Table 1.

Propositions for the successful embedding of DVA work in the daily routine of general practice mapped on the Normalisation Process Theory framework

NPT construct	Application to the normalisation of IRIS
1. Coherence – sense‐making work	DVA work should make sense to the general practice team and third sector organisation team (communal specification) and the individuals (individual specification); DVA work should match norms and values of NHS and third sector staff (internalisation); it should be distinct from other work and comprehensible to all the actors (differentiation).
2. Cognitive participation – relational work	NHS and third sector staff should work together to come to an agreement on DVA work (legitimisation); establish ways of working (enrolment); initiate DVA work with resources (initiation); and collectively establish ways to sustain it over time (activation).
3. Collective action – operational work in a given setting	NHS and third sector staff should have access to IRIS resources to support DVA work and use these resources in the context (contextual integration) and the group (relational integration); they should develop ways to work with each other and the resources to accomplish the DVA work (interactional workability) and figure out a way to divide labour to identify and care for patients with experience of DVA (skill‐set workability).
4. Reflexive monitoring – appraisal work	NHS and third sector staff should work out a system to define, collect and collate information about effects of IRIS (systematisation); work together and individually to appraise their DVA work and evaluate its worth (communal and individual appraisal); they should (if needed) modify IRIS for their context (reconfiguration).

DVA: domestic violence and abuse; IRIS: Identification and Referral to Improve Safety; NHS: National Health Service; NPT: normalisation process theory.