title: Re-audit of clients from ethnic and local communities in Greater Manchester attending St. Mary's Sexual Assault Referral Centre.
abstract: A re-audit was conducted at St. Mary's Sexual Assault Referral Centre to assess recording of clients' ethnicity, area of residence and assault type following training that drew on results of an initial audit. This also reassesses the ethnic and local community representation of clients in the light of more recent census data for Greater Manchester. Performances of recording ethnicity, area of residence, and assault type relevant to all new clients in 2003 (n=805) were measured against standards. Figures relating to local and ethnic populations were also compared to 2001 census data as a guide. Recording clients' ethnicity improved considerably, but recording area of residence slipped just below standard, and recording assault type dropped markedly. Overall ethnic minority representation was above general population figures, but differences existed within communities. Manchester city resident clients were over-represented compared to other county boroughs. Numbers of all clients seen at the centre had increased sharply since the original audit. Staff training following the original audit appeared to improve recording of ethnicity, whilst the heavy drop in assault type was largely attributed to an increase of referrals where the clients were not fully unconscious during the assault. The high number of Black and dual-heritage clients accounted for the 'over-representation' of ethnic minorities, masking under-representation of other ethnic communities, especially Asians. The 'over-representation' of Manchester city residents was seen to persist.
authors.affiliation: University of Manchester, St Mary's Hospital, Academic Unit of Obstetrics & Gynaecology and Reproductive Healthcare, Hathersage Road, Manchester, UK. iain.mclean@cmmc.nhs.uk
authors.forename: Iain Andrew
authors.initials: IA
authors.lastname: McLean
mesh_terms: D005006:Ethnicity / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008485:Medical Audit; D010044:Outpatient Clinics, Hospital; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012742:Sex Offenses / Q000706:statistics & numerical data*; D013383:Suburban Population / Q000706:statistics & numerical data; D006113:United Kingdom / Q000453:epidemiology; D014505:Urban Population / Q000706:statistics & numerical data