Table 1 Lean Impact approach: Hypotheses and workstreams

WS1

Assured confidentiality of consultations is critical to identifying and referring patients affected by domestic abuse.

It is harder to make referrals to IRIS since lockdown restrictions were introduced.

Compare referral numbers pre and post the implementation of COVID-19 social distancing restrictions.

Survey clinicians on their confidence and ability to discuss DA during telephone consultations.

Interview patients on their confidence and ability to respond to questions about/raise DA during telephone consultations.

WS2

Clinicians / AEs / CLs find online IRIS training effective and desirable, although potentially less so than face-to-face training

Survey followed by sample interviews with clinicians, AEs and CLs

WS3

Patients find online/remote advocacy effective and desirable, although potentially less so than face-to-face advocacy

Sample interviews with patients.