Recording, confidentiality and safe information sharing

Domestic abuse records require care because unsafe disclosure can increase harm. Records should be factual, proportionate and accessible only via the correct local process.

Record facts that support safe action

A clear safeguarding record states what was said, what was seen, who was present, which contact methods are unsafe, what action was taken and who is managing the concern. Vague labels such as "relationship problem" or "family issue" can conceal risk.

• Exact words: use quotation marks where possible.
• Presence and privacy: note who was present, who could hear, and who spoke for the patient.
• Safe-contact details: record unsafe calls, texts, letters, app access or proxy access concerns.
• Immediate concerns: threats, weapons, pregnancy, children, stalking, strangulation, forced marriage or inability to stay safe.
• Action taken: who was informed, when, and by which route.

Protect confidentiality without hiding risk

Confidentiality supports trust, but some domestic abuse information must be shared with the right people to prevent harm. Reception staff should not make complex information-sharing decisions alone; consult the safeguarding lead, a clinician or local policy.

Do not share information with partners, relatives, carers or callers simply because they sound authoritative, say they are worried, or claim a right to know. Confirming attendance, contraception, pregnancy, test results, address changes or messages may place the patient at risk.

Digital and record-access risks

Online records, proxy access, app notifications and routine appointment messages can create safety risks. Domestic abuse concerns may need special handling so sensitive information is not visible to someone monitoring the patient's account or phone.

Online records

Do not let routine messages, proxy access or visible notes accidentally disclose domestic abuse concerns.