Horwood J, et al. – The Assessing for Domestic Violence in Sexual Health Environments (ADViSE) intervention aimed to improve identification and management of DVA in sexual healthcare settings and is a modified version of the Identification and Referral to Improve Safety (IRIS) general practice program. Researchers performed a qualitative evaluation aimed to explore the experiences of staff participating in an IRIS ADViSE pilot. They identified challenges of delivering and sustaining IRIS ADViSE which included the varied styles of enquiry, as well as tensions and additional time pressure arising from disclosure of abuse. Modifying initial training, providing regular updates and stronger recognition (and resources) at policy and commissioning levels could overcome these challenges.