Safety & safeguarding · England
Help after unwanted sexual contact
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This guide is for people in England.
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Unwanted sexual contact is not your fault
Sexual contact needs your free agreement.
Unwanted sexual contact is not your fault.
You deserve help and support.
Being someone’s partner does not mean agreeing to sex.
You can change your mind.
Being silent or freezing does not mean agreeing.
Get urgent help
Call 999 if someone is in immediate danger.
Call 999 for serious injuries or a life-threatening emergency.
Get medical advice promptly after an assault.
Help from a specialist centre
A SARC is a sexual assault referral centre.
It offers medical care and support.
Adults can contact a SARC themselves.
Adults can get support without reporting to police.
Ask the SARC to explain your options.
Someone you trust can help you contact them.
Some treatments need to start very quickly.
Ask promptly about pregnancy prevention and sexual infections.
Do not wait for a police report.
PEP is emergency medicine that may prevent HIV.
It must start within 72 hours.
Contact a sexual health clinic or A&E immediately.
Support during examinations
Ask staff to explain things in your own way.
Ask for a communication aid or interpreter if needed.
You can ask for a supporter and breaks.
Staff should explain examinations before they happen.
You can agree to some parts and refuse others.
You can ask to stop.
An examination may collect evidence of what happened.
Ask the SARC about this as soon as possible.
Help is still available after washing or a delay.
Independent and ongoing support
An ISVA is an independent sexual violence adviser.
They can help explain services and police or court processes.
They are different from a solicitor or therapist.
Tell staff how it is safe to contact you.
Ask when information might need to be shared.
Children need a separate safeguarding response.
People aged 16 and over can call 0808 500 2222.
The support line is free and always open.
There is also an online chat.
Support is available even when it happened long ago.
You do not need to remember everything.
You can ask for help when unsure what happened.
What you can do next
The NHS finder lists local centres.
Call 999 for immediate danger or a life-threatening emergency.
Find an NHS sexual assault referral centre Web pageThis link opens another website.
It may use harder words.
More useful links
- NHS: find a sexual assault referral centre Web page
Contact a local SARC for medical care, evidence options and support.
- 24/7 Rape and Sexual Abuse Support Line Web page
Free phone 0808 500 2222 and webchat for people aged 16 and over, of any gender.
- GOV.UK: support after rape or sexual assault Web page
Independent advisers, counselling and support organisations.
- Rape Crisis: find a local centre Web page
Check each centre’s services, eligibility and access arrangements.
- Childline: sexual abuse support Web page
Support for children and young people; free telephone 0800 1111.
These links open other websites.
They may use harder words.
Help after rape or sexual assault
Find urgent medical help, a sexual assault referral centre and independent support, including without a police report.
England · Adult support · Separate safeguarding routes for children
Support is available, including when someone is unsure
Sexual violence can affect people of any gender, sexuality or background. It can be caused by a partner, relative, care worker, acquaintance or stranger. The person harmed is not to blame. Support is available whether it happened recently or years ago, and whether the person is certain what happened or can remember everything. Nobody needs visible injuries or a completed account before asking for help.
Consent means a free choice
Sexual activity needs consent: agreement made freely with the ability to make that choice. Agreeing before, being married or using contraception does not establish consent now. Consent can be withdrawn. Someone who is asleep, unconscious or unable to decide because of alcohol or drugs cannot consent. Freezing, silence or not fighting back does not establish consent. Drinking alcohol or taking drugs never makes someone responsible for another person assaulting them.
A learning disability does not remove a person’s voice
Do not assume someone cannot consent simply because they have a learning disability or communicate differently. Equally, a relative or professional cannot consent to sex for them under the Mental Capacity Act. Ask for communication support that allows their own account and choices to be understood. The person suspected of harming them should not interpret, answer for them or control their contact with services.
Immediate danger or urgent medical need
Call 999 if someone is in immediate danger, seriously injured or has a life-threatening medical problem. A&E can provide emergency care. For other urgent concerns, contact a sexual assault referral centre, a sexual health clinic or NHS 111 for advice. If spiking is suspected, say so promptly because some tests are time-sensitive. Getting safe and receiving necessary medical care comes before preserving evidence.
Contact a sexual assault referral centre
A sexual assault referral centre is often called a SARC. It provides specialist medical, practical and emotional support. Adults can contact a SARC directly and arrange an appointment, or ask a trusted person to help. A police report is not a condition of receiving support. The NHS finder lists services. Explain when the incident happened, urgent health concerns and access needs; the centre can advise on the appropriate next step.
Pregnancy prevention and infection care can be urgent
Ask promptly about injuries, emergency contraception, STI tests and preventive treatment. Emergency contraception has different time limits, usually 3 or 5 days depending on the method. HIV PEP is emergency medicine that may prevent HIV; it should start as soon as possible, ideally within 24 hours and no later than 72 hours. A sexual health clinic or A&E assesses whether it is needed. Do not wait for a police decision or routine test results.
An examination is explained and choices matter
Staff should explain medical care and any proposed forensic examination, which looks for evidence of a crime. A person can agree to some parts, decline others or ask to stop. Request an examiner gender, a chosen supporter, interpreter, Easy Read explanations, communication aids, breaks and a suitable room or equipment. Staff need to plan consent and communication carefully; disability alone does not justify ignoring the person’s wishes.
Evidence options, even after washing or a delay
If possible, seek SARC advice before washing or changing clothes. However, someone who has already washed, changed or waited can still get care and discuss an examination. There is no single deadline after which asking is pointless. Do not delay essential care to protect evidence. Avoid washing or throwing away relevant clothes where practical, and ask the SARC how to handle them. Do not buy a do-it-yourself forensic swab kit.
Time to consider reporting
A SARC can discuss collecting and storing evidence before an adult decides whether to report to police. Ask how long samples are stored and what consent or information-sharing rules apply locally. A medical visit does not require a commitment to pursue a case. An independent supporter can explain reporting options without deciding for the person. Reporting remains possible after a delay; the service can explain what evidence may still be available.
Independent support and longer-term help
An independent sexual violence adviser, or ISVA, can help with practical needs, access to services and understanding the police or court process. Support may be available without a police report. An ISVA is not the same as a solicitor or therapist. Ask about accessible counselling, trauma support and help with housing or replacement care if needed. Explain communication, sensory and learning disability needs when a referral is made.
Privacy and safe contact
Ask how information will be kept and when professionals may need to share it for safeguarding or legal reasons. Absolute secrecy cannot be promised. Agree whether calls, messages, letters or voicemail are safe. If a device is monitored, use a safer device if possible. Tell the service about anyone who controls communication, medicines, personal care or transport so that support can be planned without relying on that person.
Help for children and young people
A child or young person needs a specialist safeguarding response. NHS England guidance says children’s SARC referrals are managed through children’s social care and/or police. A trusted teacher, GP, social worker or SARC can help identify the local route. Professionals may need to share information to keep a child safe, so the adult no-report route must not be promised to a child. Childline provides support on 0800 1111; use 999 for immediate danger.
A free support line for people aged 16 and over
The 24/7 Rape and Sexual Abuse Support Line offers free phone and online support in England and Wales, including England. Call 0808 500 2222 or use its webchat. It welcomes people of any gender, including those unsure what happened. Ask about communication or interpretation support. The line offers emotional support and information; it is not an emergency service. Its website explains limited confidentiality exceptions.
Supporting another person
Listen, take what they say seriously and make clear that the assault was not their fault. Avoid repeated questioning, investigating yourself or demanding that they report. Ask before touching or hugging them. Offer practical help to contact specialist care and explain any necessary safeguarding action. Respect their communication pace. Do not confront the suspected person or arrange a joint discussion to resolve the assault.
Words you could use
“Please help me contact specialist support safely. Explain my choices, communication support and confidentiality before asking for more information.”
More useful links
- NHS: find a sexual assault referral centre Web page
Contact a local SARC for medical care, evidence options and support.
- 24/7 Rape and Sexual Abuse Support Line Web page
Free phone 0808 500 2222 and webchat for people aged 16 and over, of any gender.
- GOV.UK: support after rape or sexual assault Web page
Independent advisers, counselling and support organisations.
- Rape Crisis: find a local centre Web page
Check each centre’s services, eligibility and access arrangements.
- Childline: sexual abuse support Web page
Support for children and young people; free telephone 0800 1111.
These links open other websites.
They may use harder words.
Where the information comes from
Links checked 1 November 2026.
These links open other websites.
They may use harder words.
- NHS: help after rape and sexual assault Web page
Medical support, SARC examinations, confidentiality and help after washing or delayed contact.
- Crown Prosecution Service: rape and sexual assault Web page
Free agreement, capacity, withdrawing consent and no requirement to say no aloud.
- Crown Prosecution Service: rape prosecution guidance Web page
Freezing, intoxication and avoiding assumptions based on a survivor’s response.
- Mental Capacity Act 2005: section 27 Web page
No consent to sex on another person’s behalf under the Act.
- NHS: Mental Capacity Act Web pageFuller information
Diagnosis does not establish lack of capacity; support for communication and decisions.
- GOV.UK: support following rape or sexual assault Web page
Adult access without a police report, evidence storage, ISVA roles and wider support.
- Rape Crisis: sexual assault referral centres Web page
Forensic options, the ability to stop an examination and help despite washing or changing.
- NHS England: responding to sexual assault and abuse PDF
Adult self-referral and children’s referral routes through social care and/or police.
- NHS: emergency contraception Web page
Different emergency contraception methods have different time limits.
- Chelsea and Westminster Hospital NHS Foundation Trust: PEP Web page
PEP should start urgently, ideally within 24 hours and no later than 72 hours.
- NHS: HIV and AIDS Web page
Urgent HIV prevention assessment from a sexual health clinic or A&E.
- 24/7 Support Line: frequently asked questions Web page
Free service for people aged 16 and over, any gender, with qualified confidentiality.
- Childline: sexual abuse Web page
Children’s support, trusted professionals and safeguarding information sharing.
- NHS England: reasonable adjustments Web page
Accessible healthcare communication and appointment support.