepatitis B vaccine and psychological risk assessment. On-going support is offered from the SARCS gender-based violence (GBV) nurse.<\/p>\n\n\n\n<p>Please advise the person to try and avoid washing and not to discard items of clothing worn at the time. If the assault involved the person\u2019s oral cavity, if possible, they should avoid eating, drinking, smoking, chewing gum or brushing teeth prior to being seen. They should try and keep any used toilet paper or sanitary products.<\/p>\n\n\n\n<p>Please see Primary Care Management for additional guidance on other approaches to help and what should <em>not <\/em>be done prior to referral.<\/p>\n\n\n\n<p>Patients can find out more about SARCS services on NHS Inform: <a href=\"http:\/\/www.nhsinform.scot\/sarcs\" target=\"_blank\" rel=\"noreferrer noopener\">www.nhsinform.scot\/sarcs<\/a><\/p>\n\n\n\n<p><strong><u>Time frame<\/u><\/strong><\/p>\n\n\n\n<p>People who are self-referring can access support for their immediate healthcare needs:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>up to 10 days post incident<\/li>\n\n\n\n<li>and, for a <strong>forensic examination within 7 days<\/strong> post incident.<\/li>\n<\/ul>\n\n\n\n<p><strong>Forensic window for obtaining samples:<\/strong><\/p>\n\n\n\n<p>Anal 72 hrs<\/p>\n\n\n\n<p>Digital 48 hours<\/p>\n\n\n\n<p>Vaginal 7 days<\/p>\n\n\n\n<p>Oral penetration 24 hours<\/p>\n\n\n\n<p>Skin, licking, biting 48 hours.<\/p>\n\n\n\n<p><strong>Drug Facilitated Assault \u2013 encourage person to contact police to arrange toxicology.<\/strong><\/p>\n\n\n\n<p>Blood &#8211; 3days<\/p>\n\n\n\n<p>Urine 5- days<\/p>\n\n\n\n<p>Hair 4-6 weeks.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"1024\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/SARCS-700x1024.png\" alt=\"SARCS flowchart\" class=\"wp-image-17841\" style=\"width:700px;height:auto\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/SARCS-700x1024.png 700w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/SARCS-205x300.png 205w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/SARCS-768x1124.png 768w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/SARCS-1049x1536.png 1049w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><figcaption class=\"wp-element-caption\"><span class=\"media-credit\">NHSL<\/span> flowchart copyright NHS Lothian<\/figcaption><\/figure>\n<\/div>\n\n\n<p><strong>C.M. &amp; N.S\/S.W 12-01-24<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\"><strong>Who can refer:<\/strong><\/h4>\n\n\n\n<p>Anyone.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Who to refer:<\/strong><\/h4>\n\n\n\n<p>Persons disclosing rape or sexual assault.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Who not to refer:<\/strong><\/h4>\n\n\n\n<p>SARCS does not offer routine sexual health services: in the absence of disclosure of rape or sexual assault, please signpost people to Chalmers Sexual Health.<\/p>\n\n\n\n<p class=\"has-alert-red-color has-text-color has-link-color wp-elements-ccaac8eba8aa56af41209d1edef7ceeb\"><strong>For people under 16 years of age, please follow Child Protection Protocols.<\/strong><\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>How to refer:<\/strong><\/h4>\n\n\n\n<p>Patients can contact Police Scotland or self-refer if they do not wish to contact police. Healthcare professionals can assist with this.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Police contact<\/strong> &#8211; the person can phone 101. A Sexual Offences Liaison Officer (SOLO) will normally arrange and support the person to attend SARCS.<\/li>\n\n\n\n<li><strong>No police contact <\/strong>&#8211; SARCS offers healthcare and support if the person is not ready or unsure whether to go to the police. To self-refer, where <strong>NO POLICE CONTACT<\/strong> is preferred, please phone Lothian SARCS at <strong>0800 148 8888<\/strong><\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>Try to respond to the disclosure in a trauma informed, person centred manner.<\/p>\n\n\n\n<p>Never interrogate the person about the incident.<\/p>\n\n\n\n<p>Consider safety and vulnerability.<\/p>\n\n\n\n<p>Treat any immediate physical or medical conditions requiring attention. Do not undertake any clinically unnecessary pelvic examination.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>SARCS (NHS) <strong>0800 148 8888<\/strong><\/p>\n\n\n\n<p><strong>NHS Inform&nbsp;&nbsp; <a href=\"http:\/\/www.nhsinform.scot\/sarcs\" target=\"_blank\" rel=\"noreferrer noopener\">www.nhsinform.scot\/sarcs<\/a><\/strong><\/p>\n\n\n\n<p>Rape Crisis Scotland Helpline 5pm -midnight <strong>08088 010302 <a href=\"http:\/\/www.rapecrisisscotland.org.uk\" target=\"_blank\" rel=\"noreferrer noopener\">www.rapecrisisscotland.org.uk<\/a><\/strong><\/p>\n\n\n\n<p>Police Scotland<strong> &#8211; Emergency 999 non emergencies 101<\/strong><\/p>\n\n\n\n<p>Victim Support Scotland <strong>0800 160 1985<\/strong><\/p>\n\n\n\n<p>Breathing Space<strong> 0800 83 85 87<\/strong><\/p>\n\n\n\n<p>Childline <strong>0800 1111 <a href=\"http:\/\/www.childline.org.uk\" target=\"_blank\" rel=\"noreferrer noopener\">www.childline.org.uk<\/a>&nbsp;<\/strong><\/p>\n\n\n\n<p>Beira\u2019s Place<strong> 0131 526 3944 10am-5pm <\/strong><a href=\"https:\/\/beirasplace.org.uk\/resources\/\" target=\"_blank\" rel=\"noreferrer noopener\">Resources &#8211; Beira&#8217;s Place (beirasplace.org.uk)<\/a><\/p>\n\n\n\n<p>Scotland\u2019s Domestic Abuse and Forced Marriage Helpline 0800 027 1234 <strong><a href=\"http:\/\/www.sdafmh.org.uk\" target=\"_blank\" rel=\"noreferrer noopener\">www.sdafmh.org.uk<\/a><\/strong><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>A Sexual Assault Response Coordination Service (SARCS) is available in every health board. It is there to help people aged 16 or over disclosing rape or sexual assault. &nbsp;If an assault has occurred in the previous 7 days, a forensic medical examination may be appropriate to collect evidence that could help police investigations.&nbsp; Forensic samples<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":16315,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[1063],"class_list":["post-17840","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-sexual-assault-response-coordination-service"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/sexualreprohealth\/https-apps-nhslothian-scot-refhelp-sexual-assault-services\/https-apps-nhslothian-scot-refhelp-sexual-assault-response-coordination-service\/\" rel=\"tag\">Sexual Assault Response Co-ordination Services<\/a>","rttpg_excerpt":"A Sexual Assault Response Coordination Service (SARCS) is available in every health board. It is there to help people aged 16 or over disclosing rape or sexual assault. &nbsp;If an assault has occurred in the previous 7 days, a forensic medical examination may be appropriate to collect evidence that could help police investigations.&nbsp; Forensic samples","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/17840","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=17840"}],"version-history":[{"count":9,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/17840\/revisions"}],"predecessor-version":[{"id":20687,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/17840\/revisions\/20687"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/16315"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=17840"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=17840"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}