Domestic violence is recognised as a significant global health and societal concern. It is associated with physical and emotional effects, and individuals may present to a range of healthcare providers. There has been a paucity of evidence regarding effective strategies for the identification and support of patients who have experienced domestic violence, particularly in acute healthcare environments, until recently. This article describes the development and implementation of a domestic abuse nurse specialist role within one acute hospital trust. The wider implications for staff education and training are also considered.