Supporting survivors of sexual violence in Scotland

National roll-out of Nurse Sexual Offence Examiners

Specialist nurses trained to examine survivors of sexual assault will be available across Scotland as part of a national roll-out.

Nurse Sexual Offence Examiners (NSOEs) support and examine survivors of sexual violence, providing trauma-informed care and gathering forensic evidence.

Following a test of change backed by over £700,000 of Scottish Government funding, the Lord Advocate approved the national roll-out of the role in March 2026

The change means specialist nurses will now be able to undertake forensic medical examinations and give opinion evidence in court, subject to continuing review of progress.

The expansion will particularly benefit islands and rural areas, which have previously relied on private forensic doctor services to deliver this care.

Public Health Minister Maree Todd said: “It is crucial for any survivor of rape or another sexual offence to be able to access the support they need, in the way they need it.

“The hours after a sexual assault are some of the most difficult a survivor will face. Expanding this specialist nursing role means more survivors will be cared for by compassionate, highly trained professionals. It also means these specialist nurses will be able to give opinion evidence in court.

“This is a significant milestone for Sexual Assault Response Coordination Services throughout Scotland, and I want to thank everyone involved for their dedication and work to make this possible.”

Sexual Assault Response Coordination Service (SARCS) Network Patient Advocate Kirsty Arnaud said: “Disclosing sexual assault is one of the hardest things a person can do. It takes a considerable amount of courage and strength to attend a SARCS.

“Every survivor who has taken that step deserves timely, compassionate and trauma-informed care. This includes being able to exercise their right to request the preferred sex of the examiner.

“The quality of care a survivor receives post-assault can determine their future mental and physical wellbeing. More survivors should have access to the passionate and dedicated nurses I have been so fortunate to have met during my time as the lived-experience representative for the SARCS Network.

“The role of Nurse SOEs will further enhance this access across SARCS in Scotland. This development reflects the ways the SARCS Network is strengthening its commitment to delivering high-quality support to survivors across Scotland.”

This change will also mean people will be able to exercise their right to be examined by someone of their chosen sex.

SARCS: Rape and sexual assault support service launched

Improving healthcare choices and support

A marketing campaign has been launched to ensure people know about a dedicated national NHS service that offers choices in healthcare, forensic examination and support after a rape or sexual assault.

The national service, which is to be implemented across all health boards, will allow those aged 16 and over to self-refer for a forensic health examination at a Sexual Assault Response Coordination Service (SARCS), whether or not they wish to report to the police.

Funding of £11.7 million has been invested by the Scottish Government alongside the unanimous passing of Forensic Medical Services Act 2021 by Parliament. This money has gone towards creating healthcare facilities for examinations across all health boards, to recruit more specialist staff and set up a single point of contact for self-referral through NHS 24.

The campaign which will run across digital channels and outdoor advertising sites encourages people who have experienced a sexual crime to visit the NHS Inform website for information to help them decide the best next step for them.

Chief Medical Officer, Professor Sir Gregor Smith said: “It is very important that everyone knows about this service and while I hope that people will never need to use it, for those that do, knowing where to turn for support and information is a vital part of giving them back control.

“This legislation marks an important step in ensuring that those who have experienced a sexual assault have access to healthcare and support, even if they don’t feel ready to report it to the police.

“The campaign will be running over the next few months to raise awareness of the Sexual Assault Response Coordination Service (SARCS), to help improve the experience of those who have suffered a sexual crime.”

Jennifer Wilson, Nurse Director for NHS Ayrshire & Arran added: “Improving healthcare services for victims of sexual offences is a priority for NHS Ayrshire & Arran.

“We are committed to the Taskforce vision of consistent, person-centred, trauma-informed healthcare and forensic medical services and access to recovery, for anyone who has experienced rape or sexual assault in Scotland.

“With the launch of the FMS Act and the National Self-Referral Service we can now offer local services to victims of sexual assault who require a Forensic Medical Examination (FME) and who do not wish to, or are not yet ready to report this to the Police.

“This is a vital part of improving services for victims of sexual assault and making sure that timely healthcare support, including a forensic medical examination, is available to victims of rape and sexual assault in a way that is sensitive, compassionate and reduces the risk of any re-traumatisation.”

Sandy Brindley, Chief Executive of Rape Crisis Scotland said: “This is a huge step forward in improving responses to rape in Scotland. Immediately following rape or sexual assault can be a really difficult time to make a decision about whether to report what has happened to the police, but there are time limits involved in being able to capture forensic evidence.

“Self-referral means that if someone doesn’t feel ready to make the decision about reporting they can ensure all the evidence is captured and make the decision when they are ready.”